HCPCS G3003: Pain managementMedicare rate & RVUs in Madera
Reports each additional 15 minutes of structured chronic pain management after the initial monthly service for a patient receiving ongoing, coordinated pain care.
In Madera, Medicare pays $32.52 for G3003 in the office and $22.64 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · G3003 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What G3003 covers
G3003 represents additional clinician time spent managing a patient’s chronic pain after the initial service. A physician or other qualified health care professional may use this time to review pain and treatment progress, update the person-centered care plan, manage medications, address pain-related needs, and coordinate relevant behavioral health, therapy, or community-based services. The work is part of ongoing chronic pain care rather than a stand-alone procedure.
Report G3003 only with the primary chronic pain management service, G3002, for additional 15-minute increments. Documentation should identify the chronic pain management work performed and support the additional time reported. CMS classifies G3003 as an add-on code: it is billed with the primary service and paid within that service’s global period.
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.
How Madera compares for G3003
Across 109 of 109 payment localities, the office rate for G3003 runs from $29.04 in Arkansas to $40.20 in Alaska*. Madera pays $32.52. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Madera · this page$32.52
- Bakersfield · California$32.68+$0.16
- Chico · California$32.52
- El Centro · California$32.53+$0.01
- Fresno · California$32.52
- Hanford-Corcoran · California$32.52
- Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) · California$34.30+$1.78
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| MercedCalifornia | $32.52 | $22.64 |
| ModestoCalifornia | $32.52 | $22.64 |
| NapaCalifornia | $36.21 | $24.32 |
| Oxnard-Thousand Oaks-VenturaCalifornia | $34.00 | $23.34 |
| ReddingCalifornia | $32.52 | $22.64 |
| Rest Of CaliforniaCalifornia | $32.52 | $22.64 |
| Riverside-San Bernardino-OntarioCalifornia | $33.07 | $23.18 |
| Sacramento-Roseville-FolsomCalifornia | $33.73 | $23.25 |
| SalinasCalifornia | $33.60 | $23.15 |
| San Diego-Chula Vista-CarlsbadCalifornia | $34.09 | $23.30 |
| San Francisco-Oakland-Berkeley (Marin Cnty)California | $37.89 | $25.18 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)California | $37.83 | $25.12 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty)California | $38.70 | $25.69 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)California | $38.47 | $25.46 |
| San Luis Obispo-Paso RoblesCalifornia | $33.10 | $22.83 |
| Santa Cruz-WatsonvilleCalifornia | $34.18 | $23.22 |
| Santa Maria-Santa BarbaraCalifornia | $33.64 | $23.13 |
| Santa Rosa-PetalumaCalifornia | $34.50 | $23.43 |
| StocktonCalifornia | $32.52 | $22.64 |
| VallejoCalifornia | $36.13 | $24.24 |
| VisaliaCalifornia | $32.52 | $22.64 |
| Yuba CityCalifornia | $32.52 | $22.64 |
| Dc + Md/Va SuburbsDistrict of Columbia | $35.20 | $24.58 |
| MiamiFlorida | $34.83 | $25.44 |
| ChicagoIllinois | $34.08 | $25.01 |
| ManhattanNew York | $35.94 | $25.46 |
| Alaska*Alaska | $40.20 | $30.60 |
| AlabamaAlabama | $29.34 | $21.45 |
| ArkansasArkansas | $29.04 | $21.29 |
| ArizonaArizona | $31.08 | $22.34 |
| ColoradoColorado | $32.42 | $22.83 |
| ConnecticutConnecticut | $33.44 | $23.73 |
| DelawareDelaware | $31.49 | $22.58 |
| Fort LauderdaleFlorida | $33.25 | $24.12 |
| Rest Of FloridaFlorida | $31.98 | $23.36 |
| AtlantaGeorgia | $32.33 | $23.17 |
| Rest Of GeorgiaGeorgia | $30.61 | $22.56 |
| Hawaii, GuamHawaii | $32.86 | $22.60 |
| IowaIowa | $29.59 | $21.34 |
| IdahoIdaho | $29.78 | $21.49 |
| East St. LouisIllinois | $32.36 | $24.06 |
| Rest Of IllinoisIllinois | $31.51 | $23.28 |
| Suburban ChicagoIllinois | $33.50 | $24.24 |
| IndianaIndiana | $29.90 | $21.54 |
| KansasKansas | $29.62 | $21.47 |
| KentuckyKentucky | $30.11 | $22.09 |
| New OrleansLouisiana | $31.17 | $22.68 |
| Rest Of LouisianaLouisiana | $30.12 | $22.14 |
| Metropolitan BostonMassachusetts | $34.82 | $24.06 |
| Rest Of MassachusettsMassachusetts | $32.37 | $22.87 |
| Baltimore/Surr. CntysMaryland | $33.37 | $23.69 |
| Rest Of MarylandMaryland | $31.92 | $22.79 |
| Rest Of MaineMaine | $30.03 | $21.73 |
| Southern MaineMaine | $30.99 | $22.06 |
| DetroitMichigan | $32.41 | $23.71 |
| Rest Of MichiganMichigan | $30.78 | $22.55 |
| MinnesotaMinnesota | $30.94 | $21.66 |
| Metropolitan Kansas CityMissouri | $30.88 | $22.41 |
| Metropolitan St. LouisMissouri | $31.09 | $22.51 |
| Rest Of MissouriMissouri | $29.84 | $22.07 |
| MississippiMississippi | $29.44 | $21.67 |
| Montana**Montana | $31.73 | $22.71 |
| North CarolinaNorth Carolina | $30.23 | $21.82 |
| North Dakota**North Dakota | $30.74 | $21.72 |
| NebraskaNebraska | $29.66 | $21.34 |
| New HampshireNew Hampshire | $32.07 | $22.68 |
| Northern NjNew Jersey | $35.03 | $24.57 |
| Rest Of New JerseyNew Jersey | $33.79 | $23.94 |
| New MexicoNew Mexico | $30.96 | $22.69 |
| Nevada**Nevada | $31.47 | $22.44 |
| Nyc Suburbs/Long IslandNew York | $36.76 | $26.03 |
| Poughkpsie/N Nyc SuburbsNew York | $34.10 | $24.23 |
| QueensNew York | $35.97 | $25.31 |
| Rest Of New YorkNew York | $30.57 | $22.00 |
| OhioOhio | $30.58 | $22.35 |
| OklahomaOklahoma | $29.93 | $21.88 |
| PortlandOregon | $33.05 | $23.03 |
| Rest Of OregonOregon | $31.18 | $22.20 |
| Metropolitan PhiladelphiaPennsylvania | $32.90 | $23.51 |
| Rest Of PennsylvaniaPennsylvania | $30.54 | $22.26 |
| Puerto RicoPuerto Rico | $31.85 | $22.74 |
| Rhode IslandRhode Island | $32.31 | $22.99 |
| South CarolinaSouth Carolina | $30.46 | $22.13 |
| South Dakota**South Dakota | $30.62 | $21.60 |
| TennesseeTennessee | $29.74 | $21.54 |
| AustinTexas | $32.35 | $22.81 |
| BeaumontTexas | $30.41 | $22.20 |
| BrazoriaTexas | $31.38 | $22.44 |
| DallasTexas | $31.59 | $22.61 |
| Fort WorthTexas | $31.48 | $22.59 |
| GalvestonTexas | $31.48 | $22.53 |
| HoustonTexas | $32.40 | $23.44 |
| Rest Of TexasTexas | $30.89 | $22.33 |
| UtahUtah | $30.76 | $22.28 |
| VirginiaVirginia | $31.01 | $22.15 |
| Virgin IslandsUnited States Virgin Islands | $31.85 | $22.74 |
| VermontVermont | $30.77 | $21.84 |
| Rest Of WashingtonWashington | $32.26 | $22.76 |
| Seattle (King Cnty)Washington | $35.29 | $24.23 |
| WisconsinWisconsin | $30.01 | $21.37 |
| West VirginiaWest Virginia | $30.70 | $22.86 |
| Wyoming**Wyoming | $31.30 | $22.28 |
G3003 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$29.04
$40.20
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $40.20 | 1 |
| AL | $29.34 | 1 |
| AR | $29.04 | 1 |
| AZ | $31.08 | 1 |
| CA | $32.52–$38.70 | 29 |
| CO | $32.42 | 1 |
| CT | $33.44 | 1 |
| DC | $35.20 | 1 |
| DE | $31.49 | 1 |
| FL | $31.98–$34.83 | 3 |
| GA | $30.61–$32.33 | 2 |
| GU | $32.86 | 1 |
| HI | $32.86 | 1 |
| IA | $29.59 | 1 |
| ID | $29.78 | 1 |
| IL | $31.51–$34.08 | 4 |
| IN | $29.90 | 1 |
| KS | $29.62 | 1 |
| KY | $30.11 | 1 |
| LA | $30.12–$31.17 | 2 |
| MA | $32.37–$34.82 | 2 |
| MD | $31.92–$35.20 | 3 |
| ME | $30.03–$30.99 | 2 |
| MI | $30.78–$32.41 | 2 |
| MN | $30.94 | 1 |
| MO | $29.84–$31.09 | 3 |
| MS | $29.44 | 1 |
| MT | $31.73 | 1 |
| NC | $30.23 | 1 |
| ND | $30.74 | 1 |
| NE | $29.66 | 1 |
| NH | $32.07 | 1 |
| NJ | $33.79–$35.03 | 2 |
| NM | $30.96 | 1 |
| NV | $31.47 | 1 |
| NY | $30.57–$36.76 | 5 |
| OH | $30.58 | 1 |
| OK | $29.93 | 1 |
| OR | $31.18–$33.05 | 2 |
| PA | $30.54–$32.90 | 2 |
| PR | $31.85 | 1 |
| RI | $32.31 | 1 |
| SC | $30.46 | 1 |
| SD | $30.62 | 1 |
| TN | $29.74 | 1 |
| TX | $30.41–$32.40 | 8 |
| UT | $30.76 | 1 |
| VA | $31.01–$35.20 | 2 |
| VI | $31.85 | 1 |
| VT | $30.77 | 1 |
| WA | $32.26–$35.29 | 2 |
| WI | $30.01 | 1 |
| WV | $30.70 | 1 |
| WY | $31.30 | 1 |
How the G3003 rate is calculated
Each of G3003’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · G3003
RVUs × geographic indexes × conversion factor
Work0.50
0.50 RVUs× 1.000 GPCI
Practice expense0.40
0.40 RVUs× 1.000 GPCI
Malpractice0.05
0.05 RVUs× 1.000 GPCI
Adjusted RVUs
0.9500
Conversion factor
$33.4009
Medicare rate
$31.73
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Madera inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
15,536
- Code
- G3003
- Physician work
- 0.50
- Practice expense
- 0.40
- Malpractice
- 0.05
GPCI2026.csv
14
- Locality
- Madera
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.50 | × 1.017 | 0.5085 |
| Practice expense | 0.40 | × 1.096 | 0.4384 |
| Malpractice | 0.05 | × 0.536 | 0.0268 |
| Total RVUs | 0.9737 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Madera$32.52
Office: (0.5 × 1.017 + 0.4 × 1.096 + 0.05 × 0.536) × $33.4009 = $32.52
Facility: (0.5 × 1.017 + 0.13 × 1.096 + 0.05 × 0.536) × $33.4009 = $22.64
Payment rules and modifiers for G3003
The CMS indicators that decide how G3003 is paid alongside other services.
CMS payment indicators · G3003
Pain management
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
How G3003 has changed in Madera
G3003 · Office / nonfacility
$32.52
Effective 2026-10-01
The base rate is $2.31 higher than on 2025-10-01, moving from $30.21 to $32.52 (7.6%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$30.21changed to$32.52
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.37 changed to 0.40
- Malpractice RVU 0.04 changed to 0.05
- 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.
January 1, 2025
RVU25A
$31.08changed to$30.21
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
October 1, 2024
RVU24D
No ratechanged to$31.08
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU22C.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $32.52 | $22.64 | RVU26D |
| 2026-07-01 | $32.52 | $22.64 | RVU26C |
| 2026-04-01 | $32.52 | $22.64 | RVU26B |
| 2026-01-01 | $32.52 | $22.64 | RVU26A |
| 2025-10-01 | $30.21 | $25.26 | RVU25D |
| 2025-07-01 | $30.21 | $25.26 | RVU25C |
| 2025-04-01 | $30.21 | $25.26 | RVU25B |
| 2025-01-01 | $30.21 | $25.26 | RVU25A |
| 2024-10-01 | $31.08 | $25.99 | RVU24D |
| 2022-07-01 | Not in this release | Not in this release | RVU22C |
| 2021-04-01 | Not in this release | Not in this release | RVU21B |
| 2021-01-01 | Not in this release | Not in this release | RVU21A |
| 2020-10-01 | Not in this release | Not in this release | RVU20D |
| 2020-07-01 | Not in this release | Not in this release | RVU20C |
| 2020-04-01 | Not in this release | Not in this release | RVU20B |
| 2020-01-01 | Not in this release | Not in this release | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Madera rate applies
Madera is a Medicare payment area, not a city. Our Census mapping connects it to 17 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
G3003 billing questions
When should G3003 be reported instead of G3002?
G3002 represents the initial chronic pain management service. G3003 is for additional 15-minute increments and is reported only with G3002.
What should the record support for G3003?
Document the additional time and the chronic pain management work performed, such as care-plan updates, medication management, or coordination of related services.
Can G3003 be billed by itself?
No. It is an add-on code and must be billed with the primary service, G3002.
How many units of G3003 should be reported?
Report units for the additional 15-minute increments supported by the documented chronic pain management time.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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