No office rate
G0508 represents the initial critical-care telehealth consultation and carries a 60-minute designation; G0509 is for a subsequent consultation with a 50-minute designation.
On this page
CMS RVU26D · Effective 2026-10-01
G0509 in Merced
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$176.37
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Telehealth consultation
About G0509: Subsequent critical care telehealth consultation
Reports a subsequent 50-minute telehealth consultation by a physician evaluating and advising on the care of a critically ill patient.
G0509 represents a subsequent critical-care telehealth consultation for a critically ill patient. A physician with relevant critical-care expertise evaluates the patient remotely, reviews available clinical information, and discusses the assessment and recommendations with the bedside treating team. This service is distinct from the initial 60-minute critical-care telehealth consultation represented by G0508 and from the bedside clinician’s own critical-care evaluation and management service.
Select G0509 when the consultation is subsequent rather than initial and the service meets the code’s 50-minute designation. Documentation should identify the remote consultation, the patient’s critical illness, the consultant’s assessment and recommendations, and the time supporting the service. CMS assigns work, practice-expense, and malpractice relative value units to the service; the fee schedule presents payment rates separately.
Where the value comes from
- Work RVU3.86 · 73%
- Practice expense (office) RVU1.06 · 20%
- Malpractice RVU0.36 · 7%
7.1K
Medicare services in 2024 · #1651 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.
G0509 compared with similar codes
Office rates for Merced, from the same CMS release.
$318.14
99291 reports critical-care evaluation and management, while G0509 identifies a subsequent telehealth consultation with the bedside treating team.
$36.02
99451 is an interprofessional consultation service. G0509 represents a critical-care telehealth consultation involving the critically ill patient and treating team.
The same code, a different location
How does Merced compare?
G0509 across payment areas
Same release and payment basis · bars start at $0
Merced · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Madera
California · G0509
Office
Unavailable
Facility
$176.37
No comparable office rate is available.
Modesto
California · G0509
Office
Unavailable
Facility
$176.37
No comparable office rate is available.
Napa
California · G0509
Office
Unavailable
Facility
$189.82
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · G0509
Office
Unavailable
Facility
$181.88
No comparable office rate is available.
Redding
California · G0509
Office
Unavailable
Facility
$176.37
No comparable office rate is available.
Rest Of California
California · G0509
Office
Unavailable
Facility
$176.37
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · G0509
Office
Unavailable
Facility
$180.31
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · G0509
Office
Unavailable
Facility
$181.19
No comparable office rate is available.
Salinas
California · G0509
Office
Unavailable
Facility
$180.40
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · G0509
Office
Unavailable
Facility
$181.66
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · G0509
Office
Unavailable
Facility
$196.62
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · G0509
Office
Unavailable
Facility
$196.21
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · G0509
Office
Unavailable
Facility
$200.61
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · G0509
Office
Unavailable
Facility
$198.94
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · G0509
Office
Unavailable
Facility
$177.89
No comparable office rate is available.
Santa Cruz-Watsonville
California · G0509
Office
Unavailable
Facility
$181.10
No comparable office rate is available.
Santa Maria-Santa Barbara
California · G0509
Office
Unavailable
Facility
$180.26
No comparable office rate is available.
Santa Rosa-Petaluma
California · G0509
Office
Unavailable
Facility
$182.72
No comparable office rate is available.
Stockton
California · G0509
Office
Unavailable
Facility
$176.37
No comparable office rate is available.
Vallejo
California · G0509
Office
Unavailable
Facility
$189.23
No comparable office rate is available.
Visalia
California · G0509
Office
Unavailable
Facility
$176.37
No comparable office rate is available.
Yuba City
California · G0509
Office
Unavailable
Facility
$176.37
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · G0509
Office
Unavailable
Facility
$190.98
No comparable office rate is available.
Miami
Florida · G0509
Office
Unavailable
Facility
$196.19
No comparable office rate is available.
Chicago
Illinois · G0509
Office
Unavailable
Facility
$193.01
No comparable office rate is available.
Manhattan
New York · G0509
Office
Unavailable
Facility
$197.39
No comparable office rate is available.
Alaska*
Alaska · G0509
Office
Unavailable
Facility
$237.72
No comparable office rate is available.
Alabama
Alabama · G0509
Office
Unavailable
Facility
$166.71
No comparable office rate is available.
Arkansas
Arkansas · G0509
Office
Unavailable
Facility
$165.53
No comparable office rate is available.
Arizona
Arizona · G0509
Office
Unavailable
Facility
$173.53
No comparable office rate is available.
Colorado
Colorado · G0509
Office
Unavailable
Facility
$177.54
No comparable office rate is available.
Connecticut
Connecticut · G0509
Office
Unavailable
Facility
$184.19
No comparable office rate is available.
Delaware
Delaware · G0509
Office
Unavailable
Facility
$175.36
No comparable office rate is available.
Fort Lauderdale
Florida · G0509
Office
Unavailable
Facility
$186.53
No comparable office rate is available.
Rest Of Florida
Florida · G0509
Office
Unavailable
Facility
$180.85
No comparable office rate is available.
Atlanta
Georgia · G0509
Office
Unavailable
Facility
$179.73
No comparable office rate is available.
Rest Of Georgia
Georgia · G0509
Office
Unavailable
Facility
$174.84
No comparable office rate is available.
Hawaii, Guam
Hawaii · G0509
Office
Unavailable
Facility
$176.14
No comparable office rate is available.
Iowa
Iowa · G0509
Office
Unavailable
Facility
$166.10
No comparable office rate is available.
Idaho
Idaho · G0509
Office
Unavailable
Facility
$167.19
No comparable office rate is available.
East St. Louis
Illinois · G0509
Office
Unavailable
Facility
$185.72
No comparable office rate is available.
Rest Of Illinois
Illinois · G0509
Office
Unavailable
Facility
$180.05
No comparable office rate is available.
Suburban Chicago
Illinois · G0509
Office
Unavailable
Facility
$187.50
No comparable office rate is available.
Indiana
Indiana · G0509
Office
Unavailable
Facility
$167.59
No comparable office rate is available.
Kansas
Kansas · G0509
Office
Unavailable
Facility
$166.99
No comparable office rate is available.
Kentucky
Kentucky · G0509
Office
Unavailable
Facility
$171.40
No comparable office rate is available.
New Orleans
Louisiana · G0509
Office
Unavailable
Facility
$175.90
No comparable office rate is available.
Rest Of Louisiana
Louisiana · G0509
Office
Unavailable
Facility
$171.78
No comparable office rate is available.
Metropolitan Boston
Massachusetts · G0509
Office
Unavailable
Facility
$187.19
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · G0509
Office
Unavailable
Facility
$177.86
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · G0509
Office
Unavailable
Facility
$183.85
No comparable office rate is available.
Rest Of Maryland
Maryland · G0509
Office
Unavailable
Facility
$177.08
No comparable office rate is available.
Rest Of Maine
Maine · G0509
Office
Unavailable
Facility
$168.98
No comparable office rate is available.
Southern Maine
Maine · G0509
Office
Unavailable
Facility
$171.60
No comparable office rate is available.
Detroit
Michigan · G0509
Office
Unavailable
Facility
$183.37
No comparable office rate is available.
Rest Of Michigan
Michigan · G0509
Office
Unavailable
Facility
$174.83
No comparable office rate is available.
Minnesota
Minnesota · G0509
Office
Unavailable
Facility
$168.92
No comparable office rate is available.
Metropolitan Kansas City
Missouri · G0509
Office
Unavailable
Facility
$173.92
No comparable office rate is available.
Metropolitan St. Louis
Missouri · G0509
Office
Unavailable
Facility
$174.68
No comparable office rate is available.
Rest Of Missouri
Missouri · G0509
Office
Unavailable
Facility
$171.16
No comparable office rate is available.
Mississippi
Mississippi · G0509
Office
Unavailable
Facility
$168.30
No comparable office rate is available.
Montana**
Montana · G0509
Office
Unavailable
Facility
$176.33
No comparable office rate is available.
North Carolina
North Carolina · G0509
Office
Unavailable
Facility
$169.64
No comparable office rate is available.
North Dakota**
North Dakota · G0509
Office
Unavailable
Facility
$169.21
No comparable office rate is available.
Nebraska
Nebraska · G0509
Office
Unavailable
Facility
$166.15
No comparable office rate is available.
New Hampshire
New Hampshire · G0509
Office
Unavailable
Facility
$176.31
No comparable office rate is available.
Northern Nj
New Jersey · G0509
Office
Unavailable
Facility
$190.96
No comparable office rate is available.
Rest Of New Jersey
New Jersey · G0509
Office
Unavailable
Facility
$185.94
No comparable office rate is available.
New Mexico
New Mexico · G0509
Office
Unavailable
Facility
$175.84
No comparable office rate is available.
Nevada**
Nevada · G0509
Office
Unavailable
Facility
$174.38
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · G0509
Office
Unavailable
Facility
$201.60
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · G0509
Office
Unavailable
Facility
$188.05
No comparable office rate is available.
Queens
New York · G0509
Office
Unavailable
Facility
$196.37
No comparable office rate is available.
Rest Of New York
New York · G0509
Office
Unavailable
Facility
$171.02
No comparable office rate is available.
Ohio
Ohio · G0509
Office
Unavailable
Facility
$173.37
No comparable office rate is available.
Oklahoma
Oklahoma · G0509
Office
Unavailable
Facility
$169.89
No comparable office rate is available.
Portland
Oregon · G0509
Office
Unavailable
Facility
$179.27
No comparable office rate is available.
Rest Of Oregon
Oregon · G0509
Office
Unavailable
Facility
$172.64
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · G0509
Office
Unavailable
Facility
$182.45
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · G0509
Office
Unavailable
Facility
$172.79
No comparable office rate is available.
Puerto Rico
Puerto Rico · G0509
Office
Unavailable
Facility
$176.57
No comparable office rate is available.
Rhode Island
Rhode Island · G0509
Office
Unavailable
Facility
$178.68
No comparable office rate is available.
South Carolina
South Carolina · G0509
Office
Unavailable
Facility
$171.86
No comparable office rate is available.
South Dakota**
South Dakota · G0509
Office
Unavailable
Facility
$168.37
No comparable office rate is available.
Tennessee
Tennessee · G0509
Office
Unavailable
Facility
$167.57
No comparable office rate is available.
Austin
Texas · G0509
Office
Unavailable
Facility
$177.30
No comparable office rate is available.
Beaumont
Texas · G0509
Office
Unavailable
Facility
$172.32
No comparable office rate is available.
Brazoria
Texas · G0509
Office
Unavailable
Facility
$174.42
No comparable office rate is available.
Dallas
Texas · G0509
Office
Unavailable
Facility
$175.67
No comparable office rate is available.
Fort Worth
Texas · G0509
Office
Unavailable
Facility
$175.47
No comparable office rate is available.
Galveston
Texas · G0509
Office
Unavailable
Facility
$175.07
No comparable office rate is available.
Houston
Texas · G0509
Office
Unavailable
Facility
$181.66
No comparable office rate is available.
Rest Of Texas
Texas · G0509
Office
Unavailable
Facility
$173.38
No comparable office rate is available.
Utah
Utah · G0509
Office
Unavailable
Facility
$173.01
No comparable office rate is available.
Virginia
Virginia · G0509
Office
Unavailable
Facility
$172.22
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · G0509
Office
Unavailable
Facility
$176.57
No comparable office rate is available.
Vermont
Vermont · G0509
Office
Unavailable
Facility
$170.06
No comparable office rate is available.
Rest Of Washington
Washington · G0509
Office
Unavailable
Facility
$177.04
No comparable office rate is available.
Seattle (King Cnty)
Washington · G0509
Office
Unavailable
Facility
$188.64
No comparable office rate is available.
Wisconsin
Wisconsin · G0509
Office
Unavailable
Facility
$166.55
No comparable office rate is available.
West Virginia
West Virginia · G0509
Office
Unavailable
Facility
$176.90
No comparable office rate is available.
Wyoming**
Wyoming · G0509
Office
Unavailable
Facility
$173.23
No comparable office rate is available.
See how rates vary across the country
G0509 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Merced is a Medicare payment area. Our Census mapping connects it to 24 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for G0509 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$194.01
$176.37 × 110% = $194.01
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for G0509 in Merced.
PPRRVU2026_Oct_nonQPP.csv
15,308
- Code
- G0509
- Physician work
- 3.86
- Practice expense
- 1.06
- Malpractice
- 0.36
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.86 | × 1.017 | 3.9256 |
| Practice expense | 1.06 | × 1.096 | 1.1618 |
| Malpractice | 0.36 | × 0.536 | 0.1930 |
| Total RVUs | 5.2803 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Merced$176.37
Open G0509 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.86 | 1.017 |
| Practice expense | 1.06 | 1.096 |
| Malpractice | 0.36 | 0.536 |
(3.86 × 1.017 + 1.06 × 1.096 + 0.36 × 0.536) × $33.4009 = $176.37
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
G0509 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $176.37 | RVU26D |
| 2026-07-01 | Not available in this setting | $176.37 | RVU26C |
| 2026-04-01 | Not available in this setting | $176.37 | RVU26B |
| 2026-01-01 | Not available in this setting | $176.37 | RVU26A |
| 2025-10-01 | Not available in this setting | $184.36 | RVU25D |
| 2025-07-01 | Not available in this setting | $184.36 | RVU25C |
| 2025-04-01 | Not available in this setting | $184.36 | RVU25B |
| 2025-01-01 | Not available in this setting | $184.36 | RVU25A |
G0509 billing questions
When should G0509 be chosen instead of G0508?
G0509 is for a subsequent critical-care telehealth consultation designated for 50 minutes. G0508 represents the initial consultation, designated for 60 minutes.
What documentation supports G0509?
Document that the consultation was remote and subsequent, the patient’s critical illness, the consultant’s evaluation and recommendations, and the time supporting the service.
Does the 50-minute designation refer to the consultation time?
Yes. The code identifies a subsequent critical-care telehealth consultation with a 50-minute designation; record the time supporting the service.
Can G0509 be used for the bedside clinician’s critical-care service?
No. G0509 describes a subsequent remote consultation; it is distinct from the bedside clinician’s critical-care evaluation and management service.
How does G0509 differ from an interprofessional consultation code?
G0509 describes a critical-care telehealth consultation involving the patient and treating team. An interprofessional consultation such as 99451 is a separate service format.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
15,305G0501,,Resource-inten svc during ov,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,306G0506,,Comp asses care plan ccm svc,A,,0.87,1.06,,0.22,,0.06,1.99,1.15,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,307G0508,,Crit care telehea consult 60,A,,4.00,1.17,NA,1.17,,0.36,5.53,5.53,0,XXX,0.00,0.00,0.00,0,0,9,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,308G0509,,Crit care telehea consult 50,A,,3.86,1.06,NA,1.06,,0.36,5.28,5.28,0,XXX,0.00,0.00,0.00,0,0,9,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,309G0513,,"Prolong prev svcs, first 30m",A,,1.17,0.70,,0.28,,0.07,1.94,1.52,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,310G0514,,"Prolong prev svcs, addl 30m",A,,1.17,0.70,,0.28,,0.07,1.94,1.52,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,311G0516,,"Insert drug del implant, >=4",A,,1.77,3.32,,0.62,,0.15,5.24,2.54,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623