No office rate
Both are inpatient telehealth follow-up services; G0407 is the typically 25-minute tier, while G0406 is typically 15 minutes.
On this page
CMS RVU26D · Effective 2026-10-01
G0406 Inpatient follow-up Medicare reimbursement rates in Alabama
Reports a remote follow-up evaluation of a hospitalized patient, typically 15 minutes, when the practitioner communicates with the patient by telehealth. Compare G0406 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for G0406 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$33.91
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Telehealth consultation
About G0406: Inpatient telehealth follow-up, 15 minutes
Reports a remote follow-up evaluation of a hospitalized patient, typically 15 minutes, when the practitioner communicates with the patient by telehealth.
G0406 represents a follow-up evaluation of a hospitalized patient delivered by telehealth, with the practitioner typically spending about 15 minutes communicating with the patient. The service may include assessing interval changes, responding to new findings or questions, and updating recommendations or the treatment plan. It is for remote inpatient follow-up, rather than an initial remote inpatient or emergency department consultation.
Select this tier for a follow-up service corresponding to its typical duration; G0407 and G0408 describe longer follow-up tiers. Document the patient’s inpatient status, the telehealth communication, the follow-up assessment and plan, and the time supporting code selection. CMS assigns relative value units for physician work, practice expense, and malpractice to this service.
Where the value comes from
- Work RVU0.76 · 70%
- Practice expense (office) RVU0.24 · 22%
- Malpractice RVU0.08 · 7%
9.3K
Medicare services in 2024 · #1511 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.
G0406 compared with similar codes
Office rates for Alabama, from the same CMS release.
No office rate
Both describe inpatient telehealth follow-up; G0408 is the typically 35-minute tier, while G0406 is typically 15 minutes.
No office rate
G0425 describes an initial inpatient or emergency department teleconsultation. G0406 is for follow-up after the initial consultation.
Compare G0406 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
Unavailable
Facility
$33.91
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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 G0406 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
15,235
- Code
- G0406
- Physician work
- 0.76
- Practice expense
- 0.24
- Malpractice
- 0.08
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.76 | × 1.000 | 0.7600 |
| Practice expense | 0.24 | × 0.875 | 0.2100 |
| Malpractice | 0.08 | × 0.566 | 0.0453 |
| Total RVUs | 1.0153 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$33.91
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.76 | 1 |
| Practice expense | 0.24 | 0.875 |
| Malpractice | 0.08 | 0.566 |
(0.76 × 1 + 0.24 × 0.875 + 0.08 × 0.566) × $33.4009 = $33.91
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.
G0406 billing questions
How does G0406 differ from G0407 and G0408?
All three describe inpatient telehealth follow-up, but G0406 is the typically 15-minute tier; G0407 and G0408 represent typically longer services.
Is G0406 for an initial inpatient teleconsultation?
No. G0406 describes follow-up; G0425, G0426, and G0427 are the initial inpatient or emergency department teleconsultation tiers.
Does the 15-minute label set an exact cutoff?
The descriptor identifies a typical duration. Document the time and service provided; do not infer an exact cutoff from the short descriptor alone.
What documentation supports G0406?
Record that the patient was hospitalized, that follow-up occurred by telehealth, the clinical assessment and plan, and the time supporting the selected tier.
Can G0406 describe an in-person follow-up?
No. G0406 is the inpatient telehealth follow-up code; it is not the code for an in-person visit.
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.
15,232G0403,,Ekg for initial prevent exam,A,,0.17,0.27,,0.27,NA,0.02,0.46,0.46,4,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,233G0404,,Ekg tracing for initial prev,A,,0.00,0.20,,0.20,NA,0.01,0.21,0.21,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,234G0405,,Ekg interpret & report preve,A,,0.17,0.07,,0.07,,0.01,0.25,0.25,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,235G0406,,Inpt/tele follow up 15,A,,0.76,0.24,NA,0.24,,0.08,1.08,1.08,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,236G0407,,Inpt/tele follow up 25,A,,1.39,0.40,NA,0.40,,0.12,1.91,1.91,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,237G0408,,Inpt/tele follow up 35,A,,2.00,0.62,NA,0.62,,0.18,2.80,2.80,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,238G0409,,Corf related serv 15 mins ea,R,,0.00,0.71,,0.71,NA,0.01,0.72,0.72,9,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515