HCPCS G9484: Remote E/MMedicare rate & RVUs

G9484 identifies a 45-minute remote evaluation and management service for a new patient, selected when the documented service supports this time level.

CMS RVU26DEffective Oct 1, 2026109 payment localities91 Medicare services in 2024

Medicare pays $89.18 for G9484 nationally in the office and $89.18 in a hospital or facility. Local office rates run $83.54–$126.16.

Medicare rate · G9484

Remote E/M

Swap in your local Medicare rate.

Work RVUs
2.43
Total RVUs
2.67
Global days
XXX

National rate · 2026

$89.18

Office setting, before claim adjustments.

See every locality for G9484 → · 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
  1. Medicare rate
  2. What G9484 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What G9484 covers

G9484 identifies a remote evaluation and management service for a new patient at the 45-minute level. A physician or other eligible clinician reports it for a remote encounter in which the clinician evaluates a patient who qualifies as new under the applicable coding rules. The code does not identify a particular diagnosis, specialty, or clinical problem, so the record should make the purpose and substance of the evaluation clear.

Select G9484 rather than a shorter- or longer-time new-patient level based on documentation supporting the 45-minute service. The record should identify the patient as new and describe the remote evaluation and time supporting the selected level. CMS's fee schedule data lists work and malpractice RVUs for the code and zero practice expense RVUs in both office and facility settings. The supplied CMS rules list no add-on, global-period, component, or reduction rule for this code.

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 G9484 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

$83.54 to $126.16

$83.54$104.85$126.16
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

G9484 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$85.70$85.70
Alaska*$126.16$126.16
Arizona$88.03$88.03
Arkansas$85.29$85.29
Atlanta$91.04$91.04
Austin$88.43$88.43
Bakersfield$87.59$87.59
Baltimore/Surr. Cntys$92.38$92.38
Beaumont$88.61$88.61
Brazoria$88.07$88.07

G9484 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.

$83.54

$126.16

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
G9484 office rate range by state
State / territoryOffice rate rangeLocalities
AK$126.161
AL$85.701
AR$85.291
AZ$88.031
CA$86.84–$94.3929
CO$88.401
CT$92.491
DC$94.471
DE$88.781
FL$93.21–$101.443
GA$90.72–$91.042
GU$85.811
HI$85.811
IA$84.351
ID$84.961
IL$93.69–$100.134
IN$85.061
KS$85.201
KY$88.501
LA$88.84–$90.272
MA$88.85–$91.632
MD$89.33–$94.473
ME$86.15–$86.222
MI$90.21–$94.682
MN$83.541
MO$88.97–$89.203
MS$87.091
MT$89.161
NC$86.291
ND$84.421
NE$84.191
NH$88.181
NJ$93.20–$94.842
NM$90.791
NV$87.841
NY$86.80–$101.245
OH$89.241
OK$87.391
OR$86.80–$88.432
PA$88.74–$92.192
PR$89.061
RI$89.861
SC$87.981
SD$83.861
TN$85.471
TX$88.07–$92.848
UT$88.361
VA$86.82–$94.472
VI$89.061
VT$85.221
WA$88.32–$91.772
WI$83.631
WV$92.641
WY$87.101

How the G9484 rate is calculated

Each of G9484’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 · G9484

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 2.43Practice expense 0.00Malpractice 0.24

2.6700 adjusted RVUs×$33.4009 conversion factor=$89.18

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for G9484

G9484 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 · G9484

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

Non-facility (office) rate · national

$89.18

The facility rate would be $89.18 (−$0.00). In a facility, the facility bills its own costs separately.

G9484 compared with similar codes

Compare codes

G9484 vs G9483 vs G9485 vs G9489: national Medicare rates

Swap in your local Medicare rate.

  • G9484
    Remote E/M · 2.43 wRVU
    $89.18
  • G9483
    Remote E/M · 1.42 wRVU
    $52.77−$36.41
  • G9485
    Remote E/M · 3.17 wRVU
    $117.91+$28.73
  • G9489
    Remote E/M · 2.11 wRVU
    $77.49−$11.69

How to choose

G9483Remote E/M
Use G9483 for the 30-minute new-patient remote E/M level; G9484 identifies the 45-minute level.
G9485Remote E/M
Use G9485 for the 60-minute new-patient remote E/M level; G9484 identifies the 45-minute level.
G9489Remote E/M
G9489 is for an established patient at the 40-minute level. G9484 is for a new patient at the 45-minute level.

G9484 billing questions

How does G9484 differ from G9483 and G9485?

All three are remote E/M codes for new patients. G9483 identifies the 30-minute level, G9484 the 45-minute level, and G9485 the 60-minute level.

Can G9484 be used for an established patient?

No. G9484 is designated for a new patient; the G9486–G9489 codes identify remote E/M levels for established patients.

What documentation supports G9484?

Document the remote evaluation, the patient's new-patient status, and the time supporting the 45-minute level.

Should G9484 be reported with multiple units for a longer encounter?

The descriptor identifies a 45-minute new-patient service level, not a per-unit interval. Choose the applicable time-level code based on the documented service rather than multiplying units.

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
RVUs for G9484PPRRVU2026_Oct_nonQPP.csv, line 15,994 (RVU26D)

Open CMS sourceHow we calculate rates

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