No office rate
Use G0453 when continuous monitoring is performed outside the operating room; 95940 describes monitoring performed in the operating room.
On this page
CMS RVU26D · Effective 2026-10-01
G0453 Intraoperative monitoring Medicare reimbursement rates in Alaska
Reports continuous neurophysiologic monitoring during surgery when the monitoring professional observes the patient from outside the operating room, including a remote location. Compare G0453 office and facility rates across CMS payment localities in Alaska.
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 G0453 in Alaska?
Alaska 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
$37.03
1 of 1 localities have a supported rate.
Payment area: Alaska*
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.
Neurophysiology monitoring
About G0453: Remote continuous intraoperative neuromonitoring
Reports continuous neurophysiologic monitoring during surgery when the monitoring professional observes the patient from outside the operating room, including a remote location.
G0453 covers real-time neurophysiologic monitoring during an operation when the monitoring professional is outside the operating room, such as at a remote workstation. The professional observes patient-specific signals during surgery and communicates clinically significant changes to the operating team. It is used for procedures in which ongoing monitoring can help the surgical team identify changes in neural function, including some spine and brain operations.
Report the service by patient and in 15-minute units, based on the time spent providing continuous monitoring. The record should identify the operation, monitoring professional, signals followed, monitoring start and stop times, significant signal changes, and communications with the surgical team. CMS assigns work, practice-expense, and malpractice relative value units to the service. The supplied CMS payment rules list no additional payment adjustments for this code.
Where the value comes from
- Work RVU0.60 · 73%
- Practice expense (office) RVU0.17 · 21%
- Malpractice RVU0.05 · 6%
369K
Medicare services in 2024 · #273 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.
G0453 compared with similar codes
Office rates for Alaska, from the same CMS release.
95941
No office rateIonm remote/>1 pt or per hr
Both describe continuous monitoring from outside the operating room. G0453 is reported in 15-minute units, while 95941 uses an hourly unit.
$436.81
95938 reports somatosensory evoked-potential testing; G0453 reports ongoing neurophysiologic monitoring during the operation.
Compare G0453 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
Alaska* →
Office / nonfacility
Unavailable
Facility
$37.03
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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 G0453 in Alaska*.
PPRRVU2026_Oct_nonQPP.csv
15,273
- Code
- G0453
- Physician work
- 0.60
- Practice expense
- 0.17
- Malpractice
- 0.05
GPCI2026.csv
5
- Locality
- Alaska*
- Physician work
- 1.500
- Practice expense
- 1.065
- Malpractice
- 0.551
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.60 | × 1.500 | 0.9000 |
| Practice expense | 0.17 | × 1.065 | 0.1811 |
| Malpractice | 0.05 | × 0.551 | 0.0276 |
| Total RVUs | 1.1086 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alaska*$37.03
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.6 | 1.5 |
| Practice expense | 0.17 | 1.065 |
| Malpractice | 0.05 | 0.551 |
(0.6 × 1.5 + 0.17 × 1.065 + 0.05 × 0.551) × $33.4009 = $37.03
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.
G0453 billing questions
When should G0453 be chosen instead of 95940?
G0453 is for continuous monitoring performed from outside the operating room, including remotely. Code 95940 describes monitoring performed in the operating room.
How are units counted?
The code is reported per patient in 15-minute units. Document the monitoring interval with start and stop times.
What documentation supports G0453?
Document the surgical procedure, the signals monitored, the monitoring professional and monitoring times. Record important signal changes and communications to the operating team.
Is G0453 the same as an evoked-potential test?
No. G0453 represents continuous monitoring during surgery; codes such as 95938 identify specific evoked-potential testing.
How does G0453 differ from 95941?
Both concern continuous monitoring from outside the operating room, but G0453 is reported per 15 minutes and 95941 uses an hourly unit.
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.
15,270G0452,,Molecular pathology interpr,A,,0.91,0.47,,0.47,NA,0.02,1.40,1.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,271G0452,26,Molecular pathology interpr,A,,0.91,0.39,,0.39,,0.01,1.31,1.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,272G0452,TC,Molecular pathology interpr,A,,0.00,0.08,,0.08,NA,0.01,0.09,0.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,273G0453,,Cont intraop neuro monitor,A,,0.60,0.17,NA,0.17,,0.05,0.82,0.82,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,274G0454,,Md document visit by npp,A,,0.18,0.08,,0.04,,0.01,0.27,0.23,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,275G0455,,Fecal microbiota prep instil,A,,1.31,2.93,,0.39,,0.14,4.38,1.84,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,276G0458,,Ldr prostate brachy comp rat,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
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
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609