No office rate
G0508 is the initial 60-minute telehealth critical-care consultation; G0509 describes a subsequent 50-minute service.
On this page
CMS RVU26D · Effective 2026-10-01
G0508 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$183.69
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 critical care
About G0508: Initial critical care telehealth consultation
G0508 reports an initial 60-minute critical-care consultation delivered by telehealth for a critically ill patient needing remote physician assessment and management.
A remote critical-care physician uses telehealth to assess and manage a critically ill or injured patient, often in an ICU or emergency department. The consultation may address acute problems such as respiratory failure or shock and coordinate treatment with the bedside team. The service is distinct from a routine video visit: the patient’s condition requires critical-care expertise and management.
Select G0508 for the initial 60-minute telehealth critical-care consultation, not merely because a patient is hospitalized or the clinician connects remotely. Documentation should establish the critical illness, the physician’s assessment and management, the telehealth encounter, and the time attributable to the service. CMS fee-schedule data assign work, practice expense, and malpractice relative values to the code. G0509 identifies the related subsequent 50-minute telehealth critical-care service.
Where the value comes from
- Work RVU4.00 · 72%
- Practice expense (office) RVU1.17 · 21%
- Malpractice RVU0.36 · 7%
16.2K
Medicare services in 2024 · #1228 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.
G0508 compared with similar codes
Office rates for Delaware, from the same CMS release.
$306.44
99291 is the conventional critical-care service code. G0508 identifies the critical-care consultation delivered by telehealth.
$132.92
99292 represents additional time in the conventional critical-care code family, rather than the telehealth consultation represented by G0508.
The same code, a different location
How does Delaware compare?
G0508 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
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
Alabama
Alabama · G0508
Office
Unavailable
Facility
$174.60
No comparable office rate is available.
Arkansas
Arkansas · G0508
Office
Unavailable
Facility
$173.37
No comparable office rate is available.
Arizona
Arizona · G0508
Office
Unavailable
Facility
$181.76
No comparable office rate is available.
Bakersfield
California · G0508
Office
Unavailable
Facility
$186.30
No comparable office rate is available.
Chico
California · G0508
Office
Unavailable
Facility
$185.15
No comparable office rate is available.
El Centro
California · G0508
Office
Unavailable
Facility
$185.21
No comparable office rate is available.
Fresno
California · G0508
Office
Unavailable
Facility
$185.15
No comparable office rate is available.
Hanford-Corcoran
California · G0508
Office
Unavailable
Facility
$185.15
No comparable office rate is available.
Madera
California · G0508
Office
Unavailable
Facility
$185.15
No comparable office rate is available.
Merced
California · G0508
Office
Unavailable
Facility
$185.15
No comparable office rate is available.
Modesto
California · G0508
Office
Unavailable
Facility
$185.15
No comparable office rate is available.
Napa
California · G0508
Office
Unavailable
Facility
$199.64
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · G0508
Office
Unavailable
Facility
$191.03
No comparable office rate is available.
Redding
California · G0508
Office
Unavailable
Facility
$185.15
No comparable office rate is available.
Rest Of California
California · G0508
Office
Unavailable
Facility
$185.15
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · G0508
Office
Unavailable
Facility
$189.10
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · G0508
Office
Unavailable
Facility
$190.31
No comparable office rate is available.
Salinas
California · G0508
Office
Unavailable
Facility
$189.48
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · G0508
Office
Unavailable
Facility
$190.87
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · G0508
Office
Unavailable
Facility
$206.92
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · G0508
Office
Unavailable
Facility
$206.51
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · G0508
Office
Unavailable
Facility
$211.10
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · G0508
Office
Unavailable
Facility
$209.43
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · G0508
Office
Unavailable
Facility
$186.83
No comparable office rate is available.
Santa Cruz-Watsonville
California · G0508
Office
Unavailable
Facility
$190.34
No comparable office rate is available.
Santa Maria-Santa Barbara
California · G0508
Office
Unavailable
Facility
$189.36
No comparable office rate is available.
Santa Rosa-Petaluma
California · G0508
Office
Unavailable
Facility
$192.05
No comparable office rate is available.
Stockton
California · G0508
Office
Unavailable
Facility
$185.15
No comparable office rate is available.
Vallejo
California · G0508
Office
Unavailable
Facility
$199.05
No comparable office rate is available.
Visalia
California · G0508
Office
Unavailable
Facility
$185.15
No comparable office rate is available.
Yuba City
California · G0508
Office
Unavailable
Facility
$185.15
No comparable office rate is available.
Colorado
Colorado · G0508
Office
Unavailable
Facility
$186.18
No comparable office rate is available.
Connecticut
Connecticut · G0508
Office
Unavailable
Facility
$192.91
No comparable office rate is available.
Fort Lauderdale
Florida · G0508
Office
Unavailable
Facility
$194.93
No comparable office rate is available.
Rest Of Florida
Florida · G0508
Office
Unavailable
Facility
$189.04
No comparable office rate is available.
Atlanta
Georgia · G0508
Office
Unavailable
Facility
$188.15
No comparable office rate is available.
Rest Of Georgia
Georgia · G0508
Office
Unavailable
Facility
$182.80
No comparable office rate is available.
Hawaii, Guam
Hawaii · G0508
Office
Unavailable
Facility
$185.00
No comparable office rate is available.
Iowa
Iowa · G0508
Office
Unavailable
Facility
$174.13
No comparable office rate is available.
Idaho
Idaho · G0508
Office
Unavailable
Facility
$175.24
No comparable office rate is available.
East St. Louis
Illinois · G0508
Office
Unavailable
Facility
$193.77
No comparable office rate is available.
Rest Of Illinois
Illinois · G0508
Office
Unavailable
Facility
$188.08
No comparable office rate is available.
Suburban Chicago
Illinois · G0508
Office
Unavailable
Facility
$195.98
No comparable office rate is available.
Indiana
Indiana · G0508
Office
Unavailable
Facility
$175.67
No comparable office rate is available.
Kansas
Kansas · G0508
Office
Unavailable
Facility
$174.99
No comparable office rate is available.
Kentucky
Kentucky · G0508
Office
Unavailable
Facility
$179.35
No comparable office rate is available.
New Orleans
Louisiana · G0508
Office
Unavailable
Facility
$184.04
No comparable office rate is available.
Rest Of Louisiana
Louisiana · G0508
Office
Unavailable
Facility
$179.71
No comparable office rate is available.
Metropolitan Boston
Massachusetts · G0508
Office
Unavailable
Facility
$196.44
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · G0508
Office
Unavailable
Facility
$186.47
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · G0508
Office
Unavailable
Facility
$192.55
No comparable office rate is available.
Rest Of Maryland
Maryland · G0508
Office
Unavailable
Facility
$185.53
No comparable office rate is available.
Rest Of Maine
Maine · G0508
Office
Unavailable
Facility
$177.04
No comparable office rate is available.
Southern Maine
Maine · G0508
Office
Unavailable
Facility
$179.92
No comparable office rate is available.
Detroit
Michigan · G0508
Office
Unavailable
Facility
$191.59
No comparable office rate is available.
Rest Of Michigan
Michigan · G0508
Office
Unavailable
Facility
$182.86
No comparable office rate is available.
Minnesota
Minnesota · G0508
Office
Unavailable
Facility
$177.38
No comparable office rate is available.
Metropolitan Kansas City
Missouri · G0508
Office
Unavailable
Facility
$182.05
No comparable office rate is available.
Metropolitan St. Louis
Missouri · G0508
Office
Unavailable
Facility
$182.86
No comparable office rate is available.
Rest Of Missouri
Missouri · G0508
Office
Unavailable
Facility
$179.00
No comparable office rate is available.
Mississippi
Mississippi · G0508
Office
Unavailable
Facility
$176.14
No comparable office rate is available.
Montana**
Montana · G0508
Office
Unavailable
Facility
$184.68
No comparable office rate is available.
North Carolina
North Carolina · G0508
Office
Unavailable
Facility
$177.75
No comparable office rate is available.
North Dakota**
North Dakota · G0508
Office
Unavailable
Facility
$177.56
No comparable office rate is available.
Nebraska
Nebraska · G0508
Office
Unavailable
Facility
$174.22
No comparable office rate is available.
New Hampshire
New Hampshire · G0508
Office
Unavailable
Facility
$184.81
No comparable office rate is available.
Northern Nj
New Jersey · G0508
Office
Unavailable
Facility
$200.19
No comparable office rate is available.
Rest Of New Jersey
New Jersey · G0508
Office
Unavailable
Facility
$194.81
No comparable office rate is available.
New Mexico
New Mexico · G0508
Office
Unavailable
Facility
$183.88
No comparable office rate is available.
Nevada**
Nevada · G0508
Office
Unavailable
Facility
$182.74
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · G0508
Office
Unavailable
Facility
$210.95
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · G0508
Office
Unavailable
Facility
$196.96
No comparable office rate is available.
Queens
New York · G0508
Office
Unavailable
Facility
$205.68
No comparable office rate is available.
Rest Of New York
New York · G0508
Office
Unavailable
Facility
$179.18
No comparable office rate is available.
Ohio
Ohio · G0508
Office
Unavailable
Facility
$181.40
No comparable office rate is available.
Oklahoma
Oklahoma · G0508
Office
Unavailable
Facility
$177.84
No comparable office rate is available.
Portland
Oregon · G0508
Office
Unavailable
Facility
$188.10
No comparable office rate is available.
Rest Of Oregon
Oregon · G0508
Office
Unavailable
Facility
$180.98
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · G0508
Office
Unavailable
Facility
$191.03
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · G0508
Office
Unavailable
Facility
$180.84
No comparable office rate is available.
Puerto Rico
Puerto Rico · G0508
Office
Unavailable
Facility
$184.96
No comparable office rate is available.
Rhode Island
Rhode Island · G0508
Office
Unavailable
Facility
$187.24
No comparable office rate is available.
South Carolina
South Carolina · G0508
Office
Unavailable
Facility
$179.93
No comparable office rate is available.
South Dakota**
South Dakota · G0508
Office
Unavailable
Facility
$176.72
No comparable office rate is available.
Tennessee
Tennessee · G0508
Office
Unavailable
Facility
$175.58
No comparable office rate is available.
Austin
Texas · G0508
Office
Unavailable
Facility
$185.87
No comparable office rate is available.
Beaumont
Texas · G0508
Office
Unavailable
Facility
$180.34
No comparable office rate is available.
Brazoria
Texas · G0508
Office
Unavailable
Facility
$182.78
No comparable office rate is available.
Dallas
Texas · G0508
Office
Unavailable
Facility
$184.05
No comparable office rate is available.
Fort Worth
Texas · G0508
Office
Unavailable
Facility
$183.81
No comparable office rate is available.
Galveston
Texas · G0508
Office
Unavailable
Facility
$183.43
No comparable office rate is available.
Houston
Texas · G0508
Office
Unavailable
Facility
$190.02
No comparable office rate is available.
Rest Of Texas
Texas · G0508
Office
Unavailable
Facility
$181.55
No comparable office rate is available.
Utah
Utah · G0508
Office
Unavailable
Facility
$181.14
No comparable office rate is available.
Virginia
Virginia · G0508
Office
Unavailable
Facility
$180.51
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · G0508
Office
Unavailable
Facility
$184.96
No comparable office rate is available.
Vermont
Vermont · G0508
Office
Unavailable
Facility
$178.38
No comparable office rate is available.
Rest Of Washington
Washington · G0508
Office
Unavailable
Facility
$185.64
No comparable office rate is available.
Seattle (King Cnty)
Washington · G0508
Office
Unavailable
Facility
$198.06
No comparable office rate is available.
Wisconsin
Wisconsin · G0508
Office
Unavailable
Facility
$174.74
No comparable office rate is available.
West Virginia
West Virginia · G0508
Office
Unavailable
Facility
$184.77
No comparable office rate is available.
Wyoming**
Wyoming · G0508
Office
Unavailable
Facility
$181.58
No comparable office rate is available.
See how rates vary across the country
G0508 · 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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for G0508 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$202.06
$183.69 × 110% = $202.06
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.
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 G0508 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
15,307
- Code
- G0508
- Physician work
- 4.00
- Practice expense
- 1.17
- Malpractice
- 0.36
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.00 | × 1.005 | 4.0200 |
| Practice expense | 1.17 | × 0.988 | 1.1560 |
| Malpractice | 0.36 | × 0.899 | 0.3236 |
| Total RVUs | 5.4996 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$183.69
Open G0508 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4 | 1.005 |
| Practice expense | 1.17 | 0.988 |
| Malpractice | 0.36 | 0.899 |
(4 × 1.005 + 1.17 × 0.988 + 0.36 × 0.899) × $33.4009 = $183.69
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
G0508 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $183.69 | RVU26D |
| 2026-07-01 | Not available in this setting | $183.69 | RVU26C |
| 2026-04-01 | Not available in this setting | $183.69 | RVU26B |
| 2026-01-01 | Not available in this setting | $183.69 | RVU26A |
| 2025-10-01 | Not available in this setting | $199.37 | RVU25D |
| 2025-07-01 | Not available in this setting | $199.37 | RVU25C |
| 2025-04-01 | Not available in this setting | $199.37 | RVU25B |
| 2025-01-01 | Not available in this setting | $199.37 | RVU25A |
G0508 billing questions
When should G0508 be chosen over G0509?
G0508 describes the initial 60-minute telehealth critical-care consultation. G0509 is the related subsequent service with a 50-minute time description.
Can G0508 be used for any video consultation with a hospitalized patient?
No. The encounter must involve critical-care assessment and management for a critically ill or injured patient, rather than a routine inpatient video visit.
What should the note support?
Document the patient’s critical condition, the physician’s telehealth assessment and management, and the time spent on the critical-care consultation.
Should 99291 also be reported for the same telehealth work?
99291 is the conventional critical-care service code, not the telehealth consultation code. Do not report both simply to represent the same 60 minutes of 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.
15,304G0500,,Mod sedat endo service >5yrs,A,,0.10,1.86,,0.03,,0.03,1.99,0.16,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
15,305G0501,,Resource-inten svc during ov,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,306G0506,,Comp asses care plan ccm svc,A,,0.87,1.06,,0.22,,0.06,1.99,1.15,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,307G0508,,Crit care telehea consult 60,A,,4.00,1.17,NA,1.17,,0.36,5.53,5.53,0,XXX,0.00,0.00,0.00,0,0,9,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,308G0509,,Crit care telehea consult 50,A,,3.86,1.06,NA,1.06,,0.36,5.28,5.28,0,XXX,0.00,0.00,0.00,0,0,9,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,309G0513,,"Prolong prev svcs, first 30m",A,,1.17,0.70,,0.28,,0.07,1.94,1.52,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,310G0514,,"Prolong prev svcs, addl 30m",A,,1.17,0.70,,0.28,,0.07,1.94,1.52,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503