HCPCS G2010: Image reviewMedicare rate & RVUs in Alaska

Report G2010 when a clinician reviews images or recorded video submitted by an established patient and follows up within 24 business hours.

CMS RVU26DEffective Oct 1, 20261 payment locality3.5K Medicare services in 2024

Medicare pays $16.32 for G2010 in the office in Alaska (Alaska*). Which amount applies depends on the service address.

$16.32Office (non-facility)
$10.98Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open G2010 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Alaska
  2. What G2010 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What G2010 covers

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.

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 in Alaska*

G2010 office and facility rates by payment locality
Payment localityOfficeFacility
Alaska*$16.32$10.98

How the G2010 rate is calculated

Each of G2010’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · G2010

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 0.18Practice expense 0.20Malpractice 0.01

0.3900 adjusted RVUs×$33.4009 conversion factor=$13.03

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for G2010

G2010 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · G2010

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

Non-facility (office) rate · national

$13.03

The facility rate would be $8.02 (+$5.01). In a facility, the facility bills its own costs separately.

G2010 compared with similar codes

Compare codes

G2010 vs 99421 vs 99422: national Medicare rates

Swap in your local Medicare rate.

  • G2010
    Image review · 0.18 wRVU
    $13.03
  • 99421
    Online E/M · 0.25 wRVU
    $15.70+$2.67
  • 99422
    Online E/M · 0.5 wRVU
    $30.73+$17.70

How to choose

99421Online E/M
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.
99422Online E/M
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.

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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for G2010PPRRVU2026_Oct_nonQPP.csv, line 15,418 (RVU26D)
Geographic factors for Alaska*GPCI2026.csv, line 5 (RVU26D)

Open CMS sourceHow we calculate rates

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