HCPCS G2252: Virtual check-inMedicare rate & RVUs in Delaware
Reports a brief real-time medical discussion with an established patient when the interaction lasts 11-20 minutes and does not become a related E/M visit.
Medicare pays $28.22 for G2252 in the office in Delaware (Delaware). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What G2252 covers
G2252 describes a brief real-time medical discussion between a physician or other qualified health care professional and an established patient, commonly by telephone or another communication technology. It fits situations such as discussing a new symptom, reviewing a medication concern, or deciding whether the patient needs an in-person visit, when the discussion takes 11-20 minutes. It is not a substitute for a full office or other E/M service when that service is provided.
Report G2252 when the documented medical discussion meets the 11-20-minute interval, is not related to an E/M service in the preceding 7 days, and does not lead to an E/M service or procedure within the next 24 hours or the soonest available appointment. Record the communication method, clinical issue addressed, discussion time, and disposition. G2251 is the shorter check-in code for a 5-10-minute discussion. The CMS rules supplied for this code list no add-on, global-period, component, or reduction rule.
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.
G2252 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | $28.22 | $22.28 |
How the G2252 rate is calculated
Each of G2252’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 · G2252
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.50Practice expense 0.31Malpractice 0.04
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for G2252
G2252 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 · G2252
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$28.39
The facility rate would be $22.38 (+$6.01). In a facility, the facility bills its own costs separately.
G2252 compared with similar codes
Compare codes
G2252 vs G2251 vs G2250 vs 99421: national Medicare rates
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How to choose
- G2251Virtual check-in
- Both describe brief real-time check-ins for established patients; choose G2251 for 5-10 minutes and G2252 for 11-20 minutes.
- G2250Remote image review
- G2250 is for remote evaluation of patient-submitted images or video; G2252 is for a real-time medical discussion.
- 99421Online E/M
- 99421 covers asynchronous online digital E/M communication, while G2252 describes a brief real-time discussion.
G2252 billing questions
When should G2252 be chosen over G2251?
Use G2252 for a qualifying medical discussion lasting 11-20 minutes. G2251 is for the shorter 5-10-minute interval.
Can G2252 be reported when the check-in leads to an office visit?
Do not report it when the discussion leads to an E/M service or procedure within the next 24 hours or the soonest available appointment. It also must not be related to an E/M service in the preceding 7 days.
What should the note include?
Document the established-patient relationship, communication method, medical issue discussed, total discussion time, and outcome or follow-up plan.
Does G2252 cover an asynchronous photo or image review?
No. G2252 describes a real-time medical discussion; G2250 is the related code for remote evaluation of patient-submitted images or video.
How many minutes does G2252 represent?
The qualifying medical discussion lasts 11-20 minutes. A 5-10-minute discussion falls in the G2251 interval.
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
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