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CMS RVU26D · Effective 2026-10-01

G0136 in Wyoming**

Office / nonfacility

$19.95

Base rate per service

Facility setting

$7.93

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.

Preventive services

About G0136: Standardized SDOH risk assessment

Reports a brief, standardized assessment of social needs such as food, housing, or transportation that may affect a patient’s health and care.

G0136 represents a focused, standardized assessment of social risks that may interfere with health or treatment. A physician or other qualified health professional may conduct it, or trained clinical staff may administer the instrument under appropriate clinical direction. Questions may address food access, housing stability, transportation, utilities, or interpersonal safety. It is used in office and other eligible outpatient encounters to identify needs that may call for referrals or changes to the care plan; it is not social-service navigation itself.

Report the code when the documented assessment takes 5–15 minutes and uses a standardized, evidence-based instrument. The record should identify the instrument, time spent, relevant responses or risks, and any resulting follow-up plan. G0136 may be reported in connection with an annual wellness visit or an evaluation and management service when the SDOH assessment is performed as a distinct service. CMS assigns physician fee schedule work and practice-expense values to the service.

Where the value comes from

  • Work RVU0.18 · 30%
  • Practice expense (office) RVU0.41 · 68%
  • Malpractice RVU0.01 · 2%

174.3K

Medicare services in 2024 · #408 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.

G0136 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

96160

Health risk assessment

Patient-focused instrument

$3.01

Use G0136 for an assessment focused on social determinants of health. Use 96160 for a patient-focused health risk assessment instrument addressing health risks more broadly.

G0438

Annual wellness visit

Initial visit, first AWV

$172.88

G0438 is the initial annual wellness visit; G0136 reports a distinct, brief SDOH assessment that may be furnished with that visit.

G0439

Annual wellness visit

Subsequent visit

$136.48

G0439 is a subsequent annual wellness visit. G0136 is the focused SDOH assessment, not the wellness visit itself.

The same code, a different location

How does Wyoming** compare?

G0136 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $19.95

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

    $22.68

    $2.73 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $22.84

    $2.89 higher than Wyoming**

  4. Miami

    $21.11

    $1.16 higher than Wyoming**

  5. Chicago

    $20.58

    $0.63 higher than Wyoming**

  6. Manhattan

    $22.84

    $2.89 higher than Wyoming**

  7. Alaska*

    $23.79

    $3.84 higher than Wyoming**

Other payment areas listed in Wyoming 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, G0136 ranges from $17.95 in Arkansas to $26.60 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). 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

  • Alabama

    Alabama · G0136

    Office

    $18.18

    Facility

    $7.66

    $1.77 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · G0136

    Office

    $17.95

    Facility

    $7.62

    $2.00 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · G0136

    Office

    $19.57

    Facility

    $7.92

    $0.38 lower than Wyoming** for the office setting.

  • Bakersfield

    California · G0136

    Office

    $21.34

    Facility

    $8.16

    $1.39 higher than Wyoming** for the office setting.

  • Chico

    California · G0136

    Office

    $21.30

    Facility

    $8.12

    $1.35 higher than Wyoming** for the office setting.

  • El Centro

    California · G0136

    Office

    $21.30

    Facility

    $8.13

    $1.35 higher than Wyoming** for the office setting.

  • Fresno

    California · G0136

    Office

    $21.30

    Facility

    $8.12

    $1.35 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · G0136

    Office

    $21.30

    Facility

    $8.12

    $1.35 higher than Wyoming** for the office setting.

  • Madera

    California · G0136

    Office

    $21.30

    Facility

    $8.12

    $1.35 higher than Wyoming** for the office setting.

  • Merced

    California · G0136

    Office

    $21.30

    Facility

    $8.12

    $1.35 higher than Wyoming** for the office setting.

  • Modesto

    California · G0136

    Office

    $21.30

    Facility

    $8.12

    $1.35 higher than Wyoming** for the office setting.

  • Napa

    California · G0136

    Office

    $24.61

    Facility

    $8.76

    $4.66 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · G0136

    Office

    $22.58

    Facility

    $8.36

    $2.63 higher than Wyoming** for the office setting.

  • Redding

    California · G0136

    Office

    $21.30

    Facility

    $8.12

    $1.35 higher than Wyoming** for the office setting.

  • Rest Of California

    California · G0136

    Office

    $21.30

    Facility

    $8.12

    $1.35 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · G0136

    Office

    $21.41

    Facility

    $8.24

    $1.46 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · G0136

    Office

    $22.33

    Facility

    $8.35

    $2.38 higher than Wyoming** for the office setting.

  • Salinas

    California · G0136

    Office

    $22.25

    Facility

    $8.31

    $2.30 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · G0136

    Office

    $22.75

    Facility

    $8.37

    $2.80 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · G0136

    Office

    $26.05

    Facility

    $9.09

    $6.10 higher than Wyoming** for the office setting.

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

    California · G0136

    Office

    $26.03

    Facility

    $9.08

    $6.08 higher than Wyoming** for the office setting.

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

    California · G0136

    Office

    $26.60

    Facility

    $9.26

    $6.65 higher than Wyoming** for the office setting.

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

    California · G0136

    Office

    $26.55

    Facility

    $9.21

    $6.60 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · G0136

    Office

    $21.89

    Facility

    $8.20

    $1.94 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · G0136

    Office

    $22.96

    Facility

    $8.35

    $3.01 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · G0136

    Office

    $22.33

    Facility

    $8.31

    $2.38 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · G0136

    Office

    $23.19

    Facility

    $8.42

    $3.24 higher than Wyoming** for the office setting.

  • Stockton

    California · G0136

    Office

    $21.30

    Facility

    $8.12

    $1.35 higher than Wyoming** for the office setting.

  • Vallejo

    California · G0136

    Office

    $24.59

    Facility

    $8.75

    $4.64 higher than Wyoming** for the office setting.

  • Visalia

    California · G0136

    Office

    $21.30

    Facility

    $8.12

    $1.35 higher than Wyoming** for the office setting.

  • Yuba City

    California · G0136

    Office

    $21.30

    Facility

    $8.12

    $1.35 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · G0136

    Office

    $20.92

    Facility

    $8.12

    $0.97 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · G0136

    Office

    $21.29

    Facility

    $8.34

    $1.34 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · G0136

    Office

    $19.87

    Facility

    $7.99

    $0.08 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · G0136

    Office

    $20.49

    Facility

    $8.31

    $0.54 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · G0136

    Office

    $19.61

    Facility

    $8.11

    $0.34 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · G0136

    Office

    $20.34

    Facility

    $8.13

    $0.39 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · G0136

    Office

    $18.63

    Facility

    $7.90

    $1.32 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · G0136

    Office

    $21.78

    Facility

    $8.10

    $1.83 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · G0136

    Office

    $18.68

    Facility

    $7.67

    $1.27 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · G0136

    Office

    $18.77

    Facility

    $7.71

    $1.18 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · G0136

    Office

    $19.28

    Facility

    $8.22

    $0.67 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · G0136

    Office

    $19.04

    Facility

    $8.06

    $0.91 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · G0136

    Office

    $20.71

    Facility

    $8.36

    $0.76 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · G0136

    Office

    $18.87

    Facility

    $7.72

    $1.08 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · G0136

    Office

    $18.56

    Facility

    $7.69

    $1.39 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · G0136

    Office

    $18.49

    Facility

    $7.80

    $1.46 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · G0136

    Office

    $19.28

    Facility

    $7.96

    $0.67 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · G0136

    Office

    $18.45

    Facility

    $7.81

    $1.50 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · G0136

    Office

    $22.91

    Facility

    $8.55

    $2.96 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · G0136

    Office

    $20.79

    Facility

    $8.13

    $0.84 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · G0136

    Office

    $21.22

    Facility

    $8.31

    $1.27 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · G0136

    Office

    $20.24

    Facility

    $8.07

    $0.29 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · G0136

    Office

    $18.82

    Facility

    $7.76

    $1.13 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · G0136

    Office

    $19.79

    Facility

    $7.88

    $0.16 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · G0136

    Office

    $19.79

    Facility

    $8.19

    $0.16 lower than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · G0136

    Office

    $18.89

    Facility

    $7.91

    $1.06 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · G0136

    Office

    $20.20

    Facility

    $7.83

    $0.25 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · G0136

    Office

    $19.20

    Facility

    $7.91

    $0.75 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · G0136

    Office

    $19.38

    Facility

    $7.94

    $0.57 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · G0136

    Office

    $18.14

    Facility

    $7.78

    $1.81 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · G0136

    Office

    $18.05

    Facility

    $7.70

    $1.90 lower than Wyoming** for the office setting.

  • Montana**

    Montana · G0136

    Office

    $20.04

    Facility

    $8.02

    $0.09 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · G0136

    Office

    $19.00

    Facility

    $7.78

    $0.95 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · G0136

    Office

    $19.84

    Facility

    $7.82

    $0.11 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · G0136

    Office

    $18.78

    Facility

    $7.68

    $1.17 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · G0136

    Office

    $20.56

    Facility

    $8.04

    $0.61 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · G0136

    Office

    $22.63

    Facility

    $8.68

    $2.68 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · G0136

    Office

    $21.57

    Facility

    $8.44

    $1.62 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · G0136

    Office

    $18.97

    Facility

    $7.94

    $0.98 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · G0136

    Office

    $20.00

    Facility

    $7.96

    $0.05 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · G0136

    Office

    $23.30

    Facility

    $9.00

    $3.35 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · G0136

    Office

    $21.68

    Facility

    $8.52

    $1.73 higher than Wyoming** for the office setting.

  • Queens

    New York · G0136

    Office

    $23.07

    Facility

    $8.85

    $3.12 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · G0136

    Office

    $19.26

    Facility

    $7.83

    $0.69 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · G0136

    Office

    $18.85

    Facility

    $7.87

    $1.10 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · G0136

    Office

    $18.50

    Facility

    $7.76

    $1.45 lower than Wyoming** for the office setting.

  • Portland

    Oregon · G0136

    Office

    $21.57

    Facility

    $8.21

    $1.62 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · G0136

    Office

    $19.89

    Facility

    $7.91

    $0.06 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · G0136

    Office

    $20.77

    Facility

    $8.26

    $0.82 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · G0136

    Office

    $18.90

    Facility

    $7.86

    $1.05 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · G0136

    Office

    $20.19

    Facility

    $8.03

    $0.24 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · G0136

    Office

    $20.57

    Facility

    $8.15

    $0.62 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · G0136

    Office

    $18.95

    Facility

    $7.84

    $1.00 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · G0136

    Office

    $19.82

    Facility

    $7.79

    $0.13 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · G0136

    Office

    $18.64

    Facility

    $7.71

    $1.31 lower than Wyoming** for the office setting.

  • Austin

    Texas · G0136

    Office

    $20.81

    Facility

    $8.09

    $0.86 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · G0136

    Office

    $18.78

    Facility

    $7.84

    $1.17 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · G0136

    Office

    $19.89

    Facility

    $7.98

    $0.06 lower than Wyoming** for the office setting.

  • Dallas

    Texas · G0136

    Office

    $19.99

    Facility

    $8.02

    $0.04 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · G0136

    Office

    $19.86

    Facility

    $8.00

    $0.09 lower than Wyoming** for the office setting.

  • Galveston

    Texas · G0136

    Office

    $19.94

    Facility

    $8.00

    $0.01 lower than Wyoming** for the office setting.

  • Houston

    Texas · G0136

    Office

    $20.12

    Facility

    $8.18

    $0.17 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · G0136

    Office

    $19.31

    Facility

    $7.90

    $0.64 lower than Wyoming** for the office setting.

  • Utah

    Utah · G0136

    Office

    $19.18

    Facility

    $7.88

    $0.77 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · G0136

    Office

    $19.71

    Facility

    $7.89

    $0.24 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · G0136

    Office

    $20.19

    Facility

    $8.03

    $0.24 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · G0136

    Office

    $19.74

    Facility

    $7.83

    $0.21 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · G0136

    Office

    $20.76

    Facility

    $8.10

    $0.81 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · G0136

    Office

    $23.39

    Facility

    $8.63

    $3.44 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · G0136

    Office

    $19.23

    Facility

    $7.71

    $0.72 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · G0136

    Office

    $18.39

    Facility

    $7.94

    $1.56 lower than Wyoming** for the office setting.

See how rates vary across the country

G0136 · 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.

$17.95

$23.95

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$23.791
AL$18.181
AR$17.951
AZ$19.571
CA$21.30–$26.6029
CO$20.921
CT$21.291
DC$22.841
DE$19.871
FL$19.61–$21.113
GA$18.63–$20.342
GU$21.781
HI$21.781
IA$18.681
ID$18.771
IL$19.04–$20.714
IN$18.871
KS$18.561
KY$18.491
LA$18.45–$19.282
MA$20.79–$22.912
MD$20.24–$22.843
ME$18.82–$19.792
MI$18.89–$19.792
MN$20.201
MO$18.14–$19.383
MS$18.051
MT$20.041
NC$19.001
ND$19.841
NE$18.781
NH$20.561
NJ$21.57–$22.632
NM$18.971
NV$20.001
NY$19.26–$23.305
OH$18.851
OK$18.501
OR$19.89–$21.572
PA$18.90–$20.772
PR$20.191
RI$20.571
SC$18.951
SD$19.821
TN$18.641
TX$18.78–$20.818
UT$19.181
VA$19.71–$22.842
VI$20.191
VT$19.741
WA$20.76–$23.392
WI$19.231
WV$18.391
WY$19.951

Explore G0136 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 Wyoming →

Why are the office and facility amounts different?

For G0136 in Wyoming**, the physician’s office rate is $19.95 and the facility-setting rate is $7.93: a difference of $12.02.

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 G0136 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$21.95

$19.95 × 110% = $21.95

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 G0136 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

15,103

Code
G0136
Physician work
0.18
Practice expense
0.41
Malpractice
0.01

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for G0136 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work0.18× 1.0000.1800
Practice expense0.41× 1.0000.4100
Malpractice0.01× 0.7400.0074
Total RVUs0.5974
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$19.95

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

Open G0136 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.181
Practice expense0.411
Malpractice0.010.74

(0.18 × 1 + 0.41 × 1 + 0.01 × 0.74) × $33.4009 = $19.95

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.181
Practice expense0.051
Malpractice0.010.74

(0.18 × 1 + 0.05 × 1 + 0.01 × 0.74) × $33.4009 = $7.93

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

G0136 · Office / nonfacility

$19.95

Effective 2026-10-01

The base rate is $1.60 higher than on 2025-10-01, moving from $18.35 to $19.95 (8.7%).

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

    $18.35changed to$19.95

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.38 changed to 0.41
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $18.35

    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$19.95$7.93RVU26D
2026-07-01$19.95$7.93RVU26C
2026-04-01$19.95$7.93RVU26B
2026-01-01$19.95$7.93RVU26A
2025-10-01$18.35$8.65RVU25D
2025-07-01$18.35$8.65RVU25C
2025-04-01$18.35$8.65RVU25B
2025-01-01$18.35$8.65RVU25A

G0136 billing questions

How is G0136 different from 96160?

G0136 is specific to a standardized assessment of social determinants of health. 96160 is used for a patient-focused health risk assessment instrument that is not specifically an SDOH assessment.

Can G0136 be reported with an annual wellness visit?

Yes, when a distinct SDOH assessment is performed during the visit and its requirements are met. Document the assessment separately from the broader wellness review.

Can clinical staff administer the assessment?

Trained clinical staff may administer the instrument under appropriate clinical direction. The record should support the service and the time spent.

What time should be documented?

Document 5–15 minutes spent on the standardized SDOH assessment. The time must support the service reported.

What documentation supports G0136?

Record the standardized instrument used, the assessment time, the social risks identified, and any resulting referral or care-plan action.

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 G0136PPRRVU2026_Oct_nonQPP.csv, line 15,103 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet