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CMS RVU26D · Effective 2026-10-01

G9481 in Modesto

Office / nonfacility

$17.38

Base rate per service

Facility setting

$17.38

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 G9481: New-patient remote E/M, 10 minutes

Remote evaluation and management for a new patient at the 10-minute level, reported when a clinician addresses the patient's concern through a remote encounter.

G9481 identifies a remote evaluation and management service for a new patient at the 10-minute level. A physician or other qualified clinician may use the encounter to assess a new symptom, discuss a diagnostic concern, or establish a care plan without an in-person visit. The code distinguishes this service by both patient status and the time level; it is not the established-patient version of remote E/M.

Report the code when documentation supports new-patient status, the remote nature of the encounter, the clinical assessment and plan, and the time level. The supplied CMS PFS record assigns 0.48 work RVUs, 0.06 malpractice RVUs, and zero practice-expense RVUs in both office and facility settings. CMS data show zero reported office and facility services for this code in 2024; that utilization fact is not a coding criterion.

Where the value comes from

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

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.

G9481 compared with similar codes

Office rates for Modesto, from the same CMS release.

G9482

Remote E/M

New patient, 20 minutes

$32.84

Both describe remote E/M for a new patient. Choose between them based on the documented time level: 10 minutes for G9481 or 20 minutes for G9482.

G9483

Remote E/M

New patient, 30 minutes

$51.10

G9483 is the 30-minute new-patient remote E/M level; G9481 is the 10-minute level.

G9486

Remote E/M

Established patient, 10 minutes

$17.38

G9486 describes the 10-minute remote E/M level for an established patient. G9481 is the new-patient counterpart.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for G9481 is $17.56—$0.18 higher than the $17.38 rate in Modesto. Both use the same code, release and participation basis.

G9481 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $17.38

  2. Bakersfield

    $17.56

    $0.18 higher than Modesto

  3. Chico

    $17.38

    The same base rate than Modesto

  4. El Centro

    $17.39

    $0.01 higher than Modesto

  5. Fresno

    $17.38

    The same base rate than Modesto

  6. Hanford-Corcoran

    $17.38

    The same base rate than Modesto

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

    $18.02

    $0.64 higher than Modesto

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, G9481 ranges from $16.63 in Minnesota to $25.15 in Alaska*. This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Madera

    California · G9481

    Office

    $17.38

    Facility

    $17.38

    The same base rate than Modesto for the office setting.

  • Merced

    California · G9481

    Office

    $17.38

    Facility

    $17.38

    The same base rate than Modesto for the office setting.

  • Napa

    California · G9481

    Office

    $18.06

    Facility

    $18.06

    $0.68 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · G9481

    Office

    $17.73

    Facility

    $17.73

    $0.35 higher than Modesto for the office setting.

  • Redding

    California · G9481

    Office

    $17.38

    Facility

    $17.38

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · G9481

    Office

    $17.38

    Facility

    $17.38

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · G9481

    Office

    $18.03

    Facility

    $18.03

    $0.65 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · G9481

    Office

    $17.68

    Facility

    $17.68

    $0.30 higher than Modesto for the office setting.

  • Salinas

    California · G9481

    Office

    $17.60

    Facility

    $17.60

    $0.22 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · G9481

    Office

    $17.60

    Facility

    $17.60

    $0.22 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · G9481

    Office

    $18.48

    Facility

    $18.48

    $1.10 higher than Modesto for the office setting.

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

    California · G9481

    Office

    $18.41

    Facility

    $18.41

    $1.03 higher than Modesto for the office setting.

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

    California · G9481

    Office

    $18.87

    Facility

    $18.87

    $1.49 higher than Modesto for the office setting.

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

    California · G9481

    Office

    $18.59

    Facility

    $18.59

    $1.21 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · G9481

    Office

    $17.38

    Facility

    $17.38

    The same base rate than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · G9481

    Office

    $17.44

    Facility

    $17.44

    $0.06 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · G9481

    Office

    $17.56

    Facility

    $17.56

    $0.18 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · G9481

    Office

    $17.59

    Facility

    $17.59

    $0.21 higher than Modesto for the office setting.

  • Stockton

    California · G9481

    Office

    $17.38

    Facility

    $17.38

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · G9481

    Office

    $17.96

    Facility

    $17.96

    $0.58 higher than Modesto for the office setting.

  • Visalia

    California · G9481

    Office

    $17.38

    Facility

    $17.38

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · G9481

    Office

    $17.38

    Facility

    $17.38

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · G9481

    Office

    $19.13

    Facility

    $19.13

    $1.75 higher than Modesto for the office setting.

  • Miami

    Florida · G9481

    Office

    $21.10

    Facility

    $21.10

    $3.72 higher than Modesto for the office setting.

  • Chicago

    Illinois · G9481

    Office

    $20.74

    Facility

    $20.74

    $3.36 higher than Modesto for the office setting.

  • Manhattan

    New York · G9481

    Office

    $20.24

    Facility

    $20.24

    $2.86 higher than Modesto for the office setting.

  • Alaska*

    Alaska · G9481

    Office

    $25.15

    Facility

    $25.15

    $7.77 higher than Modesto for the office setting.

  • Alabama

    Alabama · G9481

    Office

    $17.17

    Facility

    $17.17

    $0.21 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · G9481

    Office

    $17.06

    Facility

    $17.06

    $0.32 lower than Modesto for the office setting.

  • Arizona

    Arizona · G9481

    Office

    $17.75

    Facility

    $17.75

    $0.37 higher than Modesto for the office setting.

  • Colorado

    Colorado · G9481

    Office

    $17.79

    Facility

    $17.79

    $0.41 higher than Modesto for the office setting.

  • Connecticut

    Connecticut · G9481

    Office

    $18.78

    Facility

    $18.78

    $1.40 higher than Modesto for the office setting.

  • Delaware

    Delaware · G9481

    Office

    $17.91

    Facility

    $17.91

    $0.53 higher than Modesto for the office setting.

  • Fort Lauderdale

    Florida · G9481

    Office

    $19.66

    Facility

    $19.66

    $2.28 higher than Modesto for the office setting.

  • Rest Of Florida

    Florida · G9481

    Office

    $19.04

    Facility

    $19.04

    $1.66 higher than Modesto for the office setting.

  • Atlanta

    Georgia · G9481

    Office

    $18.49

    Facility

    $18.49

    $1.11 higher than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · G9481

    Office

    $18.42

    Facility

    $18.42

    $1.04 higher than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · G9481

    Office

    $17.19

    Facility

    $17.19

    $0.19 lower than Modesto for the office setting.

  • Iowa

    Iowa · G9481

    Office

    $16.83

    Facility

    $16.83

    $0.55 lower than Modesto for the office setting.

  • Idaho

    Idaho · G9481

    Office

    $16.98

    Facility

    $16.98

    $0.40 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · G9481

    Office

    $20.07

    Facility

    $20.07

    $2.69 higher than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · G9481

    Office

    $19.16

    Facility

    $19.16

    $1.78 higher than Modesto for the office setting.

  • Suburban Chicago

    Illinois · G9481

    Office

    $19.70

    Facility

    $19.70

    $2.32 higher than Modesto for the office setting.

  • Indiana

    Indiana · G9481

    Office

    $17.01

    Facility

    $17.01

    $0.37 lower than Modesto for the office setting.

  • Kansas

    Kansas · G9481

    Office

    $17.04

    Facility

    $17.04

    $0.34 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · G9481

    Office

    $17.87

    Facility

    $17.87

    $0.49 higher than Modesto for the office setting.

  • New Orleans

    Louisiana · G9481

    Office

    $18.31

    Facility

    $18.31

    $0.93 higher than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · G9481

    Office

    $17.95

    Facility

    $17.95

    $0.57 higher than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · G9481

    Office

    $18.47

    Facility

    $18.47

    $1.09 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · G9481

    Office

    $17.89

    Facility

    $17.89

    $0.51 higher than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · G9481

    Office

    $18.77

    Facility

    $18.77

    $1.39 higher than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · G9481

    Office

    $18.03

    Facility

    $18.03

    $0.65 higher than Modesto for the office setting.

  • Rest Of Maine

    Maine · G9481

    Office

    $17.28

    Facility

    $17.28

    $0.10 lower than Modesto for the office setting.

  • Southern Maine

    Maine · G9481

    Office

    $17.30

    Facility

    $17.30

    $0.08 lower than Modesto for the office setting.

  • Detroit

    Michigan · G9481

    Office

    $19.41

    Facility

    $19.41

    $2.03 higher than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · G9481

    Office

    $18.30

    Facility

    $18.30

    $0.92 higher than Modesto for the office setting.

  • Minnesota

    Minnesota · G9481

    Office

    $16.63

    Facility

    $16.63

    $0.75 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · G9481

    Office

    $17.99

    Facility

    $17.99

    $0.61 higher than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · G9481

    Office

    $18.04

    Facility

    $18.04

    $0.66 higher than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · G9481

    Office

    $17.98

    Facility

    $17.98

    $0.60 higher than Modesto for the office setting.

  • Mississippi

    Mississippi · G9481

    Office

    $17.51

    Facility

    $17.51

    $0.13 higher than Modesto for the office setting.

  • Montana**

    Montana · G9481

    Office

    $18.03

    Facility

    $18.03

    $0.65 higher than Modesto for the office setting.

  • North Carolina

    North Carolina · G9481

    Office

    $17.31

    Facility

    $17.31

    $0.07 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · G9481

    Office

    $16.85

    Facility

    $16.85

    $0.53 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · G9481

    Office

    $16.79

    Facility

    $16.79

    $0.59 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · G9481

    Office

    $17.79

    Facility

    $17.79

    $0.41 higher than Modesto for the office setting.

  • Northern Nj

    New Jersey · G9481

    Office

    $19.18

    Facility

    $19.18

    $1.80 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · G9481

    Office

    $18.87

    Facility

    $18.87

    $1.49 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · G9481

    Office

    $18.44

    Facility

    $18.44

    $1.06 higher than Modesto for the office setting.

  • Nevada**

    Nevada · G9481

    Office

    $17.70

    Facility

    $17.70

    $0.32 higher than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · G9481

    Office

    $20.78

    Facility

    $20.78

    $3.40 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · G9481

    Office

    $19.18

    Facility

    $19.18

    $1.80 higher than Modesto for the office setting.

  • Queens

    New York · G9481

    Office

    $19.95

    Facility

    $19.95

    $2.57 higher than Modesto for the office setting.

  • Rest Of New York

    New York · G9481

    Office

    $17.44

    Facility

    $17.44

    $0.06 higher than Modesto for the office setting.

  • Ohio

    Ohio · G9481

    Office

    $18.05

    Facility

    $18.05

    $0.67 higher than Modesto for the office setting.

  • Oklahoma

    Oklahoma · G9481

    Office

    $17.59

    Facility

    $17.59

    $0.21 higher than Modesto for the office setting.

  • Portland

    Oregon · G9481

    Office

    $17.78

    Facility

    $17.78

    $0.40 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · G9481

    Office

    $17.44

    Facility

    $17.44

    $0.06 higher than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · G9481

    Office

    $18.71

    Facility

    $18.71

    $1.33 higher than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · G9481

    Office

    $17.93

    Facility

    $17.93

    $0.55 higher than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · G9481

    Office

    $18.01

    Facility

    $18.01

    $0.63 higher than Modesto for the office setting.

  • Rhode Island

    Rhode Island · G9481

    Office

    $18.12

    Facility

    $18.12

    $0.74 higher than Modesto for the office setting.

  • South Carolina

    South Carolina · G9481

    Office

    $17.74

    Facility

    $17.74

    $0.36 higher than Modesto for the office setting.

  • South Dakota**

    South Dakota · G9481

    Office

    $16.71

    Facility

    $16.71

    $0.67 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · G9481

    Office

    $17.11

    Facility

    $17.11

    $0.27 lower than Modesto for the office setting.

  • Austin

    Texas · G9481

    Office

    $17.84

    Facility

    $17.84

    $0.46 higher than Modesto for the office setting.

  • Beaumont

    Texas · G9481

    Office

    $17.89

    Facility

    $17.89

    $0.51 higher than Modesto for the office setting.

  • Brazoria

    Texas · G9481

    Office

    $17.72

    Facility

    $17.72

    $0.34 higher than Modesto for the office setting.

  • Dallas

    Texas · G9481

    Office

    $17.90

    Facility

    $17.90

    $0.52 higher than Modesto for the office setting.

  • Fort Worth

    Texas · G9481

    Office

    $17.92

    Facility

    $17.92

    $0.54 higher than Modesto for the office setting.

  • Galveston

    Texas · G9481

    Office

    $17.82

    Facility

    $17.82

    $0.44 higher than Modesto for the office setting.

  • Houston

    Texas · G9481

    Office

    $18.92

    Facility

    $18.92

    $1.54 higher than Modesto for the office setting.

  • Rest Of Texas

    Texas · G9481

    Office

    $17.84

    Facility

    $17.84

    $0.46 higher than Modesto for the office setting.

  • Utah

    Utah · G9481

    Office

    $17.83

    Facility

    $17.83

    $0.45 higher than Modesto for the office setting.

  • Virginia

    Virginia · G9481

    Office

    $17.45

    Facility

    $17.45

    $0.07 higher than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · G9481

    Office

    $18.01

    Facility

    $18.01

    $0.63 higher than Modesto for the office setting.

  • Vermont

    Vermont · G9481

    Office

    $17.05

    Facility

    $17.05

    $0.33 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · G9481

    Office

    $17.77

    Facility

    $17.77

    $0.39 higher than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · G9481

    Office

    $18.47

    Facility

    $18.47

    $1.09 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · G9481

    Office

    $16.65

    Facility

    $16.65

    $0.73 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · G9481

    Office

    $18.90

    Facility

    $18.90

    $1.52 higher than Modesto for the office setting.

  • Wyoming**

    Wyoming · G9481

    Office

    $17.52

    Facility

    $17.52

    $0.14 higher than Modesto for the office setting.

See how rates vary across the country

G9481 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$16.63

$25.15

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

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

Explore G9481 on the national rate map →

Where does this rate apply?

Modesto is a Medicare payment area. Our Census mapping connects it to 33 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 G9481 in Modesto, the physician’s office rate is $17.38 and the facility-setting rate is $17.38: 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 G9481 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$19.12

$17.38 × 110% = $19.12

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for G9481 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

15,991

Code
G9481
Physician work
0.48
Practice expense
0.00
Malpractice
0.06

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for G9481 in Modesto
ComponentRVULocality factorAdjusted
Physician work0.48× 1.0170.4882
Practice expense0.00× 1.0960.0000
Malpractice0.06× 0.5360.0322
Total RVUs0.5203
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$17.38

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

Open G9481 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.481.017
Practice expense01.096
Malpractice0.060.536

(0.48 × 1.017 + 0 × 1.096 + 0.06 × 0.536) × $33.4009 = $17.38

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.481.017
Practice expense01.096
Malpractice0.060.536

(0.48 × 1.017 + 0 × 1.096 + 0.06 × 0.536) × $33.4009 = $17.38

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

G9481 · Office / nonfacility

$17.38

Effective 2026-10-01

The base rate is $0.73 higher than on 2025-10-01, moving from $16.65 to $17.38 (4.4%).

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

    $16.65changed to$17.38

    • Conversion factor 32.3465 changed to 33.4009
    • Malpractice RVU 0.05 changed to 0.06
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $16.65

    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$17.38$17.38RVU26D
2026-07-01$17.38$17.38RVU26C
2026-04-01$17.38$17.38RVU26B
2026-01-01$17.38$17.38RVU26A
2025-10-01$16.65$16.65RVU25D
2025-07-01$16.65$16.65RVU25C
2025-04-01$16.65$16.65RVU25B
2025-01-01$16.65$16.65RVU25A

G9481 billing questions

Is G9481 for a new or established patient?

It is the new-patient remote E/M level. The corresponding established-patient series begins with G9486.

How does G9481 differ from G9482?

Both are remote E/M services for new patients; G9481 is the 10-minute level, while G9482 is the 20-minute level.

What documentation supports reporting G9481?

Document the patient's new-patient status, the remote encounter, the concern evaluated, the clinician's assessment and plan, and the time supporting the 10-minute level.

Does the descriptor require a particular remote technology?

The supplied descriptor identifies a remote E/M service but does not specify a platform. Document how the encounter was conducted.

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 G9481PPRRVU2026_Oct_nonQPP.csv, line 15,991 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet