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CMS RVU26D · Effective 2026-10-01

G9488 in El Centro

Office / nonfacility

$53.48

Base rate per service

Facility setting

$53.48

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 G9488: Established patient remote E/M, 25 minutes

Reports a 25-minute remote evaluation and management service for an established patient receiving ongoing care from a physician or other qualified health care professional.

G9488 represents a remote evaluation and management service for a patient already established with the clinician, at the 25-minute level. A physician or other qualified health care professional uses the encounter to assess the patient's current concern, review relevant clinical information, and make or update a management plan. It fits ongoing care when the clinician can address the issue remotely, rather than requiring an in-person assessment.

Select this code based on established-patient status and the documented time level, not the new-patient remote E/M levels. The record should identify the concern, relevant history or records reviewed, assessment, management decisions, and time attributable to the remote E/M work. CMS fee schedule valuation is concentrated in physician work, with no office or facility practice-expense RVUs.

Where the value comes from

  • Work RVU1.50 · 91%
  • Practice expense (office) RVU0.00 · 0%
  • Malpractice RVU0.14 · 9%

932

Medicare services in 2024 · #3022 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.

G9488 compared with similar codes

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

G9487

Remote E/M

Established patient, 15 minutes

$34.58

Both describe remote E/M for established patients; G9487 is the 15-minute level, while G9488 is labeled 25 minutes.

G9489

Remote E/M

Established patient, 40 minutes

$75.47

Both are established-patient remote E/M levels. G9489 is labeled 40 minutes, compared with 25 minutes for G9488.

G9483

Remote E/M

New patient, 30 minutes

$51.13

G9483 is for a new patient and is labeled 30 minutes. G9488 is for an established patient and is labeled 25 minutes.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for G9488 is $53.90—$0.42 higher than the $53.48 rate in El Centro. Both use the same code, release and participation basis.

G9488 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $53.48

  2. Bakersfield

    $53.90

    $0.42 higher than El Centro

  3. Chico

    $53.46

    $0.02 lower than El Centro

  4. Fresno

    $53.46

    $0.02 lower than El Centro

  5. Hanford-Corcoran

    $53.46

    $0.02 lower than El Centro

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

    $55.26

    $1.78 higher than El Centro

  7. Madera

    $53.46

    $0.02 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, G9488 ranges from $51.49 in Minnesota to $77.73 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 · G9488

    Office

    $53.46

    Facility

    $53.46

    $0.02 lower than El Centro for the office setting.

  • Modesto

    California · G9488

    Office

    $53.46

    Facility

    $53.46

    $0.02 lower than El Centro for the office setting.

  • Napa

    California · G9488

    Office

    $55.63

    Facility

    $55.63

    $2.15 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · G9488

    Office

    $54.42

    Facility

    $54.42

    $0.94 higher than El Centro for the office setting.

  • Redding

    California · G9488

    Office

    $53.46

    Facility

    $53.46

    $0.02 lower than El Centro for the office setting.

  • Rest Of California

    California · G9488

    Office

    $53.46

    Facility

    $53.46

    $0.02 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · G9488

    Office

    $54.99

    Facility

    $54.99

    $1.51 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · G9488

    Office

    $54.41

    Facility

    $54.41

    $0.93 higher than El Centro for the office setting.

  • Salinas

    California · G9488

    Office

    $54.16

    Facility

    $54.16

    $0.68 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · G9488

    Office

    $54.14

    Facility

    $54.14

    $0.66 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · G9488

    Office

    $57.01

    Facility

    $57.01

    $3.53 higher than El Centro for the office setting.

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

    California · G9488

    Office

    $56.85

    Facility

    $56.85

    $3.37 higher than El Centro for the office setting.

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

    California · G9488

    Office

    $58.12

    Facility

    $58.12

    $4.64 higher than El Centro for the office setting.

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

    California · G9488

    Office

    $57.47

    Facility

    $57.47

    $3.99 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · G9488

    Office

    $53.46

    Facility

    $53.46

    $0.02 lower than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · G9488

    Office

    $53.66

    Facility

    $53.66

    $0.18 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · G9488

    Office

    $54.01

    Facility

    $54.01

    $0.53 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · G9488

    Office

    $54.11

    Facility

    $54.11

    $0.63 higher than El Centro for the office setting.

  • Stockton

    California · G9488

    Office

    $53.46

    Facility

    $53.46

    $0.02 lower than El Centro for the office setting.

  • Vallejo

    California · G9488

    Office

    $55.40

    Facility

    $55.40

    $1.92 higher than El Centro for the office setting.

  • Visalia

    California · G9488

    Office

    $53.46

    Facility

    $53.46

    $0.02 lower than El Centro for the office setting.

  • Yuba City

    California · G9488

    Office

    $53.46

    Facility

    $53.46

    $0.02 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · G9488

    Office

    $58.01

    Facility

    $58.01

    $4.53 higher than El Centro for the office setting.

  • Miami

    Florida · G9488

    Office

    $61.93

    Facility

    $61.93

    $8.45 higher than El Centro for the office setting.

  • Chicago

    Illinois · G9488

    Office

    $61.18

    Facility

    $61.18

    $7.70 higher than El Centro for the office setting.

  • Manhattan

    New York · G9488

    Office

    $60.72

    Facility

    $60.72

    $7.24 higher than El Centro for the office setting.

  • Alaska*

    Alaska · G9488

    Office

    $77.73

    Facility

    $77.73

    $24.25 higher than El Centro for the office setting.

  • Alabama

    Alabama · G9488

    Office

    $52.75

    Facility

    $52.75

    $0.73 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · G9488

    Office

    $52.51

    Facility

    $52.51

    $0.97 lower than El Centro for the office setting.

  • Arizona

    Arizona · G9488

    Office

    $54.10

    Facility

    $54.10

    $0.62 higher than El Centro for the office setting.

  • Colorado

    Colorado · G9488

    Office

    $54.35

    Facility

    $54.35

    $0.87 higher than El Centro for the office setting.

  • Connecticut

    Connecticut · G9488

    Office

    $56.76

    Facility

    $56.76

    $3.28 higher than El Centro for the office setting.

  • Delaware

    Delaware · G9488

    Office

    $54.56

    Facility

    $54.56

    $1.08 higher than El Centro for the office setting.

  • Fort Lauderdale

    Florida · G9488

    Office

    $58.56

    Facility

    $58.56

    $5.08 higher than El Centro for the office setting.

  • Rest Of Florida

    Florida · G9488

    Office

    $57.13

    Facility

    $57.13

    $3.65 higher than El Centro for the office setting.

  • Atlanta

    Georgia · G9488

    Office

    $55.87

    Facility

    $55.87

    $2.39 higher than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · G9488

    Office

    $55.68

    Facility

    $55.68

    $2.20 higher than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · G9488

    Office

    $52.81

    Facility

    $52.81

    $0.67 lower than El Centro for the office setting.

  • Iowa

    Iowa · G9488

    Office

    $51.96

    Facility

    $51.96

    $1.52 lower than El Centro for the office setting.

  • Idaho

    Idaho · G9488

    Office

    $52.31

    Facility

    $52.31

    $1.17 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · G9488

    Office

    $59.52

    Facility

    $59.52

    $6.04 higher than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · G9488

    Office

    $57.41

    Facility

    $57.41

    $3.93 higher than El Centro for the office setting.

  • Suburban Chicago

    Illinois · G9488

    Office

    $58.74

    Facility

    $58.74

    $5.26 higher than El Centro for the office setting.

  • Indiana

    Indiana · G9488

    Office

    $52.37

    Facility

    $52.37

    $1.11 lower than El Centro for the office setting.

  • Kansas

    Kansas · G9488

    Office

    $52.46

    Facility

    $52.46

    $1.02 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · G9488

    Office

    $54.38

    Facility

    $54.38

    $0.90 higher than El Centro for the office setting.

  • New Orleans

    Louisiana · G9488

    Office

    $55.41

    Facility

    $55.41

    $1.93 higher than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · G9488

    Office

    $54.58

    Facility

    $54.58

    $1.10 higher than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · G9488

    Office

    $56.32

    Facility

    $56.32

    $2.84 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · G9488

    Office

    $54.63

    Facility

    $54.63

    $1.15 higher than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · G9488

    Office

    $56.69

    Facility

    $56.69

    $3.21 higher than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · G9488

    Office

    $54.90

    Facility

    $54.90

    $1.42 higher than El Centro for the office setting.

  • Rest Of Maine

    Maine · G9488

    Office

    $53.01

    Facility

    $53.01

    $0.47 lower than El Centro for the office setting.

  • Southern Maine

    Maine · G9488

    Office

    $53.05

    Facility

    $53.05

    $0.43 lower than El Centro for the office setting.

  • Detroit

    Michigan · G9488

    Office

    $57.99

    Facility

    $57.99

    $4.51 higher than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · G9488

    Office

    $55.38

    Facility

    $55.38

    $1.90 higher than El Centro for the office setting.

  • Minnesota

    Minnesota · G9488

    Office

    $51.49

    Facility

    $51.49

    $1.99 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · G9488

    Office

    $54.67

    Facility

    $54.67

    $1.19 higher than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · G9488

    Office

    $54.79

    Facility

    $54.79

    $1.31 higher than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · G9488

    Office

    $54.66

    Facility

    $54.66

    $1.18 higher than El Centro for the office setting.

  • Mississippi

    Mississippi · G9488

    Office

    $53.56

    Facility

    $53.56

    $0.08 higher than El Centro for the office setting.

  • Montana**

    Montana · G9488

    Office

    $54.77

    Facility

    $54.77

    $1.29 higher than El Centro for the office setting.

  • North Carolina

    North Carolina · G9488

    Office

    $53.09

    Facility

    $53.09

    $0.39 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · G9488

    Office

    $52.00

    Facility

    $52.00

    $1.48 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · G9488

    Office

    $51.87

    Facility

    $51.87

    $1.61 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · G9488

    Office

    $54.19

    Facility

    $54.19

    $0.71 higher than El Centro for the office setting.

  • Northern Nj

    New Jersey · G9488

    Office

    $58.25

    Facility

    $58.25

    $4.77 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · G9488

    Office

    $57.24

    Facility

    $57.24

    $3.76 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · G9488

    Office

    $55.72

    Facility

    $55.72

    $2.24 higher than El Centro for the office setting.

  • Nevada**

    Nevada · G9488

    Office

    $54.00

    Facility

    $54.00

    $0.52 higher than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · G9488

    Office

    $61.99

    Facility

    $61.99

    $8.51 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · G9488

    Office

    $58.01

    Facility

    $58.01

    $4.53 higher than El Centro for the office setting.

  • Queens

    New York · G9488

    Office

    $60.05

    Facility

    $60.05

    $6.57 higher than El Centro for the office setting.

  • Rest Of New York

    New York · G9488

    Office

    $53.39

    Facility

    $53.39

    $0.09 lower than El Centro for the office setting.

  • Ohio

    Ohio · G9488

    Office

    $54.81

    Facility

    $54.81

    $1.33 higher than El Centro for the office setting.

  • Oklahoma

    Oklahoma · G9488

    Office

    $53.73

    Facility

    $53.73

    $0.25 higher than El Centro for the office setting.

  • Portland

    Oregon · G9488

    Office

    $54.38

    Facility

    $54.38

    $0.90 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · G9488

    Office

    $53.39

    Facility

    $53.39

    $0.09 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · G9488

    Office

    $56.58

    Facility

    $56.58

    $3.10 higher than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · G9488

    Office

    $54.52

    Facility

    $54.52

    $1.04 higher than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · G9488

    Office

    $54.71

    Facility

    $54.71

    $1.23 higher than El Centro for the office setting.

  • Rhode Island

    Rhode Island · G9488

    Office

    $55.22

    Facility

    $55.22

    $1.74 higher than El Centro for the office setting.

  • South Carolina

    South Carolina · G9488

    Office

    $54.08

    Facility

    $54.08

    $0.60 higher than El Centro for the office setting.

  • South Dakota**

    South Dakota · G9488

    Office

    $51.67

    Facility

    $51.67

    $1.81 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · G9488

    Office

    $52.61

    Facility

    $52.61

    $0.87 lower than El Centro for the office setting.

  • Austin

    Texas · G9488

    Office

    $54.34

    Facility

    $54.34

    $0.86 higher than El Centro for the office setting.

  • Beaumont

    Texas · G9488

    Office

    $54.45

    Facility

    $54.45

    $0.97 higher than El Centro for the office setting.

  • Brazoria

    Texas · G9488

    Office

    $54.15

    Facility

    $54.15

    $0.67 higher than El Centro for the office setting.

  • Dallas

    Texas · G9488

    Office

    $54.56

    Facility

    $54.56

    $1.08 higher than El Centro for the office setting.

  • Fort Worth

    Texas · G9488

    Office

    $54.63

    Facility

    $54.63

    $1.15 higher than El Centro for the office setting.

  • Galveston

    Texas · G9488

    Office

    $54.37

    Facility

    $54.37

    $0.89 higher than El Centro for the office setting.

  • Houston

    Texas · G9488

    Office

    $56.94

    Facility

    $56.94

    $3.46 higher than El Centro for the office setting.

  • Rest Of Texas

    Texas · G9488

    Office

    $54.32

    Facility

    $54.32

    $0.84 higher than El Centro for the office setting.

  • Utah

    Utah · G9488

    Office

    $54.30

    Facility

    $54.30

    $0.82 higher than El Centro for the office setting.

  • Virginia

    Virginia · G9488

    Office

    $53.40

    Facility

    $53.40

    $0.08 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · G9488

    Office

    $54.71

    Facility

    $54.71

    $1.23 higher than El Centro for the office setting.

  • Vermont

    Vermont · G9488

    Office

    $52.47

    Facility

    $52.47

    $1.01 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · G9488

    Office

    $54.31

    Facility

    $54.31

    $0.83 higher than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · G9488

    Office

    $56.43

    Facility

    $56.43

    $2.95 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · G9488

    Office

    $51.54

    Facility

    $51.54

    $1.94 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · G9488

    Office

    $56.79

    Facility

    $56.79

    $3.31 higher than El Centro for the office setting.

  • Wyoming**

    Wyoming · G9488

    Office

    $53.56

    Facility

    $53.56

    $0.08 higher than El Centro for the office setting.

See how rates vary across the country

G9488 · 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.

$51.49

$77.73

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$77.731
AL$52.751
AR$52.511
AZ$54.101
CA$53.46–$58.1229
CO$54.351
CT$56.761
DC$58.011
DE$54.561
FL$57.13–$61.933
GA$55.68–$55.872
GU$52.811
HI$52.811
IA$51.961
ID$52.311
IL$57.41–$61.184
IN$52.371
KS$52.461
KY$54.381
LA$54.58–$55.412
MA$54.63–$56.322
MD$54.90–$58.013
ME$53.01–$53.052
MI$55.38–$57.992
MN$51.491
MO$54.66–$54.793
MS$53.561
MT$54.771
NC$53.091
ND$52.001
NE$51.871
NH$54.191
NJ$57.24–$58.252
NM$55.721
NV$54.001
NY$53.39–$61.995
OH$54.811
OK$53.731
OR$53.39–$54.382
PA$54.52–$56.582
PR$54.711
RI$55.221
SC$54.081
SD$51.671
TN$52.611
TX$54.15–$56.948
UT$54.301
VA$53.40–$58.012
VI$54.711
VT$52.471
WA$54.31–$56.432
WI$51.541
WV$56.791
WY$53.561

Explore G9488 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 G9488 in El Centro, the physician’s office rate is $53.48 and the facility-setting rate is $53.48: 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 G9488 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$58.83

$53.48 × 110% = $58.83

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.

Compare your contract offer →

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 G9488 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

15,998

Code
G9488
Physician work
1.50
Practice expense
0.00
Malpractice
0.14

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for G9488 in El Centro
ComponentRVULocality factorAdjusted
Physician work1.50× 1.0171.5255
Practice expense0.00× 1.0960.0000
Malpractice0.14× 0.5410.0757
Total RVUs1.6012
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$53.48

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

Open G9488 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.51.017
Practice expense01.096
Malpractice0.140.541

(1.5 × 1.017 + 0 × 1.096 + 0.14 × 0.541) × $33.4009 = $53.48

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.51.017
Practice expense01.096
Malpractice0.140.541

(1.5 × 1.017 + 0 × 1.096 + 0.14 × 0.541) × $33.4009 = $53.48

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

G9488 · Office / nonfacility

$53.48

Effective 2026-10-01

The base rate is $1.52 higher than on 2025-10-01, moving from $51.96 to $53.48 (2.9%).

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

    $51.96changed to$53.48

    • Conversion factor 32.3465 changed to 33.4009
    • Malpractice RVU 0.15 changed to 0.14
    • 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: $51.96

    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$53.48$53.48RVU26D
2026-07-01$53.48$53.48RVU26C
2026-04-01$53.48$53.48RVU26B
2026-01-01$53.48$53.48RVU26A
2025-10-01$51.96$51.96RVU25D
2025-07-01$51.96$51.96RVU25C
2025-04-01$51.96$51.96RVU25B
2025-01-01$51.96$51.96RVU25A

G9488 billing questions

Can G9488 be reported for a new patient?

No. G9488 is for an established patient; the G9481-G9485 codes describe the new-patient remote E/M levels.

How does G9488 differ from G9487 or G9489?

These are established-patient remote E/M time levels. G9487 is labeled 15 minutes, G9488 25 minutes, and G9489 40 minutes.

What should the note support?

Document established-patient status, the reason for the remote service, the evaluation and management performed, and the time supporting the 25-minute level.

Does G9488 include a professional or technical component?

The CMS facts provide no professional/technical component split for G9488. Its fee schedule valuation is concentrated in physician work.

Can G9488 be billed with another remote E/M time level for the same service?

The G9486-G9489 codes are different established-patient time levels. Choose the level supported by the service documentation rather than reporting multiple levels for the same 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.

RVUs for G9488PPRRVU2026_Oct_nonQPP.csv, line 15,998 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet