HCPCS G9870: Asynchronous telehealthMedicare rate & RVUs
Reports a CMMI asynchronous telehealth service when documented service time exceeds 20 minutes, distinguishing it from the shorter-duration codes in its family.
Medicare pays $44.76 for G9870 nationally in the office and $44.76 in a hospital or facility. Local office rates run $44.76–$67.14.
Medicare rate · G9870
Asynchronous telehealth
Swap in your local Medicare rate.
- Work RVUs
- 1.34
- Total RVUs
- 1.34
- Global days
- XXX
National rate · 2026
$44.76
Office setting, before claim adjustments.
See every locality for G9870 → · 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 G9870 covers
G9870 identifies an asynchronous telehealth service associated with a CMMI code set. Asynchronous care involves information exchanged for review or response at different times rather than a live conversation. The code’s defining time band is more than 20 minutes; it does not identify a particular specialty, diagnosis, or communication platform. The CMS facts provided do not specify a particular clinical task or eligible practitioner type, so those details should not be inferred from the code alone.
Select this code when the documented service fits the CMMI asynchronous telehealth category and the service time exceeds 20 minutes. The record should make the asynchronous work and time supporting that threshold clear. G9868 identifies the under-10-minute band, while G9869 identifies the 10-to-20-minute band. CMS assigns G9870 1.34 work RVUs and zero office and facility practice-expense RVUs and malpractice RVUs; the work share of the office total is 100%.
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 G9870 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
$44.76 to $67.14
109 of 109 payment localities
G9870 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.
$44.76
$67.14
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 | $67.14 | 1 |
| AL | $44.76 | 1 |
| AR | $44.76 | 1 |
| AZ | $44.76 | 1 |
| CA | $45.52–$49.68 | 29 |
| CO | $45.29 | 1 |
| CT | $45.65 | 1 |
| DC | $47.17 | 1 |
| DE | $44.98 | 1 |
| FL | $44.76 | 3 |
| GA | $44.76–$44.89 | 2 |
| GU | $44.76 | 1 |
| HI | $44.76 | 1 |
| IA | $44.76 | 1 |
| ID | $44.76 | 1 |
| IL | $44.76–$45.07 | 4 |
| IN | $44.76 | 1 |
| KS | $44.76 | 1 |
| KY | $44.76 | 1 |
| LA | $44.76 | 2 |
| MA | $45.47–$46.59 | 2 |
| MD | $45.20–$47.17 | 3 |
| ME | $44.76 | 2 |
| MI | $44.76 | 2 |
| MN | $44.76 | 1 |
| MO | $44.76 | 3 |
| MS | $44.76 | 1 |
| MT | $44.76 | 1 |
| NC | $44.76 | 1 |
| ND | $44.76 | 1 |
| NE | $44.76 | 1 |
| NH | $44.76 | 1 |
| NJ | $46.55–$47.58 | 2 |
| NM | $44.76 | 1 |
| NV | $44.76 | 1 |
| NY | $44.76–$47.62 | 5 |
| OH | $44.76 | 1 |
| OK | $44.76 | 1 |
| OR | $44.76–$45.47 | 2 |
| PA | $44.76–$45.56 | 2 |
| PR | $44.76 | 1 |
| RI | $45.61 | 1 |
| SC | $44.76 | 1 |
| SD | $44.76 | 1 |
| TN | $44.76 | 1 |
| TX | $44.76–$45.16 | 8 |
| UT | $44.76 | 1 |
| VA | $44.76–$47.17 | 2 |
| VI | $44.76 | 1 |
| VT | $44.76 | 1 |
| WA | $45.34–$47.00 | 2 |
| WI | $44.76 | 1 |
| WV | $44.76 | 1 |
| WY | $44.76 | 1 |
How the G9870 rate is calculated
Each of G9870’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 · G9870
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.34Practice expense 0.00Malpractice 0.00
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for G9870
G9870 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 · G9870
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$44.76
The facility rate would be $44.76 (−$0.00). In a facility, the facility bills its own costs separately.
G9870 compared with similar codes
Compare codes
G9870 vs G9868 vs G9869 vs 99423: national Medicare rates
Swap in your local Medicare rate.
How to choose
- G9868Asynchronous telehealth
- G9868 is the CMMI asynchronous telehealth code for services under 10 minutes; G9870 is for more than 20 minutes.
- G9869Asynchronous telehealth
- G9869 covers the 10-to-20-minute band. G9870 begins above 20 minutes.
- 99423Online E/M
- 99423 reports qualifying online digital evaluation and management under that code’s requirements; G9870 identifies CMMI asynchronous telehealth by duration.
G9870 billing questions
When should G9870 be selected instead of G9869?
Use G9870 for documented asynchronous telehealth service time exceeding 20 minutes. G9869 is the 10-to-20-minute band.
Does exactly 20 minutes meet the G9870 threshold?
No. G9870 is identified as the more-than-20-minute code; exactly 20 minutes falls in G9869’s 10-to-20-minute band.
What documentation supports G9870?
Document the asynchronous telehealth work performed and the time supporting a duration over 20 minutes. The CMS facts provided do not identify a required clinical task or platform.
Can G9870 be treated as the same service as billing code 99423?
Do not treat the codes as interchangeable. billing code 99423 has its own requirements for online digital evaluation and management; G9870 is identified as a CMMI asynchronous telehealth code.
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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