HCPCS G2250: Remote image reviewMedicare rate & RVUs
Report G2250 when a clinician reviews recorded images or video submitted by an established patient, interprets the material, and follows up within 24 business hours.
Medicare pays $13.03 for G2250 nationally in the office and $8.02 in a hospital or facility. Local office rates run $11.92–$16.49.
Medicare rate · G2250
Remote image review
- Work RVUs
- 0.18
- Total RVUs
- 0.39
- Global days
- XXX
National rate · 2026
$13.03
Office setting, before claim adjustments.
See every locality for G2250 →Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 10 sections
What G2250 covers
G2250 covers a clinician’s remote assessment of recorded images or video sent by an established patient, such as a patient-submitted wound photograph. The clinician interprets the material and follows up with the patient within 24 business hours. It is an asynchronous service: the patient sends recorded material for review rather than connecting with the clinician for a live conversation. Physicians and other qualified health professionals may perform the assessment in an office or other practice setting.
Report G2250 when the review is not part of a related E/M service furnished in the preceding 7 days and does not lead to an E/M service or procedure within the next 24 hours or the soonest available appointment. Document the submitted material, the clinician’s assessment, and the follow-up communication, including its timing. The code has no stated time threshold; select it based on the service performed, not minutes spent reviewing the submission.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where G2250 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$11.92 to $16.49
109 of 109 payment localities
G2250 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$11.92
$16.32
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $16.32 | 1 |
| AL | $12.05 | 1 |
| AR | $11.92 | 1 |
| AZ | $12.77 | 1 |
| CA | $13.61–$16.49 | 29 |
| CO | $13.45 | 1 |
| CT | $13.73 | 1 |
| DC | $14.58 | 1 |
| DE | $12.94 | 1 |
| FL | $12.90–$13.81 | 3 |
| GA | $12.37–$13.22 | 2 |
| GU | $13.80 | 1 |
| HI | $13.80 | 1 |
| IA | $12.26 | 1 |
| ID | $12.32 | 1 |
| IL | $12.63–$13.53 | 4 |
| IN | $12.37 | 1 |
| KS | $12.22 | 1 |
| KY | $12.26 | 1 |
| LA | $12.24–$12.68 | 2 |
| MA | $13.41–$14.53 | 2 |
| MD | $13.14–$14.58 | 3 |
| ME | $12.37–$12.84 | 2 |
| MI | $12.49–$13.02 | 2 |
| MN | $12.98 | 1 |
| MO | $12.10–$12.71 | 3 |
| MS | $12.01 | 1 |
| MT | $13.03 | 1 |
| NC | $12.46 | 1 |
| ND | $12.83 | 1 |
| NE | $12.30 | 1 |
| NH | $13.26 | 1 |
| NJ | $13.91–$14.50 | 2 |
| NM | $12.54 | 1 |
| NV | $12.98 | 1 |
| NY | $12.59–$14.96 | 5 |
| OH | $12.45 | 1 |
| OK | $12.24 | 1 |
| OR | $12.90–$13.78 | 2 |
| PA | $12.46–$13.47 | 2 |
| PR | $13.09 | 1 |
| RI | $13.32 | 1 |
| SC | $12.47 | 1 |
| SD | $12.80 | 1 |
| TN | $12.26 | 1 |
| TX | $12.40–$13.39 | 8 |
| UT | $12.59 | 1 |
| VA | $12.81–$14.58 | 2 |
| VI | $13.09 | 1 |
| VT | $12.79 | 1 |
| WA | $13.38–$14.78 | 2 |
| WI | $12.51 | 1 |
| WV | $12.30 | 1 |
| WY | $12.94 | 1 |
How the G2250 rate is calculated
Each of G2250’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · G2250
RVUs × geographic indexes × conversion factor
Work0.18
0.18 RVUs× 1.000 GPCI
Practice expense0.20
0.20 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.3900
Conversion factor
$33.4009
Medicare rate
$13.03
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for G2250
G2250 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · G2250
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$13.03
- Non-facility (office)
- $13.03
- Facility
- $8.02
Higher because the practice carries its own overhead.
G2250 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- G2251Virtual check-in
- Choose G2250 for interpretation of recorded images or video sent by the patient. G2251 is for a brief technology-based check-in.
- G2252Virtual check-in
- G2250 centers on clinician review of patient-submitted recorded material. G2252 describes a longer technology-based check-in.
- 99421Online E/M
- G2250 is specifically for assessment of submitted recorded images or video with follow-up. 99421 is an online digital E/M service based on cumulative time over a 7-day period.
G2250 billing questions
How does G2250 differ from G2251?
G2250 is for reviewing recorded images or video submitted by the patient. G2251 describes a brief communication technology-based check-in, rather than this asynchronous image or video assessment.
Can G2250 be reported when the review leads to an office visit?
The service is not reported as G2250 when it leads to an E/M service or procedure within the next 24 hours or the soonest available appointment.
Does G2250 have a minimum time requirement?
The code’s service description does not specify a time threshold. Base reporting on the recorded-material assessment and required follow-up, not a set number of minutes.
What should the record include?
Document that an established patient submitted recorded images or video, the clinician’s interpretation, and the follow-up with the patient within 24 business hours. The record should also support that the service was separate from a related E/M service in the preceding 7 days.
Can a live video visit be reported as G2250?
No. G2250 describes an assessment of recorded material submitted by the patient, not a live video encounter.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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