$86.49
G0023 reports the base monthly principal illness navigation service; G0024 reports additional time and cannot stand alone.
On this page
CMS RVU26D · Effective 2026-10-01
G0024 Illness navigation Medicare reimbursement rates in Delaware
Reports each additional 30 minutes of principal illness navigation in a calendar month for a patient needing focused support with a serious, high-risk condition. Compare G0024 office and facility rates across CMS payment localities in Delaware.
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 G0024 in Delaware?
Delaware 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
$54.04
1 of 1 localities have a supported rate.
Payment area: Delaware
One mapped payment locality.
Facility setting
$30.94
1 of 1 localities have a supported rate.
Payment area: Delaware
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.
Care management
About G0024: Additional principal illness navigation time
Reports each additional 30 minutes of principal illness navigation in a calendar month for a patient needing focused support with a serious, high-risk condition.
G0024 covers additional principal illness navigation work beyond the monthly base service. Navigation may include helping a patient with a serious, high-risk illness coordinate care, connect with appropriate services, and address barriers to following the care plan. The work is typically performed by trained or certified auxiliary personnel under the direction of the physician or other qualified health care professional who oversees the patient’s care. It is an add-on measured by time in the calendar month, not a separate visit or a new navigation episode.
Report G0024 only with the primary principal illness navigation service, G0023, when documentation supports the additional time. Record the navigation activities, the personnel performing them, and the time attributable to the service during that month. CMS identifies this as an add-on code paid within the primary procedure’s global period, so it is not reported independently of that primary service.
CMS billing rules for G0024
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU0.70 · 43%
- Practice expense (office) RVU0.88 · 54%
- Malpractice RVU0.05 · 3%
2.3K
Medicare services in 2024 · #2364 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.
G0024 compared with similar codes
Office rates for Delaware, from the same CMS release.
$85.50
G0019 is the base community health integration service focused on health-related social needs; G0024 adds time to principal illness navigation.
$53.71
G0022 adds time to community health integration when reported with G0019; G0024 adds time to principal illness navigation when reported with G0023.
Compare G0024 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
Delaware →
Office / nonfacility
$54.04
Facility
$30.94
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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 G0024 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
15,025
- Code
- G0024
- Physician work
- 0.70
- Practice expense
- 0.88
- Malpractice
- 0.05
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.70 | × 1.005 | 0.7035 |
| Practice expense | 0.88 | × 0.988 | 0.8694 |
| Malpractice | 0.05 | × 0.899 | 0.0450 |
| Total RVUs | 1.6179 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$54.04
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.7 | 1.005 |
| Practice expense | 0.88 | 0.988 |
| Malpractice | 0.05 | 0.899 |
(0.7 × 1.005 + 0.88 × 0.988 + 0.05 × 0.899) × $33.4009 = $54.04
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.7 | 1.005 |
| Practice expense | 0.18 | 0.988 |
| Malpractice | 0.05 | 0.899 |
(0.7 × 1.005 + 0.18 × 0.988 + 0.05 × 0.899) × $33.4009 = $30.94
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.
G0024 billing questions
Can G0024 be billed by itself?
No. G0024 is an add-on and must be reported with the primary principal illness navigation service, G0023.
When should G0024 be reported instead of G0023?
The codes are not alternatives: G0023 reports the monthly base service, while G0024 reports additional navigation time beyond it.
What documentation supports G0024?
Document the additional navigation activities, who performed them, and the time attributable to those activities during the calendar month.
Is G0024 reported per visit?
No. It represents additional time for principal illness navigation during the calendar month, rather than a separate visit.
How does the global-period rule affect G0024?
CMS treats G0024 as an add-on paid within the primary procedure’s global period. Report it with G0023, not as a standalone service.
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.
15,022G0019,,Comm hlth intg svs sdoh 60mn,A,,1.00,1.51,,0.25,,0.07,2.58,1.32,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,023G0022,,Comm hlth intg svs add 30 m,A,,0.70,0.87,,0.17,,0.05,1.62,0.92,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,024G0023,,Pin service 60m per month,A,,1.00,1.54,,0.26,,0.07,2.61,1.33,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,025G0024,,Pin srv add 30 min pr m,A,,0.70,0.88,,0.18,,0.05,1.63,0.93,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,026G0027,,Semen analysis,X,,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
15,027G0029,,No tob scr/cess int,M,,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
15,028G0030,,Pt scr tob & cess int,M,,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
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503