HCPCS G9868: Asynchronous telehealthMedicare rate & RVUs
Reports a CMMI model-specific asynchronous telehealth service when the documented service time is less than 10 minutes.
Medicare pays $26.72 for G9868 nationally in the office and $26.72 in a hospital or facility. Local office rates run $26.72–$40.08.
Medicare rate · G9868
Asynchronous telehealth
- Work RVUs
- 0.8
- Total RVUs
- 0.80
- Global days
- XXX
National rate · 2026
$26.72
Office setting, before claim adjustments.
See every locality for G9868 →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 G9868 covers
G9868 identifies a short, asynchronous telehealth service reported under the applicable CMS Innovation Center model. The exchange is not a real-time visit: a clinician may review information sent digitally and respond later. It is distinct from a live telephone or video encounter and from longer asynchronous service levels in the same code series.
Select this code when the model’s reporting instructions call for the under-10-minute level and the record supports that duration. Documentation should identify the digital exchange, the clinician’s work, and the time spent. The CMS fee schedule file assigns 0.8 work RVU and zero practice-expense and malpractice RVUs. The supplied CMS facts do not specify additional payment or bundling instructions 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 G9868 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
$26.72 to $40.08
109 of 109 payment localities
G9868 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.
$26.72
$40.08
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 | $40.08 | 1 |
| AL | $26.72 | 1 |
| AR | $26.72 | 1 |
| AZ | $26.72 | 1 |
| CA | $27.17–$29.66 | 29 |
| CO | $27.04 | 1 |
| CT | $27.26 | 1 |
| DC | $28.16 | 1 |
| DE | $26.85 | 1 |
| FL | $26.72 | 3 |
| GA | $26.72–$26.80 | 2 |
| GU | $26.72 | 1 |
| HI | $26.72 | 1 |
| IA | $26.72 | 1 |
| ID | $26.72 | 1 |
| IL | $26.72–$26.91 | 4 |
| IN | $26.72 | 1 |
| KS | $26.72 | 1 |
| KY | $26.72 | 1 |
| LA | $26.72 | 2 |
| MA | $27.15–$27.82 | 2 |
| MD | $26.99–$28.16 | 3 |
| ME | $26.72 | 2 |
| MI | $26.72 | 2 |
| MN | $26.72 | 1 |
| MO | $26.72 | 3 |
| MS | $26.72 | 1 |
| MT | $26.72 | 1 |
| NC | $26.72 | 1 |
| ND | $26.72 | 1 |
| NE | $26.72 | 1 |
| NH | $26.72 | 1 |
| NJ | $27.79–$28.40 | 2 |
| NM | $26.72 | 1 |
| NV | $26.72 | 1 |
| NY | $26.72–$28.43 | 5 |
| OH | $26.72 | 1 |
| OK | $26.72 | 1 |
| OR | $26.72–$27.15 | 2 |
| PA | $26.72–$27.20 | 2 |
| PR | $26.72 | 1 |
| RI | $27.23 | 1 |
| SC | $26.72 | 1 |
| SD | $26.72 | 1 |
| TN | $26.72 | 1 |
| TX | $26.72–$26.96 | 8 |
| UT | $26.72 | 1 |
| VA | $26.72–$28.16 | 2 |
| VI | $26.72 | 1 |
| VT | $26.72 | 1 |
| WA | $27.07–$28.06 | 2 |
| WI | $26.72 | 1 |
| WV | $26.72 | 1 |
| WY | $26.72 | 1 |
How the G9868 rate is calculated
Each of G9868’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 · G9868
RVUs × geographic indexes × conversion factor
Work0.80
0.80 RVUs× 1.000 GPCI
Practice expense0.00
0.00 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
0.8000
Conversion factor
$33.4009
Medicare rate
$26.72
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for G9868
G9868 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 · G9868
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$26.72
- Non-facility (office)
- $26.72
- Facility
- $26.72
Higher because the practice carries its own overhead.
G9868 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- G9869Asynchronous telehealth
- Choose G9868 for a documented service under 10 minutes; G9869 describes the 10-to-20-minute level.
- G9870Asynchronous telehealth
- G9870 is the over-20-minute level. G9868 is for a shorter asynchronous service under 10 minutes.
- 99421Online E/M
- billing code 99421 describes online digital evaluation and management in a different reporting context; G9868 is a CMMI model-specific asynchronous telehealth code.
G9868 billing questions
How is G9868 distinguished from G9869?
G9868 is the under-10-minute level. G9869 is the next asynchronous telehealth time level, for 10 to 20 minutes.
Which code describes an asynchronous service over 20 minutes?
G9870 is the over-20-minute level in this CMMI asynchronous telehealth series.
Does this code describe a live phone or video visit?
No. It describes asynchronous work, such as reviewing digitally submitted information and responding later, rather than a real-time encounter.
What should the record support?
Document the asynchronous exchange, the clinician’s work, and a service time under 10 minutes, consistent with the applicable model’s reporting instructions.
What RVUs does the CMS file assign?
The supplied file lists 0.8 work RVU and zero practice-expense and malpractice RVUs.
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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