HCPCS G0546: Digital E/MMedicare rate & RVUs in Florida
Report G0546 for a brief online evaluation and management service for an established patient when the clinician’s qualifying work totals 5–10 minutes.
Medicare pays $19.45–$21.33 for G0546 in the office in Florida, from Rest Of Florida to Miami. 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 G0546 covers
G0546 represents a brief online evaluation and management service for an established patient. A physician or other qualified health care professional reviews and responds to a patient’s electronic communication, such as a secure portal message, and provides clinical assessment or management. It is not a real-time office visit; the work is conducted through an online communication channel rather than an in-person encounter.
Select this tier based on the clinician’s qualifying time for the service, not the number of messages. Document the patient’s request, clinical issue, assessment or advice, and time spent. The online service is not separately reported when it arises from a related E/M service in the preceding seven days or leads to an E/M service or procedure within the next 24 hours or the soonest available appointment. CMS assigns physician work, practice expense, and malpractice relative values to the code.
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.
Where G0546 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$19.45 to $21.33
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | $20.20 | $17.15 |
| Miami | $21.33 | $18.20 |
| Rest Of Florida | $19.45 | $16.57 |
How the G0546 rate is calculated
Each of G0546’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 · G0546
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.35Practice expense 0.18Malpractice 0.04
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for G0546
G0546 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 · G0546
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$19.04
The facility rate would be $16.03 (+$3.01). In a facility, the facility bills its own costs separately.
G0546 compared with similar codes
Compare codes
G0546 vs G0547 vs G0548 vs G0549: national Medicare rates
Swap in your local Medicare rate.
How to choose
- G0547Interprofessional consult
- G0547 applies when qualifying service time is 11–20 minutes; G0546 is the 5–10-minute tier.
- G0548Phone or internet E/M
- G0548 is for 21–30 minutes of qualifying work, rather than G0546’s 5–10 minutes.
- G0549Remote treatment
- G0549 is the longer-duration tier; use G0546 when qualifying work totals 5–10 minutes.
G0546 billing questions
When should G0546 be selected instead of G0547?
Use G0546 for 5–10 minutes of qualifying work. G0547 is the next time tier, for 11–20 minutes.
Does each portal message count as a separate service?
No. Select the time tier from the clinician’s qualifying work for the service, rather than counting messages.
Can G0546 be reported when the patient is seen soon afterward?
Do not separately report the online service when it leads to an E/M service or procedure within 24 hours or the soonest available appointment.
What documentation supports G0546?
Record the patient’s online request, the clinical issue addressed, the clinician’s assessment or management, and the time spent.
Does a related recent E/M affect reporting?
Yes. The online service is not separately reported when it arises from a related E/M service provided during the preceding seven days.
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
Show the CMS file lines behind this rate
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