HCPCS G9869: Asynchronous telehealthMedicare rate & RVUs

Medicare pays $35.74 for G9869 nationally in the office and $35.74 in a hospital or facility. Local office rates run $35.74–$53.61.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What G9869 covers

G9869 identifies asynchronous telehealth work reported in the 10–20-minute tier for applicable CMS Innovation Center (CMMI) reporting. The service is conducted without a live, real-time exchange; the code identifies a time tier, not a particular diagnosis, body system, or clinical procedure. Use it only when the applicable CMMI reporting instructions call for this code. The descriptor alone does not establish which model participants or clinical circumstances qualify.

Document the asynchronous work performed, the service date, the time supporting this tier, and the applicable model attribution. The CMS Physician Fee Schedule data assigns 1.07 work RVUs and zero practice expense and malpractice RVUs; the work share of the office total is 100%. These RVU data describe the fee schedule valuation, not a dollar payment amount. The supplied CMS rules list no additional payment rules 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 G9869 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

G9869 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the G9869 rate is calculated

Each of G9869’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.

Payment rules and modifiers for G9869

G9869 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.

G9869 compared with similar codes

How to choose

G9868Asynchronous telehealth

G9868 is the CMMI asynchronous telehealth tier for under 10 minutes; G9869 covers 10–20 minutes.

G9870Asynchronous telehealth

G9870 is the CMMI asynchronous telehealth tier for more than 20 minutes; G9869 covers 10–20 minutes.

99422Online E/M

99422 belongs to the online digital E/M code family, not the CMMI G-code time tiers. Use the reporting framework that applies to the service.

Codes related to G9869

Related codes aren’t interchangeable: bill the code that matches the service performed.

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

Open CMS sourceHow we calculate rates