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CMS RVU26D · Effective 2026-10-01

G0539 Caregiver training Medicare reimbursement rates in Connecticut

Reports individual, in-person training for a patient’s caregiver with the patient present, covering practical support for the patient’s functional needs. Compare G0539 office and facility rates across CMS payment localities in Connecticut.

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 G0539 in Connecticut?

Connecticut 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

$55.34

1 of 1 localities have a supported rate.

Payment area: Connecticut

One mapped payment locality.

Facility setting

$40.95

1 of 1 localities have a supported rate.

Payment area: Connecticut

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.

Find G0539 in your payment locality →

Caregiver training

About G0539: Individual caregiver training with patient

Reports individual, in-person training for a patient’s caregiver with the patient present, covering practical support for the patient’s functional needs.

G0539 represents an individual, in-person session to teach a caregiver practical strategies for supporting the patient’s functional needs, with the patient present. A clinician may demonstrate or coach techniques related to daily activities, mobility, or safe assistance in the home or community. Physical and occupational therapists are common providers when caregiver instruction is part of the patient’s care.

Report G0539 for the initial 30 minutes of qualifying training. If training continues beyond that initial service, G0540 is the related code for each additional 15 minutes. Documentation should identify the caregiver and patient, confirm the patient’s presence, describe the functional goals and techniques taught, and record the training time. Keep the training service distinct in the record from any separately provided direct treatment to the patient.

Where the value comes from

  • Work RVU1.00 · 63%
  • Practice expense (office) RVU0.58 · 36%
  • Malpractice RVU0.01 · 1%

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.

G0539 compared with similar codes

Office rates for Connecticut, from the same CMS release.

G0540

Caregiver training

Additional 15 minutes

$27.03

G0539 covers the initial 30 minutes of individual training with the patient present; G0540 is for each additional 15 minutes.

G0541

Caregiver training

Individual, patient absent

$55.34

Use G0541 for the initial individual caregiver training when the patient is absent. G0539 requires the patient to be present.

G0543

Caregiver training

Group, patient absent

$23.35

G0543 is for group caregiver training without the patient; G0539 is individual training with the patient present.

Compare G0539 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

Office and facility base rates · shared scale starting at $0

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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 G0539 in Connecticut.

PPRRVU2026_Oct_nonQPP.csv

15,334

Code
G0539
Physician work
1.00
Practice expense
0.58
Malpractice
0.01

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office / nonfacility calculation for G0539 in Connecticut
ComponentRVULocality factorAdjusted
Physician work1.00× 1.0201.0200
Practice expense0.58× 1.0770.6247
Malpractice0.01× 1.2100.0121
Total RVUs1.6568
Conversion factor× 33.4009

Office / nonfacility rate, Connecticut$55.34

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work11.02
Practice expense0.581.077
Malpractice0.011.21

(1 × 1.02 + 0.58 × 1.077 + 0.01 × 1.21) × $33.4009 = $55.34

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work11.02
Practice expense0.181.077
Malpractice0.011.21

(1 × 1.02 + 0.18 × 1.077 + 0.01 × 1.21) × $33.4009 = $40.95

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.

G0539 billing questions

Does the patient need to be present for G0539?

Yes. G0539 is for individual caregiver training with the patient present; G0541 is the corresponding initial service when the patient is absent.

How is training beyond the initial 30 minutes reported?

Use G0540 for each additional 15 minutes of qualifying caregiver training after the G0539 initial service.

What should the note include?

Document who received the instruction, that the patient was present, the functional goal, the techniques taught or practiced, and the time spent training.

Can G0539 describe a group caregiver session?

No. G0539 is for individual training; G0543 describes group caregiver training without the patient.

Is direct treatment of the patient part of G0539?

G0539 describes caregiver instruction, not a substitute for documenting direct treatment. Record any separate patient treatment as its own service when provided.

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 G0539PPRRVU2026_Oct_nonQPP.csv, line 15,334 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)