Choose G2010 when the service centers on submitted images or recorded video and the required follow-up. 99421 is an online digital E/M service tracked by cumulative time.
On this page
CMS RVU26D · Effective 2026-10-01
G2010 Image review Medicare reimbursement rates in Alabama
Report G2010 when a clinician reviews images or recorded video submitted by an established patient and follows up within 24 business hours. Compare G2010 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 G2010 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
$12.05
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
$7.66
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.
Virtual care
About G2010: Remote image or video review
Report G2010 when a clinician reviews images or recorded video submitted by an established patient and follows up within 24 business hours.
G2010 covers a clinician’s asynchronous review of images or recorded video sent by an established patient, such as a photograph of a new rash. The clinician interprets the material and communicates follow-up to the patient within 24 business hours. This is a remote review, not a live video or telephone conversation, and may be performed by a practitioner who can evaluate the submitted information and provide the follow-up.
Report the service when the submission and review meet the code’s timing conditions: it must not arise from a related E/M service in the prior 7 days or lead to an E/M service or procedure within 24 hours or the soonest available appointment. Document the submitted material, the clinical review, and the follow-up communication and timing; record patient consent. The CMS physician fee schedule assigns 0.18 work RVUs, practice-expense RVUs of 0.20 in the office and 0.05 in a facility, and 0.01 malpractice RVUs.
Where the value comes from
- Work RVU0.18 · 46%
- Practice expense (office) RVU0.20 · 51%
- Malpractice RVU0.01 · 3%
3.5K
Medicare services in 2024 · #2076 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.
G2010 compared with similar codes
Office rates for Alabama, from the same CMS release.
99422 is an online digital E/M service in the time-based 99421–99423 series; G2010 is tied to review of submitted visual material, not cumulative online E/M time.
Compare G2010 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
$12.05
Facility
$7.66
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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 G2010 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
15,418
- Code
- G2010
- Physician work
- 0.18
- Practice expense
- 0.20
- Malpractice
- 0.01
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.18 | × 1.000 | 0.1800 |
| Practice expense | 0.20 | × 0.875 | 0.1750 |
| Malpractice | 0.01 | × 0.566 | 0.0057 |
| Total RVUs | 0.3607 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$12.05
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.18 | 1 |
| Practice expense | 0.2 | 0.875 |
| Malpractice | 0.01 | 0.566 |
(0.18 × 1 + 0.2 × 0.875 + 0.01 × 0.566) × $33.4009 = $12.05
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.18 | 1 |
| Practice expense | 0.05 | 0.875 |
| Malpractice | 0.01 | 0.566 |
(0.18 × 1 + 0.05 × 0.875 + 0.01 × 0.566) × $33.4009 = $7.66
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.
G2010 billing questions
How does G2010 differ from G2012?
G2010 is for clinician review of patient-submitted images or recorded video with follow-up. G2012 describes a brief, synchronous communication-based check-in rather than review of submitted visual material.
Is the interpretation separately reportable?
The interpretation and follow-up communication are part of the G2010 service. Document them as elements of the service rather than treating them as separate G2010 units.
Can G2010 be reported if the review leads to an office visit?
The code’s timing criteria exclude a review that leads to an E/M service or procedure within the next 24 hours or the soonest available appointment.
What documentation supports G2010?
Record the established patient’s submitted images or video, the clinician’s review and interpretation, the follow-up communication and its timing, and patient consent.
When would an online digital E/M code be a better fit?
Codes 99421–99423 describe online digital E/M services measured by cumulative time. G2010 is specific to review of patient-submitted images or recorded video.
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.
