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CMS RVU26D · Effective 2026-10-01

G9486 in El Centro

Office / nonfacility

$17.39

Base rate per service

Facility setting

$17.39

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.

Evaluation and management

About G9486: Established Patient Remote E/M, 10 Minutes

Remote evaluation and management for an established patient at the 10-minute tier, used to report remote clinical assessment and management.

A clinician uses this code for a remote evaluation and management service for someone already established with the practice, with the service assigned to the 10-minute tier. It describes clinical assessment and management conducted remotely, rather than a new-patient evaluation. The code can be relevant when an established patient receives remote attention for a current health concern, such as symptom follow-up or discussion of a treatment issue. The CMS descriptor identifies remote E/M but does not specify a particular communication platform or specialty.

Choose G9486 for the 10-minute established-patient tier, rather than a longer time tier or a new-patient tier. Documentation should support established-patient status, the clinical issue addressed, the remote service, and time consistent with the selected tier. CMS physician fee schedule data assigns work and malpractice RVUs and zero practice-expense RVUs in both office and facility settings; those inputs do not state a payment amount.

Where the value comes from

  • Work RVU0.48 · 89%
  • Practice expense (office) RVU0.00 · 0%
  • Malpractice RVU0.06 · 11%

42

Medicare services in 2024 · #5474 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.

G9486 compared with similar codes

Office rates for El Centro, from the same CMS release.

G9481

Remote E/M

New patient, 10 minutes

$17.39

Both are 10-minute remote E/M tiers, but G9481 is for a new patient and G9486 is for an established patient.

G9487

Remote E/M

Established patient, 15 minutes

$34.58

Use G9487 for the 15-minute established-patient tier; G9486 is the 10-minute tier.

G9488

Remote E/M

Established patient, 25 minutes

$53.48

G9488 identifies the 25-minute established-patient tier, rather than G9486's 10-minute tier.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for G9486 is $17.56—$0.17 higher than the $17.39 rate in El Centro. Both use the same code, release and participation basis.

G9486 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $17.39

  2. Bakersfield

    $17.56

    $0.17 higher than El Centro

  3. Chico

    $17.38

    $0.01 lower than El Centro

  4. Fresno

    $17.38

    $0.01 lower than El Centro

  5. Hanford-Corcoran

    $17.38

    $0.01 lower than El Centro

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $18.02

    $0.63 higher than El Centro

  7. Madera

    $17.38

    $0.01 lower than El Centro

Other payment areas listed in California 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, G9486 ranges from $16.63 in Minnesota to $25.15 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

  • Merced

    California · G9486

    Office

    $17.38

    Facility

    $17.38

    $0.01 lower than El Centro for the office setting.

  • Modesto

    California · G9486

    Office

    $17.38

    Facility

    $17.38

    $0.01 lower than El Centro for the office setting.

  • Napa

    California · G9486

    Office

    $18.06

    Facility

    $18.06

    $0.67 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · G9486

    Office

    $17.73

    Facility

    $17.73

    $0.34 higher than El Centro for the office setting.

  • Redding

    California · G9486

    Office

    $17.38

    Facility

    $17.38

    $0.01 lower than El Centro for the office setting.

  • Rest Of California

    California · G9486

    Office

    $17.38

    Facility

    $17.38

    $0.01 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · G9486

    Office

    $18.03

    Facility

    $18.03

    $0.64 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · G9486

    Office

    $17.68

    Facility

    $17.68

    $0.29 higher than El Centro for the office setting.

  • Salinas

    California · G9486

    Office

    $17.60

    Facility

    $17.60

    $0.21 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · G9486

    Office

    $17.60

    Facility

    $17.60

    $0.21 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · G9486

    Office

    $18.48

    Facility

    $18.48

    $1.09 higher than El Centro for the office setting.

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

    California · G9486

    Office

    $18.41

    Facility

    $18.41

    $1.02 higher than El Centro for the office setting.

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

    California · G9486

    Office

    $18.87

    Facility

    $18.87

    $1.48 higher than El Centro for the office setting.

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

    California · G9486

    Office

    $18.59

    Facility

    $18.59

    $1.20 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · G9486

    Office

    $17.38

    Facility

    $17.38

    $0.01 lower than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · G9486

    Office

    $17.44

    Facility

    $17.44

    $0.05 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · G9486

    Office

    $17.56

    Facility

    $17.56

    $0.17 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · G9486

    Office

    $17.59

    Facility

    $17.59

    $0.20 higher than El Centro for the office setting.

  • Stockton

    California · G9486

    Office

    $17.38

    Facility

    $17.38

    $0.01 lower than El Centro for the office setting.

  • Vallejo

    California · G9486

    Office

    $17.96

    Facility

    $17.96

    $0.57 higher than El Centro for the office setting.

  • Visalia

    California · G9486

    Office

    $17.38

    Facility

    $17.38

    $0.01 lower than El Centro for the office setting.

  • Yuba City

    California · G9486

    Office

    $17.38

    Facility

    $17.38

    $0.01 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · G9486

    Office

    $19.13

    Facility

    $19.13

    $1.74 higher than El Centro for the office setting.

  • Miami

    Florida · G9486

    Office

    $21.10

    Facility

    $21.10

    $3.71 higher than El Centro for the office setting.

  • Chicago

    Illinois · G9486

    Office

    $20.74

    Facility

    $20.74

    $3.35 higher than El Centro for the office setting.

  • Manhattan

    New York · G9486

    Office

    $20.24

    Facility

    $20.24

    $2.85 higher than El Centro for the office setting.

  • Alaska*

    Alaska · G9486

    Office

    $25.15

    Facility

    $25.15

    $7.76 higher than El Centro for the office setting.

  • Alabama

    Alabama · G9486

    Office

    $17.17

    Facility

    $17.17

    $0.22 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · G9486

    Office

    $17.06

    Facility

    $17.06

    $0.33 lower than El Centro for the office setting.

  • Arizona

    Arizona · G9486

    Office

    $17.75

    Facility

    $17.75

    $0.36 higher than El Centro for the office setting.

  • Colorado

    Colorado · G9486

    Office

    $17.79

    Facility

    $17.79

    $0.40 higher than El Centro for the office setting.

  • Connecticut

    Connecticut · G9486

    Office

    $18.78

    Facility

    $18.78

    $1.39 higher than El Centro for the office setting.

  • Delaware

    Delaware · G9486

    Office

    $17.91

    Facility

    $17.91

    $0.52 higher than El Centro for the office setting.

  • Fort Lauderdale

    Florida · G9486

    Office

    $19.66

    Facility

    $19.66

    $2.27 higher than El Centro for the office setting.

  • Rest Of Florida

    Florida · G9486

    Office

    $19.04

    Facility

    $19.04

    $1.65 higher than El Centro for the office setting.

  • Atlanta

    Georgia · G9486

    Office

    $18.49

    Facility

    $18.49

    $1.10 higher than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · G9486

    Office

    $18.42

    Facility

    $18.42

    $1.03 higher than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · G9486

    Office

    $17.19

    Facility

    $17.19

    $0.20 lower than El Centro for the office setting.

  • Iowa

    Iowa · G9486

    Office

    $16.83

    Facility

    $16.83

    $0.56 lower than El Centro for the office setting.

  • Idaho

    Idaho · G9486

    Office

    $16.98

    Facility

    $16.98

    $0.41 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · G9486

    Office

    $20.07

    Facility

    $20.07

    $2.68 higher than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · G9486

    Office

    $19.16

    Facility

    $19.16

    $1.77 higher than El Centro for the office setting.

  • Suburban Chicago

    Illinois · G9486

    Office

    $19.70

    Facility

    $19.70

    $2.31 higher than El Centro for the office setting.

  • Indiana

    Indiana · G9486

    Office

    $17.01

    Facility

    $17.01

    $0.38 lower than El Centro for the office setting.

  • Kansas

    Kansas · G9486

    Office

    $17.04

    Facility

    $17.04

    $0.35 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · G9486

    Office

    $17.87

    Facility

    $17.87

    $0.48 higher than El Centro for the office setting.

  • New Orleans

    Louisiana · G9486

    Office

    $18.31

    Facility

    $18.31

    $0.92 higher than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · G9486

    Office

    $17.95

    Facility

    $17.95

    $0.56 higher than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · G9486

    Office

    $18.47

    Facility

    $18.47

    $1.08 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · G9486

    Office

    $17.89

    Facility

    $17.89

    $0.50 higher than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · G9486

    Office

    $18.77

    Facility

    $18.77

    $1.38 higher than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · G9486

    Office

    $18.03

    Facility

    $18.03

    $0.64 higher than El Centro for the office setting.

  • Rest Of Maine

    Maine · G9486

    Office

    $17.28

    Facility

    $17.28

    $0.11 lower than El Centro for the office setting.

  • Southern Maine

    Maine · G9486

    Office

    $17.30

    Facility

    $17.30

    $0.09 lower than El Centro for the office setting.

  • Detroit

    Michigan · G9486

    Office

    $19.41

    Facility

    $19.41

    $2.02 higher than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · G9486

    Office

    $18.30

    Facility

    $18.30

    $0.91 higher than El Centro for the office setting.

  • Minnesota

    Minnesota · G9486

    Office

    $16.63

    Facility

    $16.63

    $0.76 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · G9486

    Office

    $17.99

    Facility

    $17.99

    $0.60 higher than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · G9486

    Office

    $18.04

    Facility

    $18.04

    $0.65 higher than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · G9486

    Office

    $17.98

    Facility

    $17.98

    $0.59 higher than El Centro for the office setting.

  • Mississippi

    Mississippi · G9486

    Office

    $17.51

    Facility

    $17.51

    $0.12 higher than El Centro for the office setting.

  • Montana**

    Montana · G9486

    Office

    $18.03

    Facility

    $18.03

    $0.64 higher than El Centro for the office setting.

  • North Carolina

    North Carolina · G9486

    Office

    $17.31

    Facility

    $17.31

    $0.08 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · G9486

    Office

    $16.85

    Facility

    $16.85

    $0.54 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · G9486

    Office

    $16.79

    Facility

    $16.79

    $0.60 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · G9486

    Office

    $17.79

    Facility

    $17.79

    $0.40 higher than El Centro for the office setting.

  • Northern Nj

    New Jersey · G9486

    Office

    $19.18

    Facility

    $19.18

    $1.79 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · G9486

    Office

    $18.87

    Facility

    $18.87

    $1.48 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · G9486

    Office

    $18.44

    Facility

    $18.44

    $1.05 higher than El Centro for the office setting.

  • Nevada**

    Nevada · G9486

    Office

    $17.70

    Facility

    $17.70

    $0.31 higher than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · G9486

    Office

    $20.78

    Facility

    $20.78

    $3.39 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · G9486

    Office

    $19.18

    Facility

    $19.18

    $1.79 higher than El Centro for the office setting.

  • Queens

    New York · G9486

    Office

    $19.95

    Facility

    $19.95

    $2.56 higher than El Centro for the office setting.

  • Rest Of New York

    New York · G9486

    Office

    $17.44

    Facility

    $17.44

    $0.05 higher than El Centro for the office setting.

  • Ohio

    Ohio · G9486

    Office

    $18.05

    Facility

    $18.05

    $0.66 higher than El Centro for the office setting.

  • Oklahoma

    Oklahoma · G9486

    Office

    $17.59

    Facility

    $17.59

    $0.20 higher than El Centro for the office setting.

  • Portland

    Oregon · G9486

    Office

    $17.78

    Facility

    $17.78

    $0.39 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · G9486

    Office

    $17.44

    Facility

    $17.44

    $0.05 higher than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · G9486

    Office

    $18.71

    Facility

    $18.71

    $1.32 higher than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · G9486

    Office

    $17.93

    Facility

    $17.93

    $0.54 higher than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · G9486

    Office

    $18.01

    Facility

    $18.01

    $0.62 higher than El Centro for the office setting.

  • Rhode Island

    Rhode Island · G9486

    Office

    $18.12

    Facility

    $18.12

    $0.73 higher than El Centro for the office setting.

  • South Carolina

    South Carolina · G9486

    Office

    $17.74

    Facility

    $17.74

    $0.35 higher than El Centro for the office setting.

  • South Dakota**

    South Dakota · G9486

    Office

    $16.71

    Facility

    $16.71

    $0.68 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · G9486

    Office

    $17.11

    Facility

    $17.11

    $0.28 lower than El Centro for the office setting.

  • Austin

    Texas · G9486

    Office

    $17.84

    Facility

    $17.84

    $0.45 higher than El Centro for the office setting.

  • Beaumont

    Texas · G9486

    Office

    $17.89

    Facility

    $17.89

    $0.50 higher than El Centro for the office setting.

  • Brazoria

    Texas · G9486

    Office

    $17.72

    Facility

    $17.72

    $0.33 higher than El Centro for the office setting.

  • Dallas

    Texas · G9486

    Office

    $17.90

    Facility

    $17.90

    $0.51 higher than El Centro for the office setting.

  • Fort Worth

    Texas · G9486

    Office

    $17.92

    Facility

    $17.92

    $0.53 higher than El Centro for the office setting.

  • Galveston

    Texas · G9486

    Office

    $17.82

    Facility

    $17.82

    $0.43 higher than El Centro for the office setting.

  • Houston

    Texas · G9486

    Office

    $18.92

    Facility

    $18.92

    $1.53 higher than El Centro for the office setting.

  • Rest Of Texas

    Texas · G9486

    Office

    $17.84

    Facility

    $17.84

    $0.45 higher than El Centro for the office setting.

  • Utah

    Utah · G9486

    Office

    $17.83

    Facility

    $17.83

    $0.44 higher than El Centro for the office setting.

  • Virginia

    Virginia · G9486

    Office

    $17.45

    Facility

    $17.45

    $0.06 higher than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · G9486

    Office

    $18.01

    Facility

    $18.01

    $0.62 higher than El Centro for the office setting.

  • Vermont

    Vermont · G9486

    Office

    $17.05

    Facility

    $17.05

    $0.34 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · G9486

    Office

    $17.77

    Facility

    $17.77

    $0.38 higher than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · G9486

    Office

    $18.47

    Facility

    $18.47

    $1.08 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · G9486

    Office

    $16.65

    Facility

    $16.65

    $0.74 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · G9486

    Office

    $18.90

    Facility

    $18.90

    $1.51 higher than El Centro for the office setting.

  • Wyoming**

    Wyoming · G9486

    Office

    $17.52

    Facility

    $17.52

    $0.13 higher than El Centro for the office setting.

See how rates vary across the country

G9486 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$16.63

$25.15

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$25.151
AL$17.171
AR$17.061
AZ$17.751
CA$17.38–$18.8729
CO$17.791
CT$18.781
DC$19.131
DE$17.911
FL$19.04–$21.103
GA$18.42–$18.492
GU$17.191
HI$17.191
IA$16.831
ID$16.981
IL$19.16–$20.744
IN$17.011
KS$17.041
KY$17.871
LA$17.95–$18.312
MA$17.89–$18.472
MD$18.03–$19.133
ME$17.28–$17.302
MI$18.30–$19.412
MN$16.631
MO$17.98–$18.043
MS$17.511
MT$18.031
NC$17.311
ND$16.851
NE$16.791
NH$17.791
NJ$18.87–$19.182
NM$18.441
NV$17.701
NY$17.44–$20.785
OH$18.051
OK$17.591
OR$17.44–$17.782
PA$17.93–$18.712
PR$18.011
RI$18.121
SC$17.741
SD$16.711
TN$17.111
TX$17.72–$18.928
UT$17.831
VA$17.45–$19.132
VI$18.011
VT$17.051
WA$17.77–$18.472
WI$16.651
WV$18.901
WY$17.521

Explore G9486 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, 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.

Browse all communities in California →

Why are the office and facility amounts different?

For G9486 in El Centro, the physician’s office rate is $17.39 and the facility-setting rate is $17.39: a difference of $0.00.

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 G9486 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$19.13

$17.39 × 110% = $19.13

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 G9486 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

15,996

Code
G9486
Physician work
0.48
Practice expense
0.00
Malpractice
0.06

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for G9486 in El Centro
ComponentRVULocality factorAdjusted
Physician work0.48× 1.0170.4882
Practice expense0.00× 1.0960.0000
Malpractice0.06× 0.5410.0325
Total RVUs0.5206
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$17.39

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

Open G9486 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.481.017
Practice expense01.096
Malpractice0.060.541

(0.48 × 1.017 + 0 × 1.096 + 0.06 × 0.541) × $33.4009 = $17.39

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.481.017
Practice expense01.096
Malpractice0.060.541

(0.48 × 1.017 + 0 × 1.096 + 0.06 × 0.541) × $33.4009 = $17.39

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

G9486 · Office / nonfacility

$17.39

Effective 2026-10-01

The base rate is $0.72 higher than on 2025-10-01, moving from $16.67 to $17.39 (4.3%).

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

    $16.67changed to$17.39

    • Conversion factor 32.3465 changed to 33.4009
    • Malpractice RVU 0.05 changed to 0.06
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $16.67

    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$17.39$17.39RVU26D
2026-07-01$17.39$17.39RVU26C
2026-04-01$17.39$17.39RVU26B
2026-01-01$17.39$17.39RVU26A
2025-10-01$16.67$16.67RVU25D
2025-07-01$16.67$16.67RVU25C
2025-04-01$16.67$16.67RVU25B
2025-01-01$16.67$16.67RVU25A

G9486 billing questions

How does G9486 differ from G9487?

Both describe remote E/M for established patients. G9486 is the 10-minute tier; G9487 is the 15-minute tier.

Can G9486 be used for a new patient?

No. G9486 is designated for an established patient; G9481 is the 10-minute remote E/M code for a new patient.

What should the record support?

Document the established-patient relationship, the clinical issue assessed or managed remotely, and the time supporting the 10-minute tier.

Does the descriptor specify whether the service is by phone or video?

No communication platform is specified in the CMS descriptor. The record should identify the remote 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 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 G9486PPRRVU2026_Oct_nonQPP.csv, line 15,996 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet