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CMS RVU26D · Effective 2026-10-01

G2011 in Madera

Office / nonfacility

$17.60

Base rate per service

Facility setting

$14.68

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.

Behavioral health

About G2011: Alcohol and substance misuse assessment

Report G2011 for a 5- to 15-minute structured assessment of alcohol or non-tobacco substance misuse, such as an AUDIT or DAST screening.

G2011 covers a structured assessment of possible alcohol or non-tobacco substance misuse, typically performed during an outpatient primary care or behavioral health visit. A clinician may use a validated instrument such as the AUDIT for alcohol use or the DAST for drug use. The service is the assessment itself; it is not a general discussion of substance use or counseling alone. The code describes an assessment lasting 5 to 15 minutes.

Report G2011 when the structured assessment and its time are documented. Record the instrument or assessment method, the time spent, and the findings. A positive result may lead to further evaluation or counseling, but those activities are distinct from the assessment. CMS assigns physician fee schedule resource values to G2011, including practice-expense inputs that differ by office and facility setting; FeeBase displays payment rates separately.

Where the value comes from

  • Work RVU0.33 · 63%
  • Practice expense (office) RVU0.16 · 31%
  • Malpractice RVU0.03 · 6%

10.5K

Medicare services in 2024 · #1447 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.

G2011 compared with similar codes

Office rates for Madera, from the same CMS release.

G0442

Alcohol screening

Annual 15-minute preventive screen

$19.84

G0442 is Medicare alcohol-misuse screening. G2011 covers a structured alcohol or non-tobacco substance assessment lasting 5 to 15 minutes.

99408

Audit/dast 15-30 min

No office rate

99408 describes screening plus brief intervention for alcohol or substance misuse. G2011 describes a shorter structured assessment, not the intervention.

99409

Audit/dast over 30 min

No office rate

99409 is for screening and brief intervention at a longer time level. G2011 covers a structured assessment lasting 5 to 15 minutes.

The same code, a different location

How does Madera compare?

In Bakersfield, the office rate for G2011 is $17.70—$0.10 higher than the $17.60 rate in Madera. Both use the same code, release and participation basis.

G2011 across payment areas

Same release and payment basis · bars start at $0

  1. Madera · This locality

    $17.60

  2. Bakersfield

    $17.70

    $0.10 higher than Madera

  3. Chico

    $17.60

    The same base rate than Madera

  4. El Centro

    $17.61

    $0.01 higher than Madera

  5. Fresno

    $17.60

    The same base rate than Madera

  6. Hanford-Corcoran

    $17.60

    The same base rate than Madera

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

    $18.46

    $0.86 higher than Madera

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, G2011 ranges from $16.13 in Arkansas to $22.78 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 · G2011

    Office

    $17.60

    Facility

    $14.68

    The same base rate than Madera for the office setting.

  • Modesto

    California · G2011

    Office

    $17.60

    Facility

    $14.68

    The same base rate than Madera for the office setting.

  • Napa

    California · G2011

    Office

    $19.27

    Facility

    $15.75

    $1.67 higher than Madera for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · G2011

    Office

    $18.27

    Facility

    $15.11

    $0.67 higher than Madera for the office setting.

  • Redding

    California · G2011

    Office

    $17.60

    Facility

    $14.68

    The same base rate than Madera for the office setting.

  • Rest Of California

    California · G2011

    Office

    $17.60

    Facility

    $14.68

    The same base rate than Madera for the office setting.

  • Riverside-San Bernardino-Ontario

    California · G2011

    Office

    $17.93

    Facility

    $15.00

    $0.33 higher than Madera for the office setting.

  • Sacramento-Roseville-Folsom

    California · G2011

    Office

    $18.17

    Facility

    $15.06

    $0.57 higher than Madera for the office setting.

  • Salinas

    California · G2011

    Office

    $18.09

    Facility

    $15.00

    $0.49 higher than Madera for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · G2011

    Office

    $18.29

    Facility

    $15.09

    $0.69 higher than Madera for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · G2011

    Office

    $20.06

    Facility

    $16.30

    $2.46 higher than Madera for the office setting.

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

    California · G2011

    Office

    $20.03

    Facility

    $16.26

    $2.43 higher than Madera for the office setting.

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

    California · G2011

    Office

    $20.48

    Facility

    $16.62

    $2.88 higher than Madera for the office setting.

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

    California · G2011

    Office

    $20.34

    Facility

    $16.49

    $2.74 higher than Madera for the office setting.

  • San Luis Obispo-Paso Robles

    California · G2011

    Office

    $17.83

    Facility

    $14.79

    $0.23 higher than Madera for the office setting.

  • Santa Cruz-Watsonville

    California · G2011

    Office

    $18.28

    Facility

    $15.04

    $0.68 higher than Madera for the office setting.

  • Santa Maria-Santa Barbara

    California · G2011

    Office

    $18.10

    Facility

    $14.98

    $0.50 higher than Madera for the office setting.

  • Santa Rosa-Petaluma

    California · G2011

    Office

    $18.45

    Facility

    $15.17

    $0.85 higher than Madera for the office setting.

  • Stockton

    California · G2011

    Office

    $17.60

    Facility

    $14.68

    The same base rate than Madera for the office setting.

  • Vallejo

    California · G2011

    Office

    $19.22

    Facility

    $15.70

    $1.62 higher than Madera for the office setting.

  • Visalia

    California · G2011

    Office

    $17.60

    Facility

    $14.68

    The same base rate than Madera for the office setting.

  • Yuba City

    California · G2011

    Office

    $17.60

    Facility

    $14.68

    The same base rate than Madera for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · G2011

    Office

    $19.03

    Facility

    $15.88

    $1.43 higher than Madera for the office setting.

  • Miami

    Florida · G2011

    Office

    $19.12

    Facility

    $16.34

    $1.52 higher than Madera for the office setting.

  • Chicago

    Illinois · G2011

    Office

    $18.77

    Facility

    $16.08

    $1.17 higher than Madera for the office setting.

  • Manhattan

    New York · G2011

    Office

    $19.53

    Facility

    $16.42

    $1.93 higher than Madera for the office setting.

  • Alaska*

    Alaska · G2011

    Office

    $22.78

    Facility

    $19.93

    $5.18 higher than Madera for the office setting.

  • Alabama

    Alabama · G2011

    Office

    $16.27

    Facility

    $13.93

    $1.33 lower than Madera for the office setting.

  • Arkansas

    Arkansas · G2011

    Office

    $16.13

    Facility

    $13.83

    $1.47 lower than Madera for the office setting.

  • Arizona

    Arizona · G2011

    Office

    $17.06

    Facility

    $14.47

    $0.54 lower than Madera for the office setting.

  • Colorado

    Colorado · G2011

    Office

    $17.62

    Facility

    $14.78

    $0.02 higher than Madera for the office setting.

  • Connecticut

    Connecticut · G2011

    Office

    $18.21

    Facility

    $15.33

    $0.61 higher than Madera for the office setting.

  • Delaware

    Delaware · G2011

    Office

    $17.26

    Facility

    $14.62

    $0.34 lower than Madera for the office setting.

  • Fort Lauderdale

    Florida · G2011

    Office

    $18.25

    Facility

    $15.54

    $0.65 higher than Madera for the office setting.

  • Rest Of Florida

    Florida · G2011

    Office

    $17.64

    Facility

    $15.08

    $0.04 higher than Madera for the office setting.

  • Atlanta

    Georgia · G2011

    Office

    $17.69

    Facility

    $14.97

    $0.09 higher than Madera for the office setting.

  • Rest Of Georgia

    Georgia · G2011

    Office

    $16.98

    Facility

    $14.60

    $0.62 lower than Madera for the office setting.

  • Hawaii, Guam

    Hawaii · G2011

    Office

    $17.68

    Facility

    $14.64

    $0.08 higher than Madera for the office setting.

  • Iowa

    Iowa · G2011

    Office

    $16.31

    Facility

    $13.87

    $1.29 lower than Madera for the office setting.

  • Idaho

    Idaho · G2011

    Office

    $16.41

    Facility

    $13.95

    $1.19 lower than Madera for the office setting.

  • East St. Louis

    Illinois · G2011

    Office

    $17.96

    Facility

    $15.50

    $0.36 higher than Madera for the office setting.

  • Rest Of Illinois

    Illinois · G2011

    Office

    $17.47

    Facility

    $15.03

    $0.13 lower than Madera for the office setting.

  • Suburban Chicago

    Illinois · G2011

    Office

    $18.36

    Facility

    $15.62

    $0.76 higher than Madera for the office setting.

  • Indiana

    Indiana · G2011

    Office

    $16.46

    Facility

    $13.99

    $1.14 lower than Madera for the office setting.

  • Kansas

    Kansas · G2011

    Office

    $16.36

    Facility

    $13.94

    $1.24 lower than Madera for the office setting.

  • Kentucky

    Kentucky · G2011

    Office

    $16.69

    Facility

    $14.31

    $0.91 lower than Madera for the office setting.

  • New Orleans

    Louisiana · G2011

    Office

    $17.19

    Facility

    $14.68

    $0.41 lower than Madera for the office setting.

  • Rest Of Louisiana

    Louisiana · G2011

    Office

    $16.71

    Facility

    $14.35

    $0.89 lower than Madera for the office setting.

  • Metropolitan Boston

    Massachusetts · G2011

    Office

    $18.75

    Facility

    $15.56

    $1.15 higher than Madera for the office setting.

  • Rest Of Massachusetts

    Massachusetts · G2011

    Office

    $17.62

    Facility

    $14.81

    $0.02 higher than Madera for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · G2011

    Office

    $18.17

    Facility

    $15.31

    $0.57 higher than Madera for the office setting.

  • Rest Of Maryland

    Maryland · G2011

    Office

    $17.46

    Facility

    $14.76

    $0.14 lower than Madera for the office setting.

  • Rest Of Maine

    Maine · G2011

    Office

    $16.56

    Facility

    $14.10

    $1.04 lower than Madera for the office setting.

  • Southern Maine

    Maine · G2011

    Office

    $16.95

    Facility

    $14.30

    $0.65 lower than Madera for the office setting.

  • Detroit

    Michigan · G2011

    Office

    $17.87

    Facility

    $15.29

    $0.27 higher than Madera for the office setting.

  • Rest Of Michigan

    Michigan · G2011

    Office

    $17.03

    Facility

    $14.59

    $0.57 lower than Madera for the office setting.

  • Minnesota

    Minnesota · G2011

    Office

    $16.82

    Facility

    $14.07

    $0.78 lower than Madera for the office setting.

  • Metropolitan Kansas City

    Missouri · G2011

    Office

    $17.02

    Facility

    $14.51

    $0.58 lower than Madera for the office setting.

  • Metropolitan St. Louis

    Missouri · G2011

    Office

    $17.11

    Facility

    $14.57

    $0.49 lower than Madera for the office setting.

  • Rest Of Missouri

    Missouri · G2011

    Office

    $16.60

    Facility

    $14.30

    $1.00 lower than Madera for the office setting.

  • Mississippi

    Mississippi · G2011

    Office

    $16.36

    Facility

    $14.06

    $1.24 lower than Madera for the office setting.

  • Montana**

    Montana · G2011

    Office

    $17.37

    Facility

    $14.69

    $0.23 lower than Madera for the office setting.

  • North Carolina

    North Carolina · G2011

    Office

    $16.65

    Facility

    $14.16

    $0.95 lower than Madera for the office setting.

  • North Dakota**

    North Dakota · G2011

    Office

    $16.77

    Facility

    $14.10

    $0.83 lower than Madera for the office setting.

  • Nebraska

    Nebraska · G2011

    Office

    $16.33

    Facility

    $13.87

    $1.27 lower than Madera for the office setting.

  • New Hampshire

    New Hampshire · G2011

    Office

    $17.46

    Facility

    $14.68

    $0.14 lower than Madera for the office setting.

  • Northern Nj

    New Jersey · G2011

    Office

    $18.99

    Facility

    $15.89

    $1.39 higher than Madera for the office setting.

  • Rest Of New Jersey

    New Jersey · G2011

    Office

    $18.40

    Facility

    $15.48

    $0.80 higher than Madera for the office setting.

  • New Mexico

    New Mexico · G2011

    Office

    $17.13

    Facility

    $14.68

    $0.47 lower than Madera for the office setting.

  • Nevada**

    Nevada · G2011

    Office

    $17.21

    Facility

    $14.53

    $0.39 lower than Madera for the office setting.

  • Nyc Suburbs/Long Island

    New York · G2011

    Office

    $19.94

    Facility

    $16.77

    $2.34 higher than Madera for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · G2011

    Office

    $18.58

    Facility

    $15.66

    $0.98 higher than Madera for the office setting.

  • Queens

    New York · G2011

    Office

    $19.49

    Facility

    $16.33

    $1.89 higher than Madera for the office setting.

  • Rest Of New York

    New York · G2011

    Office

    $16.80

    Facility

    $14.27

    $0.80 lower than Madera for the office setting.

  • Ohio

    Ohio · G2011

    Office

    $16.91

    Facility

    $14.47

    $0.69 lower than Madera for the office setting.

  • Oklahoma

    Oklahoma · G2011

    Office

    $16.57

    Facility

    $14.19

    $1.03 lower than Madera for the office setting.

  • Portland

    Oregon · G2011

    Office

    $17.88

    Facility

    $14.91

    $0.28 higher than Madera for the office setting.

  • Rest Of Oregon

    Oregon · G2011

    Office

    $17.05

    Facility

    $14.39

    $0.55 lower than Madera for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · G2011

    Office

    $17.98

    Facility

    $15.20

    $0.38 higher than Madera for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · G2011

    Office

    $16.88

    Facility

    $14.42

    $0.72 lower than Madera for the office setting.

  • Puerto Rico

    Puerto Rico · G2011

    Office

    $17.41

    Facility

    $14.71

    $0.19 lower than Madera for the office setting.

  • Rhode Island

    Rhode Island · G2011

    Office

    $17.65

    Facility

    $14.89

    $0.05 higher than Madera for the office setting.

  • South Carolina

    South Carolina · G2011

    Office

    $16.81

    Facility

    $14.34

    $0.79 lower than Madera for the office setting.

  • South Dakota**

    South Dakota · G2011

    Office

    $16.70

    Facility

    $14.03

    $0.90 lower than Madera for the office setting.

  • Tennessee

    Tennessee · G2011

    Office

    $16.42

    Facility

    $13.99

    $1.18 lower than Madera for the office setting.

  • Austin

    Texas · G2011

    Office

    $17.59

    Facility

    $14.76

    $0.01 lower than Madera for the office setting.

  • Beaumont

    Texas · G2011

    Office

    $16.82

    Facility

    $14.38

    $0.78 lower than Madera for the office setting.

  • Brazoria

    Texas · G2011

    Office

    $17.19

    Facility

    $14.54

    $0.41 lower than Madera for the office setting.

  • Dallas

    Texas · G2011

    Office

    $17.30

    Facility

    $14.64

    $0.30 lower than Madera for the office setting.

  • Fort Worth

    Texas · G2011

    Office

    $17.26

    Facility

    $14.63

    $0.34 lower than Madera for the office setting.

  • Galveston

    Texas · G2011

    Office

    $17.25

    Facility

    $14.59

    $0.35 lower than Madera for the office setting.

  • Houston

    Texas · G2011

    Office

    $17.80

    Facility

    $15.14

    $0.20 higher than Madera for the office setting.

  • Rest Of Texas

    Texas · G2011

    Office

    $17.00

    Facility

    $14.46

    $0.60 lower than Madera for the office setting.

  • Utah

    Utah · G2011

    Office

    $16.95

    Facility

    $14.43

    $0.65 lower than Madera for the office setting.

  • Virginia

    Virginia · G2011

    Office

    $16.98

    Facility

    $14.36

    $0.62 lower than Madera for the office setting.

  • Virgin Islands

    United States Virgin Islands · G2011

    Office

    $17.41

    Facility

    $14.71

    $0.19 lower than Madera for the office setting.

  • Vermont

    Vermont · G2011

    Office

    $16.82

    Facility

    $14.17

    $0.78 lower than Madera for the office setting.

  • Rest Of Washington

    Washington · G2011

    Office

    $17.56

    Facility

    $14.74

    $0.04 lower than Madera for the office setting.

  • Seattle (King Cnty)

    Washington · G2011

    Office

    $18.95

    Facility

    $15.67

    $1.35 higher than Madera for the office setting.

  • Wisconsin

    Wisconsin · G2011

    Office

    $16.45

    Facility

    $13.89

    $1.15 lower than Madera for the office setting.

  • West Virginia

    West Virginia · G2011

    Office

    $17.10

    Facility

    $14.78

    $0.50 lower than Madera for the office setting.

  • Wyoming**

    Wyoming · G2011

    Office

    $17.11

    Facility

    $14.44

    $0.49 lower than Madera for the office setting.

See how rates vary across the country

G2011 · 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.

$16.13

$22.78

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$22.781
AL$16.271
AR$16.131
AZ$17.061
CA$17.60–$20.4829
CO$17.621
CT$18.211
DC$19.031
DE$17.261
FL$17.64–$19.123
GA$16.98–$17.692
GU$17.681
HI$17.681
IA$16.311
ID$16.411
IL$17.47–$18.774
IN$16.461
KS$16.361
KY$16.691
LA$16.71–$17.192
MA$17.62–$18.752
MD$17.46–$19.033
ME$16.56–$16.952
MI$17.03–$17.872
MN$16.821
MO$16.60–$17.113
MS$16.361
MT$17.371
NC$16.651
ND$16.771
NE$16.331
NH$17.461
NJ$18.40–$18.992
NM$17.131
NV$17.211
NY$16.80–$19.945
OH$16.911
OK$16.571
OR$17.05–$17.882
PA$16.88–$17.982
PR$17.411
RI$17.651
SC$16.811
SD$16.701
TN$16.421
TX$16.82–$17.808
UT$16.951
VA$16.98–$19.032
VI$17.411
VT$16.821
WA$17.56–$18.952
WI$16.451
WV$17.101
WY$17.111

Explore G2011 on the national rate map →

Where does this rate apply?

Madera is a Medicare payment area. Our Census mapping connects it to 17 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 G2011 in Madera, the physician’s office rate is $17.60 and the facility-setting rate is $14.68: a difference of $2.92.

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 G2011 in Madera. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$19.36

$17.60 × 110% = $19.36

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 G2011 in Madera.

PPRRVU2026_Oct_nonQPP.csv

15,419

Code
G2011
Physician work
0.33
Practice expense
0.16
Malpractice
0.03

GPCI2026.csv

14

Locality
Madera
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for G2011 in Madera
ComponentRVULocality factorAdjusted
Physician work0.33× 1.0170.3356
Practice expense0.16× 1.0960.1754
Malpractice0.03× 0.5360.0161
Total RVUs0.5270
Conversion factor× 33.4009

Office / nonfacility rate, Madera$17.60

Open G2011 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.331.017
Practice expense0.161.096
Malpractice0.030.536

(0.33 × 1.017 + 0.16 × 1.096 + 0.03 × 0.536) × $33.4009 = $17.60

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.331.017
Practice expense0.081.096
Malpractice0.030.536

(0.33 × 1.017 + 0.08 × 1.096 + 0.03 × 0.536) × $33.4009 = $14.68

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

G2011 · Office / nonfacility

$17.60

Effective 2026-10-01

The base rate is $1.28 higher than on 2025-10-01, moving from $16.32 to $17.60 (7.8%).

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

    $16.32changed to$17.60

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.14 changed to 0.16
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $16.32

    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$17.60$14.68RVU26D
2026-07-01$17.60$14.68RVU26C
2026-04-01$17.60$14.68RVU26B
2026-01-01$17.60$14.68RVU26A
2025-10-01$16.32$16.32RVU25D
2025-07-01$16.32$16.32RVU25C
2025-04-01$16.32$16.32RVU25B
2025-01-01$16.32$16.32RVU25A

G2011 billing questions

When should G2011 be chosen over G0442?

G2011 describes a 5- to 15-minute structured assessment of alcohol or non-tobacco substance misuse. G0442 is the Medicare alcohol-misuse screening service; it is limited to alcohol screening.

Does G2011 include counseling or treatment?

No. G2011 describes the structured assessment. Counseling or treatment is a distinct service and requires its own documentation and applicable coding.

What should the record show?

Document the assessment method or tool, the time spent, and the result. The record should make clear that the work was a structured assessment rather than an informal discussion.

How much time does G2011 represent?

G2011 is for a structured assessment lasting 5 to 15 minutes. Base the selection on time spent on the assessment, not the total visit length.

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 G2011PPRRVU2026_Oct_nonQPP.csv, line 15,419 (RVU26D)
Geographic factors for MaderaGPCI2026.csv, line 14 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet