$33.29–$50.25
Both describe remote E/M for established patients; G9487 is the 15-minute level, while G9488 is labeled 25 minutes.
On this page
CMS RVU26D · Effective 2026-10-01
G9488 Remote E/M Medicare reimbursement rates
Reports a 25-minute remote evaluation and management service for an established patient receiving ongoing care from a physician or other qualified health care professional. Compare G9488 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for G9488?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$51.49–$77.73
109 of 109 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where G9488 pays more and less
109 payment localities
$51.49 to $77.73
Evaluation and management
About G9488: Established patient remote E/M, 25 minutes
Reports a 25-minute remote evaluation and management service for an established patient receiving ongoing care from a physician or other qualified health care professional.
G9488 represents a remote evaluation and management service for a patient already established with the clinician, at the 25-minute level. A physician or other qualified health care professional uses the encounter to assess the patient's current concern, review relevant clinical information, and make or update a management plan. It fits ongoing care when the clinician can address the issue remotely, rather than requiring an in-person assessment.
Select this code based on established-patient status and the documented time level, not the new-patient remote E/M levels. The record should identify the concern, relevant history or records reviewed, assessment, management decisions, and time attributable to the remote E/M work. CMS fee schedule valuation is concentrated in physician work, with no office or facility practice-expense RVUs.
Where the value comes from
- Work RVU1.50 · 91%
- Practice expense (office) RVU0.00 · 0%
- Malpractice RVU0.14 · 9%
932
Medicare services in 2024 · #3022 by national volume
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.
G9488 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$72.55–$109.58
Both are established-patient remote E/M levels. G9489 is labeled 40 minutes, compared with 25 minutes for G9488.
$49.01–$74.09
G9483 is for a new patient and is labeled 30 minutes. G9488 is for an established patient and is labeled 25 minutes.
See how rates vary across the country
G9488 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$51.49
$77.73
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $77.73 | 1 |
| AL | $52.75 | 1 |
| AR | $52.51 | 1 |
| AZ | $54.10 | 1 |
| CA | $53.46–$58.12 | 29 |
| CO | $54.35 | 1 |
| CT | $56.76 | 1 |
| DC | $58.01 | 1 |
| DE | $54.56 | 1 |
| FL | $57.13–$61.93 | 3 |
| GA | $55.68–$55.87 | 2 |
| GU | $52.81 | 1 |
| HI | $52.81 | 1 |
| IA | $51.96 | 1 |
| ID | $52.31 | 1 |
| IL | $57.41–$61.18 | 4 |
| IN | $52.37 | 1 |
| KS | $52.46 | 1 |
| KY | $54.38 | 1 |
| LA | $54.58–$55.41 | 2 |
| MA | $54.63–$56.32 | 2 |
| MD | $54.90–$58.01 | 3 |
| ME | $53.01–$53.05 | 2 |
| MI | $55.38–$57.99 | 2 |
| MN | $51.49 | 1 |
| MO | $54.66–$54.79 | 3 |
| MS | $53.56 | 1 |
| MT | $54.77 | 1 |
| NC | $53.09 | 1 |
| ND | $52.00 | 1 |
| NE | $51.87 | 1 |
| NH | $54.19 | 1 |
| NJ | $57.24–$58.25 | 2 |
| NM | $55.72 | 1 |
| NV | $54.00 | 1 |
| NY | $53.39–$61.99 | 5 |
| OH | $54.81 | 1 |
| OK | $53.73 | 1 |
| OR | $53.39–$54.38 | 2 |
| PA | $54.52–$56.58 | 2 |
| PR | $54.71 | 1 |
| RI | $55.22 | 1 |
| SC | $54.08 | 1 |
| SD | $51.67 | 1 |
| TN | $52.61 | 1 |
| TX | $54.15–$56.94 | 8 |
| UT | $54.30 | 1 |
| VA | $53.40–$58.01 | 2 |
| VI | $54.71 | 1 |
| VT | $52.47 | 1 |
| WA | $54.31–$56.43 | 2 |
| WI | $51.54 | 1 |
| WV | $56.79 | 1 |
| WY | $53.56 | 1 |
Compare G9488 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $52.75 | Facility $52.75 |
| Alaska* | Office $77.73 | Facility $77.73 |
| Arizona | Office $54.10 | Facility $54.10 |
| Arkansas | Office $52.51 | Facility $52.51 |
| Atlanta | Office $55.87 | Facility $55.87 |
| Austin | Office $54.34 | Facility $54.34 |
| Bakersfield | Office $53.90 | Facility $53.90 |
| Baltimore/Surr. Cntys | Office $56.69 | Facility $56.69 |
| Beaumont | Office $54.45 | Facility $54.45 |
| Brazoria | Office $54.15 | Facility $54.15 |
| Chicago | Office $61.18 | Facility $61.18 |
| Chico | Office $53.46 | Facility $53.46 |
| Colorado | Office $54.35 | Facility $54.35 |
| Connecticut | Office $56.76 | Facility $56.76 |
| Dallas | Office $54.56 | Facility $54.56 |
| Dc + Md/Va Suburbs | Office $58.01 | Facility $58.01 |
| Delaware | Office $54.56 | Facility $54.56 |
| Detroit | Office $57.99 | Facility $57.99 |
| East St. Louis | Office $59.52 | Facility $59.52 |
| El Centro | Office $53.48 | Facility $53.48 |
| Fort Lauderdale | Office $58.56 | Facility $58.56 |
| Fort Worth | Office $54.63 | Facility $54.63 |
| Fresno | Office $53.46 | Facility $53.46 |
| Galveston | Office $54.37 | Facility $54.37 |
| Hanford-Corcoran | Office $53.46 | Facility $53.46 |
| Hawaii, Guam | Office $52.81 | Facility $52.81 |
| Houston | Office $56.94 | Facility $56.94 |
| Idaho | Office $52.31 | Facility $52.31 |
| Indiana | Office $52.37 | Facility $52.37 |
| Iowa | Office $51.96 | Facility $51.96 |
| Kansas | Office $52.46 | Facility $52.46 |
| Kentucky | Office $54.38 | Facility $54.38 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $55.26 | Facility $55.26 |
| Madera | Office $53.46 | Facility $53.46 |
| Manhattan | Office $60.72 | Facility $60.72 |
| Merced | Office $53.46 | Facility $53.46 |
| Metropolitan Boston | Office $56.32 | Facility $56.32 |
| Metropolitan Kansas City | Office $54.67 | Facility $54.67 |
| Metropolitan Philadelphia | Office $56.58 | Facility $56.58 |
| Metropolitan St. Louis | Office $54.79 | Facility $54.79 |
| Miami | Office $61.93 | Facility $61.93 |
| Minnesota | Office $51.49 | Facility $51.49 |
| Mississippi | Office $53.56 | Facility $53.56 |
| Modesto | Office $53.46 | Facility $53.46 |
| Montana** | Office $54.77 | Facility $54.77 |
| Napa | Office $55.63 | Facility $55.63 |
| Nebraska | Office $51.87 | Facility $51.87 |
| Nevada** | Office $54.00 | Facility $54.00 |
| New Hampshire | Office $54.19 | Facility $54.19 |
| New Mexico | Office $55.72 | Facility $55.72 |
| New Orleans | Office $55.41 | Facility $55.41 |
| North Carolina | Office $53.09 | Facility $53.09 |
| North Dakota** | Office $52.00 | Facility $52.00 |
| Northern Nj | Office $58.25 | Facility $58.25 |
| Nyc Suburbs/Long Island | Office $61.99 | Facility $61.99 |
| Ohio | Office $54.81 | Facility $54.81 |
| Oklahoma | Office $53.73 | Facility $53.73 |
| Oxnard-Thousand Oaks-Ventura | Office $54.42 | Facility $54.42 |
| Portland | Office $54.38 | Facility $54.38 |
| Poughkpsie/N Nyc Suburbs | Office $58.01 | Facility $58.01 |
| Puerto Rico | Office $54.71 | Facility $54.71 |
| Queens | Office $60.05 | Facility $60.05 |
| Redding | Office $53.46 | Facility $53.46 |
| Rest Of California | Office $53.46 | Facility $53.46 |
| Rest Of Florida | Office $57.13 | Facility $57.13 |
| Rest Of Georgia | Office $55.68 | Facility $55.68 |
| Rest Of Illinois | Office $57.41 | Facility $57.41 |
| Rest Of Louisiana | Office $54.58 | Facility $54.58 |
| Rest Of Maine | Office $53.01 | Facility $53.01 |
| Rest Of Maryland | Office $54.90 | Facility $54.90 |
| Rest Of Massachusetts | Office $54.63 | Facility $54.63 |
| Rest Of Michigan | Office $55.38 | Facility $55.38 |
| Rest Of Missouri | Office $54.66 | Facility $54.66 |
| Rest Of New Jersey | Office $57.24 | Facility $57.24 |
| Rest Of New York | Office $53.39 | Facility $53.39 |
| Rest Of Oregon | Office $53.39 | Facility $53.39 |
| Rest Of Pennsylvania | Office $54.52 | Facility $54.52 |
| Rest Of Texas | Office $54.32 | Facility $54.32 |
| Rest Of Washington | Office $54.31 | Facility $54.31 |
| Rhode Island | Office $55.22 | Facility $55.22 |
| Riverside-San Bernardino-Ontario | Office $54.99 | Facility $54.99 |
| Sacramento-Roseville-Folsom | Office $54.41 | Facility $54.41 |
| Salinas | Office $54.16 | Facility $54.16 |
| San Diego-Chula Vista-Carlsbad | Office $54.14 | Facility $54.14 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $57.01 | Facility $57.01 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $56.85 | Facility $56.85 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $58.12 | Facility $58.12 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $57.47 | Facility $57.47 |
| San Luis Obispo-Paso Robles | Office $53.46 | Facility $53.46 |
| Santa Cruz-Watsonville | Office $53.66 | Facility $53.66 |
| Santa Maria-Santa Barbara | Office $54.01 | Facility $54.01 |
| Santa Rosa-Petaluma | Office $54.11 | Facility $54.11 |
| Seattle (King Cnty) | Office $56.43 | Facility $56.43 |
| South Carolina | Office $54.08 | Facility $54.08 |
| South Dakota** | Office $51.67 | Facility $51.67 |
| Southern Maine | Office $53.05 | Facility $53.05 |
| Stockton | Office $53.46 | Facility $53.46 |
| Suburban Chicago | Office $58.74 | Facility $58.74 |
| Tennessee | Office $52.61 | Facility $52.61 |
| Utah | Office $54.30 | Facility $54.30 |
| Vallejo | Office $55.40 | Facility $55.40 |
| Vermont | Office $52.47 | Facility $52.47 |
| Virgin Islands | Office $54.71 | Facility $54.71 |
| Virginia | Office $53.40 | Facility $53.40 |
| Visalia | Office $53.46 | Facility $53.46 |
| West Virginia | Office $56.79 | Facility $56.79 |
| Wisconsin | Office $51.54 | Facility $51.54 |
| Wyoming** | Office $53.56 | Facility $53.56 |
| Yuba City | Office $53.46 | Facility $53.46 |
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G9488 billing questions
Can G9488 be reported for a new patient?
No. G9488 is for an established patient; the G9481-G9485 codes describe the new-patient remote E/M levels.
How does G9488 differ from G9487 or G9489?
These are established-patient remote E/M time levels. G9487 is labeled 15 minutes, G9488 25 minutes, and G9489 40 minutes.
What should the note support?
Document established-patient status, the reason for the remote service, the evaluation and management performed, and the time supporting the 25-minute level.
Does G9488 include a professional or technical component?
The CMS facts provide no professional/technical component split for G9488. Its fee schedule valuation is concentrated in physician work.
Can G9488 be billed with another remote E/M time level for the same service?
The G9486-G9489 codes are different established-patient time levels. Choose the level supported by the service documentation rather than reporting multiple levels for the same work.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
15,995G9485,,Remote e/m new pt 60mins,A,,3.17,0.00,,0.00,,0.36,3.53,3.53,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,996G9486,,Remote e/m est. pt 10mins,A,,0.48,0.00,,0.00,,0.06,0.54,0.54,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,997G9487,,Remote e/m est. pt 15mins,A,,0.97,0.00,,0.00,,0.09,1.06,1.06,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,998G9488,,Remote e/m est. pt 25mins,A,,1.50,0.00,,0.00,,0.14,1.64,1.64,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,999G9489,,Remote e/m est. pt 40mins,A,,2.11,0.00,,0.00,,0.21,2.32,2.32,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
16,000G9490,,Cmmi mod home visit,A,,0.18,1.32,,1.32,NA,0.03,1.53,1.53,0,XXX,0.00,0.00,0.00,0,0,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
16,001G9497,,Rec inst no smoke day surg,M,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00