$50.87
G0500 is specific to moderate sedation furnished by the endoscopist during GI endoscopy. 99152 describes the initial service for other qualifying diagnostic or therapeutic procedures.
On this page
CMS RVU26D · Effective 2026-10-01
G0500 Endoscopy sedation Medicare reimbursement rates in Delaware
Reports the initial moderate sedation service provided by the endoscopist during a qualifying GI endoscopy for a patient age five or older. Compare G0500 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 G0500 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
$65.64
1 of 1 localities have a supported rate.
Payment area: Delaware
One mapped payment locality.
Facility setting
$5.25
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.
Gastroenterology
About G0500: GI endoscopy moderate sedation, initial service
Reports the initial moderate sedation service provided by the endoscopist during a qualifying GI endoscopy for a patient age five or older.
G0500 represents the endoscopist’s moderate sedation service during a gastrointestinal endoscopy, such as colonoscopy or upper endoscopy. The physician or other qualified health care professional performing the endoscopy also provides the sedation, with an independent trained observer assisting in monitoring the patient’s consciousness and physiologic status. The service covers the initial 15 minutes of intra-service time for patients age five or older.
Report G0500 with the endoscopic procedure when the endoscopist provides qualifying moderate sedation; it is not the code for anesthesia furnished by a separate anesthesia professional. The record should support the sedation provided, the observer’s monitoring role, the patient’s age, and the intra-service time. For additional qualifying sedation time, 99153 may be reported for each additional 15-minute interval when supported. CMS assigns G0500 separate physician fee schedule values for office and facility settings, with different practice-expense values by setting.
Where the value comes from
- Work RVU0.10 · 5%
- Practice expense (office) RVU1.86 · 93%
- Malpractice RVU0.03 · 2%
223.3K
Medicare services in 2024 · #362 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.
G0500 compared with similar codes
Office rates for Delaware, from the same CMS release.
$12.15
G0500 covers the initial 15 minutes of qualifying GI endoscopy sedation. 99153 is used for each additional 15-minute interval when supported.
Compare G0500 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
$65.64
Facility
$5.25
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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 G0500 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
15,304
- Code
- G0500
- Physician work
- 0.10
- Practice expense
- 1.86
- Malpractice
- 0.03
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.10 | × 1.005 | 0.1005 |
| Practice expense | 1.86 | × 0.988 | 1.8377 |
| Malpractice | 0.03 | × 0.899 | 0.0270 |
| Total RVUs | 1.9651 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$65.64
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.1 | 1.005 |
| Practice expense | 1.86 | 0.988 |
| Malpractice | 0.03 | 0.899 |
(0.1 × 1.005 + 1.86 × 0.988 + 0.03 × 0.899) × $33.4009 = $65.64
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.1 | 1.005 |
| Practice expense | 0.03 | 0.988 |
| Malpractice | 0.03 | 0.899 |
(0.1 × 1.005 + 0.03 × 0.988 + 0.03 × 0.899) × $33.4009 = $5.25
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.
G0500 billing questions
When should G0500 be used instead of 99152?
Use G0500 for qualifying moderate sedation furnished by the endoscopist during GI endoscopy for a patient age five or older. 99152 applies to qualifying moderate sedation for other diagnostic or therapeutic services.
Can G0500 be reported with the endoscopy?
Yes. Report it with the GI endoscopic procedure when the endoscopist provides the moderate sedation service described by this code.
How much sedation time does G0500 cover?
G0500 covers the initial 15 minutes of intra-service time. For additional qualifying time, 99153 may be reported in 15-minute intervals when documented.
What documentation supports G0500?
Document the endoscopist’s moderate sedation service, intra-service time, the patient’s age, and the independent trained observer’s role in monitoring consciousness and physiologic status.
Does G0500 apply when a separate anesthesia professional provides sedation?
No. G0500 describes sedation furnished by the professional performing the GI endoscopy, rather than anesthesia furnished by a separate anesthesia professional.
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.
15,301G0496,,Lpn care train/edu in hh,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
15,302G0498,,Chemo extend iv infus w/pump,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,5,YYY,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,303G0499,,Hepb screen high risk indiv,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
15,304G0500,,Mod sedat endo service >5yrs,A,,0.10,1.86,,0.03,,0.03,1.99,0.16,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
15,305G0501,,Resource-inten svc during ov,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,306G0506,,Comp asses care plan ccm svc,A,,0.87,1.06,,0.22,,0.06,1.99,1.15,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,307G0508,,Crit care telehea consult 60,A,,4.00,1.17,NA,1.17,,0.36,5.53,5.53,0,XXX,0.00,0.00,0.00,0,0,9,0,0,9,,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