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CMS RVU26D · Effective 2026-10-01

G0559 Unrelated follow-up Medicare reimbursement rates in Delaware

G0559 is an add-on for an unrelated evaluation and management visit furnished by a different practitioner during a surgical procedure’s global period. Compare G0559 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 G0559 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

$9.57

1 of 1 localities have a supported rate.

Payment area: Delaware

One mapped payment locality.

Facility setting

$7.92

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.

Find G0559 in your payment locality →

Evaluation and management

About G0559: Unrelated E/M visit during surgical global period

G0559 is an add-on for an unrelated evaluation and management visit furnished by a different practitioner during a surgical procedure’s global period.

G0559 accounts for an evaluation and management visit for a problem unrelated to a recent operation, when the visit is furnished during that operation’s global period by a practitioner other than the one who performed the procedure. A typical setting is an office or outpatient encounter with a primary care clinician or specialist addressing a separate health concern while the patient is still in the global period for surgery. It is not for the surgeon’s routine postoperative check or management of the operated site.

Report G0559 only with the primary E/M service; it is not a stand-alone visit code. Select the E/M code based on the documented service and applicable level-selection rules. The record should support the unrelated problem, the work performed, and the visit’s connection to a practitioner other than the operating practitioner. CMS treats G0559 as an add-on paid within the primary procedure’s global period, so submit it with the qualifying E/M service during that period.

CMS billing rules for G0559

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 RVU0.16 · 55%
  • Practice expense (office) RVU0.10 · 34%
  • Malpractice RVU0.03 · 10%

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.

G0559 compared with similar codes

Office rates for Delaware, from the same CMS release.

99024

Postop follow-up visit

No office rate

99024 represents routine postoperative follow-up. G0559 accompanies an E/M visit for an unrelated problem furnished by another practitioner during the global period.

99213

Office visit

Established patient, low complexity

$94.52

99213 describes the primary established-patient E/M service. G0559 is an add-on and does not replace the E/M code.

G2211

Visit complexity add-on

Ongoing longitudinal patient relationship

$17.29

G2211 reflects visit complexity associated with ongoing care relationships or serious conditions. G0559 addresses an unrelated E/M visit by another practitioner during a surgical global period.

Compare G0559 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 G0559 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

15,354

Code
G0559
Physician work
0.16
Practice expense
0.10
Malpractice
0.03

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for G0559 in Delaware
ComponentRVULocality factorAdjusted
Physician work0.16× 1.0050.1608
Practice expense0.10× 0.9880.0988
Malpractice0.03× 0.8990.0270
Total RVUs0.2866
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$9.57

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.161.005
Practice expense0.10.988
Malpractice0.030.899

(0.16 × 1.005 + 0.1 × 0.988 + 0.03 × 0.899) × $33.4009 = $9.57

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.161.005
Practice expense0.050.988
Malpractice0.030.899

(0.16 × 1.005 + 0.05 × 0.988 + 0.03 × 0.899) × $33.4009 = $7.92

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.

G0559 billing questions

When is G0559 appropriate?

Use it for an E/M visit addressing a problem unrelated to the surgery, furnished during that procedure’s global period by a practitioner other than the operating practitioner.

Can G0559 be submitted by itself?

No. It is an add-on code and must be reported with the primary E/M service.

Does it apply to a routine postoperative check?

No. Routine recovery checks and care related to the operation are part of postoperative care, not an unrelated visit represented by G0559.

What should the medical record show?

Document the separate problem evaluated, the E/M work performed, and that the visit occurred during the surgical global period with a practitioner other than the operating practitioner.

How is the E/M level selected?

Choose the primary E/M code using the documentation and the applicable office or outpatient E/M selection rules. G0559 does not replace or determine that level.

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 G0559PPRRVU2026_Oct_nonQPP.csv, line 15,354 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)