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CMS RVU26D · Effective 2026-10-01

G0551 in Beaumont

Office / nonfacility

$35.57

Base rate per service

Facility setting

$30.40

Base rate per service

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.

Telehealth

About G0551: Phone and internet diagnosis-treatment service

Reports a 30-minute phone or internet service used to address a patient’s diagnostic or treatment needs remotely.

G0551 describes a phone or internet interaction focused on diagnosing or treating a patient’s health concern, with a 30-minute service duration. The clinical work may include discussing symptoms, evaluating information the patient provides, and determining or adjusting a treatment approach. The code is for the remote clinical interaction itself, rather than a device or the supply of digital equipment.

Select G0551 when the documented service matches its diagnostic-or-treatment purpose and 30-minute duration. The record should identify the patient concern, the clinical assessment or treatment work performed, the communication method, and the time spent. Distinguish it from nearby phone or internet codes by checking their stated service purpose and time category. The CMS facts supplied for this code list no additional payment rules; they do not establish a separate component, add-on pairing, or bundling instruction.

Where the value comes from

  • Work RVU0.70 · 64%
  • Practice expense (office) RVU0.35 · 32%
  • Malpractice RVU0.05 · 5%

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.

G0551 compared with similar codes

Office rates for Beaumont, from the same CMS release.

G0548

Phone or internet E/M

21-30 minutes

$54.88

G0548 describes phone or internet services in the 21–30 minute category. G0551 is specifically identified as a 30-minute service for diagnosis or treatment.

G0549

Remote treatment

More than 31 minutes

$73.89

G0549 identifies a phone or internet treatment service lasting over 31 minutes; G0551 is identified as a 30-minute diagnostic-or-treatment service.

G0550

Remote communication

Diagnosis or treatment, over 5 minutes

$34.05

G0550 describes a phone or internet diagnostic-or-treatment service with a different time designation. Check the documented duration and the exact descriptor for the service provided.

The same code, a different location

How does Beaumont compare?

In Austin, the office rate for G0551 is $37.28—$1.71 higher than the $35.57 rate in Beaumont. Both use the same code, release and participation basis.

G0551 across payment areas

Same release and payment basis · bars start at $0

  1. Beaumont · This locality

    $35.57

  2. Austin

    $37.28

    $1.71 higher than Beaumont

  3. Brazoria

    $36.46

    $0.89 higher than Beaumont

  4. Dallas

    $36.67

    $1.10 higher than Beaumont

  5. $1.00 higher than Beaumont

  6. Galveston

    $36.56

    $0.99 higher than Beaumont

  7. Houston

    $37.47

    $1.90 higher than Beaumont

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, G0551 ranges from $34.28 in Arkansas to $48.44 in Alaska*. This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas
  • Rest Of Texas

    Texas · G0551

    Office

    $35.98

    Facility

    $30.59

    $0.41 higher than Beaumont for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · G0551

    Office

    $39.28

    Facility

    $32.56

    $3.71 higher than Beaumont for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · G0551

    Office

    $40.27

    Facility

    $33.58

    $4.70 higher than Beaumont for the office setting.

  • Miami

    Florida · G0551

    Office

    $39.77

    Facility

    $33.86

    $4.20 higher than Beaumont for the office setting.

  • Chicago

    Illinois · G0551

    Office

    $39.13

    Facility

    $33.42

    $3.56 higher than Beaumont for the office setting.

  • Manhattan

    New York · G0551

    Office

    $41.11

    Facility

    $34.51

    $5.54 higher than Beaumont for the office setting.

  • Alaska*

    Alaska · G0551

    Office

    $48.44

    Facility

    $42.39

    $12.87 higher than Beaumont for the office setting.

  • Alabama

    Alabama · G0551

    Office

    $34.55

    Facility

    $29.59

    $1.02 lower than Beaumont for the office setting.

  • Arkansas

    Arkansas · G0551

    Office

    $34.28

    Facility

    $29.41

    $1.29 lower than Beaumont for the office setting.

  • Arizona

    Arizona · G0551

    Office

    $36.14

    Facility

    $30.64

    $0.57 higher than Beaumont for the office setting.

  • Bakersfield

    California · G0551

    Office

    $37.65

    Facility

    $31.43

    $2.08 higher than Beaumont for the office setting.

  • Chico

    California · G0551

    Office

    $37.49

    Facility

    $31.26

    $1.92 higher than Beaumont for the office setting.

  • El Centro

    California · G0551

    Office

    $37.49

    Facility

    $31.27

    $1.92 higher than Beaumont for the office setting.

  • Fresno

    California · G0551

    Office

    $37.49

    Facility

    $31.26

    $1.92 higher than Beaumont for the office setting.

  • Hanford-Corcoran

    California · G0551

    Office

    $37.49

    Facility

    $31.26

    $1.92 higher than Beaumont for the office setting.

  • Madera

    California · G0551

    Office

    $37.49

    Facility

    $31.26

    $1.92 higher than Beaumont for the office setting.

  • Merced

    California · G0551

    Office

    $37.49

    Facility

    $31.26

    $1.92 higher than Beaumont for the office setting.

  • Modesto

    California · G0551

    Office

    $37.49

    Facility

    $31.26

    $1.92 higher than Beaumont for the office setting.

  • Napa

    California · G0551

    Office

    $41.11

    Facility

    $33.63

    $5.54 higher than Beaumont for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · G0551

    Office

    $38.89

    Facility

    $32.18

    $3.32 higher than Beaumont for the office setting.

  • Redding

    California · G0551

    Office

    $37.49

    Facility

    $31.26

    $1.92 higher than Beaumont for the office setting.

  • Rest Of California

    California · G0551

    Office

    $37.49

    Facility

    $31.26

    $1.92 higher than Beaumont for the office setting.

  • Riverside-San Bernardino-Ontario

    California · G0551

    Office

    $38.04

    Facility

    $31.82

    $2.47 higher than Beaumont for the office setting.

  • Sacramento-Roseville-Folsom

    California · G0551

    Office

    $38.71

    Facility

    $32.11

    $3.14 higher than Beaumont for the office setting.

  • Salinas

    California · G0551

    Office

    $38.55

    Facility

    $31.97

    $2.98 higher than Beaumont for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · G0551

    Office

    $38.97

    Facility

    $32.18

    $3.40 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · G0551

    Office

    $42.85

    Facility

    $34.85

    $7.28 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · G0551

    Office

    $42.79

    Facility

    $34.79

    $7.22 higher than Beaumont for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · G0551

    Office

    $43.71

    Facility

    $35.52

    $8.14 higher than Beaumont for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · G0551

    Office

    $43.47

    Facility

    $35.29

    $7.90 higher than Beaumont for the office setting.

  • San Luis Obispo-Paso Robles

    California · G0551

    Office

    $37.99

    Facility

    $31.52

    $2.42 higher than Beaumont for the office setting.

  • Santa Cruz-Watsonville

    California · G0551

    Office

    $38.97

    Facility

    $32.07

    $3.40 higher than Beaumont for the office setting.

  • Santa Maria-Santa Barbara

    California · G0551

    Office

    $38.56

    Facility

    $31.94

    $2.99 higher than Beaumont for the office setting.

  • Santa Rosa-Petaluma

    California · G0551

    Office

    $39.33

    Facility

    $32.36

    $3.76 higher than Beaumont for the office setting.

  • Stockton

    California · G0551

    Office

    $37.49

    Facility

    $31.26

    $1.92 higher than Beaumont for the office setting.

  • Vallejo

    California · G0551

    Office

    $41.03

    Facility

    $33.54

    $5.46 higher than Beaumont for the office setting.

  • Visalia

    California · G0551

    Office

    $37.49

    Facility

    $31.26

    $1.92 higher than Beaumont for the office setting.

  • Yuba City

    California · G0551

    Office

    $37.49

    Facility

    $31.26

    $1.92 higher than Beaumont for the office setting.

  • Colorado

    Colorado · G0551

    Office

    $37.40

    Facility

    $31.36

    $1.83 higher than Beaumont for the office setting.

  • Connecticut

    Connecticut · G0551

    Office

    $38.46

    Facility

    $32.34

    $2.89 higher than Beaumont for the office setting.

  • Delaware

    Delaware · G0551

    Office

    $36.55

    Facility

    $30.94

    $0.98 higher than Beaumont for the office setting.

  • Fort Lauderdale

    Florida · G0551

    Office

    $38.24

    Facility

    $32.49

    $2.67 higher than Beaumont for the office setting.

  • Rest Of Florida

    Florida · G0551

    Office

    $37.07

    Facility

    $31.64

    $1.50 higher than Beaumont for the office setting.

  • Atlanta

    Georgia · G0551

    Office

    $37.33

    Facility

    $31.56

    $1.76 higher than Beaumont for the office setting.

  • Rest Of Georgia

    Georgia · G0551

    Office

    $35.80

    Facility

    $30.73

    $0.23 higher than Beaumont for the office setting.

  • Hawaii, Guam

    Hawaii · G0551

    Office

    $37.64

    Facility

    $31.18

    $2.07 higher than Beaumont for the office setting.

  • Iowa

    Iowa · G0551

    Office

    $34.74

    Facility

    $29.54

    $0.83 lower than Beaumont for the office setting.

  • Idaho

    Idaho · G0551

    Office

    $34.93

    Facility

    $29.70

    $0.64 lower than Beaumont for the office setting.

  • East St. Louis

    Illinois · G0551

    Office

    $37.50

    Facility

    $32.28

    $1.93 higher than Beaumont for the office setting.

  • Rest Of Illinois

    Illinois · G0551

    Office

    $36.66

    Facility

    $31.48

    $1.09 higher than Beaumont for the office setting.

  • Suburban Chicago

    Illinois · G0551

    Office

    $38.51

    Facility

    $32.68

    $2.94 higher than Beaumont for the office setting.

  • Indiana

    Indiana · G0551

    Office

    $35.03

    Facility

    $29.77

    $0.54 lower than Beaumont for the office setting.

  • Kansas

    Kansas · G0551

    Office

    $34.79

    Facility

    $29.66

    $0.78 lower than Beaumont for the office setting.

  • Kentucky

    Kentucky · G0551

    Office

    $35.30

    Facility

    $30.25

    $0.27 lower than Beaumont for the office setting.

  • New Orleans

    Louisiana · G0551

    Office

    $36.28

    Facility

    $30.94

    $0.71 higher than Beaumont for the office setting.

  • Rest Of Louisiana

    Louisiana · G0551

    Office

    $35.33

    Facility

    $30.30

    $0.24 lower than Beaumont for the office setting.

  • Metropolitan Boston

    Massachusetts · G0551

    Office

    $39.78

    Facility

    $33.00

    $4.21 higher than Beaumont for the office setting.

  • Rest Of Massachusetts

    Massachusetts · G0551

    Office

    $37.40

    Facility

    $31.42

    $1.83 higher than Beaumont for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · G0551

    Office

    $38.36

    Facility

    $32.27

    $2.79 higher than Beaumont for the office setting.

  • Rest Of Maryland

    Maryland · G0551

    Office

    $36.98

    Facility

    $31.23

    $1.41 higher than Beaumont for the office setting.

  • Rest Of Maine

    Maine · G0551

    Office

    $35.17

    Facility

    $29.95

    $0.40 lower than Beaumont for the office setting.

  • Southern Maine

    Maine · G0551

    Office

    $36.02

    Facility

    $30.39

    $0.45 higher than Beaumont for the office setting.

  • Detroit

    Michigan · G0551

    Office

    $37.48

    Facility

    $32.00

    $1.91 higher than Beaumont for the office setting.

  • Rest Of Michigan

    Michigan · G0551

    Office

    $35.94

    Facility

    $30.76

    $0.37 higher than Beaumont for the office setting.

  • Minnesota

    Minnesota · G0551

    Office

    $35.90

    Facility

    $30.06

    $0.33 higher than Beaumont for the office setting.

  • Metropolitan Kansas City

    Missouri · G0551

    Office

    $35.99

    Facility

    $30.66

    $0.42 higher than Beaumont for the office setting.

  • Metropolitan St. Louis

    Missouri · G0551

    Office

    $36.18

    Facility

    $30.78

    $0.61 higher than Beaumont for the office setting.

  • Rest Of Missouri

    Missouri · G0551

    Office

    $35.08

    Facility

    $30.19

    $0.49 lower than Beaumont for the office setting.

  • Mississippi

    Mississippi · G0551

    Office

    $34.68

    Facility

    $29.79

    $0.89 lower than Beaumont for the office setting.

  • Montana**

    Montana · G0551

    Office

    $36.74

    Facility

    $31.06

    $1.17 higher than Beaumont for the office setting.

  • North Carolina

    North Carolina · G0551

    Office

    $35.35

    Facility

    $30.06

    $0.22 lower than Beaumont for the office setting.

  • North Dakota**

    North Dakota · G0551

    Office

    $35.75

    Facility

    $30.07

    $0.18 higher than Beaumont for the office setting.

  • Nebraska

    Nebraska · G0551

    Office

    $34.80

    Facility

    $29.56

    $0.77 lower than Beaumont for the office setting.

  • New Hampshire

    New Hampshire · G0551

    Office

    $37.01

    Facility

    $31.10

    $1.44 higher than Beaumont for the office setting.

  • Northern Nj

    New Jersey · G0551

    Office

    $40.20

    Facility

    $33.61

    $4.63 higher than Beaumont for the office setting.

  • Rest Of New Jersey

    New Jersey · G0551

    Office

    $38.91

    Facility

    $32.71

    $3.34 higher than Beaumont for the office setting.

  • New Mexico

    New Mexico · G0551

    Office

    $36.11

    Facility

    $30.90

    $0.54 higher than Beaumont for the office setting.

  • Nevada**

    Nevada · G0551

    Office

    $36.47

    Facility

    $30.79

    $0.90 higher than Beaumont for the office setting.

  • Nyc Suburbs/Long Island

    New York · G0551

    Office

    $41.88

    Facility

    $35.13

    $6.31 higher than Beaumont for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · G0551

    Office

    $39.25

    Facility

    $33.04

    $3.68 higher than Beaumont for the office setting.

  • Queens

    New York · G0551

    Office

    $41.10

    Facility

    $34.39

    $5.53 higher than Beaumont for the office setting.

  • Rest Of New York

    New York · G0551

    Office

    $35.66

    Facility

    $30.27

    $0.09 higher than Beaumont for the office setting.

  • Ohio

    Ohio · G0551

    Office

    $35.74

    Facility

    $30.55

    $0.17 higher than Beaumont for the office setting.

  • Oklahoma

    Oklahoma · G0551

    Office

    $35.12

    Facility

    $30.05

    $0.45 lower than Beaumont for the office setting.

  • Portland

    Oregon · G0551

    Office

    $37.99

    Facility

    $31.68

    $2.42 higher than Beaumont for the office setting.

  • Rest Of Oregon

    Oregon · G0551

    Office

    $36.20

    Facility

    $30.54

    $0.63 higher than Beaumont for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · G0551

    Office

    $37.96

    Facility

    $32.05

    $2.39 higher than Beaumont for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · G0551

    Office

    $35.69

    Facility

    $30.48

    $0.12 higher than Beaumont for the office setting.

  • Puerto Rico

    Puerto Rico · G0551

    Office

    $36.84

    Facility

    $31.10

    $1.27 higher than Beaumont for the office setting.

  • Rhode Island

    Rhode Island · G0551

    Office

    $37.39

    Facility

    $31.53

    $1.82 higher than Beaumont for the office setting.

  • South Carolina

    South Carolina · G0551

    Office

    $35.60

    Facility

    $30.36

    $0.03 higher than Beaumont for the office setting.

  • South Dakota**

    South Dakota · G0551

    Office

    $35.63

    Facility

    $29.95

    $0.06 higher than Beaumont for the office setting.

  • Tennessee

    Tennessee · G0551

    Office

    $34.90

    Facility

    $29.74

    $0.67 lower than Beaumont for the office setting.

  • Utah

    Utah · G0551

    Office

    $35.87

    Facility

    $30.53

    $0.30 higher than Beaumont for the office setting.

  • Virginia

    Virginia · G0551

    Office

    $36.05

    Facility

    $30.47

    $0.48 higher than Beaumont for the office setting.

  • Virgin Islands

    United States Virgin Islands · G0551

    Office

    $36.84

    Facility

    $31.10

    $1.27 higher than Beaumont for the office setting.

  • Vermont

    Vermont · G0551

    Office

    $35.80

    Facility

    $30.18

    $0.23 higher than Beaumont for the office setting.

  • Rest Of Washington

    Washington · G0551

    Office

    $37.27

    Facility

    $31.29

    $1.70 higher than Beaumont for the office setting.

  • Seattle (King Cnty)

    Washington · G0551

    Office

    $40.26

    Facility

    $33.29

    $4.69 higher than Beaumont for the office setting.

  • Wisconsin

    Wisconsin · G0551

    Office

    $35.09

    Facility

    $29.65

    $0.48 lower than Beaumont for the office setting.

  • West Virginia

    West Virginia · G0551

    Office

    $35.93

    Facility

    $31.00

    $0.36 higher than Beaumont for the office setting.

  • Wyoming**

    Wyoming · G0551

    Office

    $36.31

    Facility

    $30.63

    $0.74 higher than Beaumont for the office setting.

See how rates vary across the country

G0551 · 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.

$34.28

$48.44

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$48.441
AL$34.551
AR$34.281
AZ$36.141
CA$37.49–$43.7129
CO$37.401
CT$38.461
DC$40.271
DE$36.551
FL$37.07–$39.773
GA$35.80–$37.332
GU$37.641
HI$37.641
IA$34.741
ID$34.931
IL$36.66–$39.134
IN$35.031
KS$34.791
KY$35.301
LA$35.33–$36.282
MA$37.40–$39.782
MD$36.98–$40.273
ME$35.17–$36.022
MI$35.94–$37.482
MN$35.901
MO$35.08–$36.183
MS$34.681
MT$36.741
NC$35.351
ND$35.751
NE$34.801
NH$37.011
NJ$38.91–$40.202
NM$36.111
NV$36.471
NY$35.66–$41.885
OH$35.741
OK$35.121
OR$36.20–$37.992
PA$35.69–$37.962
PR$36.841
RI$37.391
SC$35.601
SD$35.631
TN$34.901
TX$35.57–$37.478
UT$35.871
VA$36.05–$40.272
VI$36.841
VT$35.801
WA$37.27–$40.262
WI$35.091
WV$35.931
WY$36.311

Explore G0551 on the national rate map →

Where does this rate apply?

Beaumont is a Medicare payment area. Our Census mapping connects it to 13 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Why are the office and facility amounts different?

For G0551 in Beaumont, the physician’s office rate is $35.57 and the facility-setting rate is $30.40: a difference of $5.17.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for G0551 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$39.13

$35.57 × 110% = $39.13

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for G0551 in Beaumont.

PPRRVU2026_Oct_nonQPP.csv

15,346

Code
G0551
Physician work
0.70
Practice expense
0.35
Malpractice
0.05

GPCI2026.csv

97

Locality
Beaumont
Physician work
1.000
Practice expense
0.910
Malpractice
0.929
Office / nonfacility calculation for G0551 in Beaumont
ComponentRVULocality factorAdjusted
Physician work0.70× 1.0000.7000
Practice expense0.35× 0.9100.3185
Malpractice0.05× 0.9290.0465
Total RVUs1.0650
Conversion factor× 33.4009

Office / nonfacility rate, Beaumont$35.57

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open G0551 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.71
Practice expense0.350.91
Malpractice0.050.929

(0.7 × 1 + 0.35 × 0.91 + 0.05 × 0.929) × $33.4009 = $35.57

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.71
Practice expense0.180.91
Malpractice0.050.929

(0.7 × 1 + 0.18 × 0.91 + 0.05 × 0.929) × $33.4009 = $30.40

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

G0551 · Office / nonfacility

$35.57

Effective 2026-10-01

The base rate is $2.65 higher than on 2025-10-01, moving from $32.92 to $35.57 (8.0%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $32.92changed to$35.57

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.31 changed to 0.35
    • Malpractice RVU 0.04 changed to 0.05
    • Practice expense GPCI 0.903 changed to 0.910
    • Malpractice GPCI 0.947 changed to 0.929

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $32.92

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$35.57$30.40RVU26D
2026-07-01$35.57$30.40RVU26C
2026-04-01$35.57$30.40RVU26B
2026-01-01$35.57$30.40RVU26A
2025-10-01$32.92$32.92RVU25D
2025-07-01$32.92$32.92RVU25C
2025-04-01$32.92$32.92RVU25B
2025-01-01$32.92$32.92RVU25A

G0551 billing questions

What distinguishes G0551 from the nearby phone or internet codes?

G0551 is identified as a 30-minute service for diagnosis or treatment. Compare the service purpose and duration in the applicable code descriptor before selecting a neighboring code.

What should the documentation include?

Record the patient’s concern, the clinical assessment or treatment work, whether the contact was by phone or internet, and the time spent.

Can G0551 be reported for a brief administrative call?

The descriptor identifies a diagnostic or treatment service, not an administrative contact. Document the clinical work that supports the service.

Is G0551 an add-on code?

The supplied CMS facts do not identify an add-on pairing for G0551. They also do not specify a required primary service.

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.

RVUs for G0551PPRRVU2026_Oct_nonQPP.csv, line 15,346 (RVU26D)
Geographic factors for BeaumontGPCI2026.csv, line 97 (RVU26D)