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CMS RVU26D · Effective 2026-10-01

G0546 Digital E/M Medicare reimbursement rates in Georgia

Report G0546 for a brief online evaluation and management service for an established patient when the clinician’s qualifying work totals 5–10 minutes. Compare G0546 office and facility rates across CMS payment localities in Georgia.

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 G0546 in Georgia?

Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.

Office / nonfacility

$18.65–$19.44

2 of 2 localities have a supported rate.

Lowest: Rest Of Georgia

Highest: Atlanta

A spread of $0.79 per service.

Facility setting

$15.96–$16.38

2 of 2 localities have a supported rate.

Lowest: Rest Of Georgia

Highest: Atlanta

A spread of $0.42 per service.

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 G0546 in your payment locality →

Evaluation and management

About G0546: Online digital E/M, 5–10 minutes

Report G0546 for a brief online evaluation and management service for an established patient when the clinician’s qualifying work totals 5–10 minutes.

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.

Where the value comes from

  • Work RVU0.35 · 61%
  • Practice expense (office) RVU0.18 · 32%
  • Malpractice RVU0.04 · 7%

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.

G0546 compared with similar codes

Office rates for Georgia, from the same CMS release.

G0547

Interprofessional consult

11–20 minutes

$36.89–$38.48

G0547 applies when qualifying service time is 11–20 minutes; G0546 is the 5–10-minute tier.

G0548

Phone or internet E/M

21-30 minutes

$55.34–$57.79

G0548 is for 21–30 minutes of qualifying work, rather than G0546’s 5–10 minutes.

G0549

Remote treatment

More than 31 minutes

$74.48–$77.85

G0549 is the longer-duration tier; use G0546 when qualifying work totals 5–10 minutes.

Compare G0546 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.

2 of 2 payment localities

Office and facility base rates · shared scale starting at $0

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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 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 G0546PPRRVU2026_Oct_nonQPP.csv, line 15,341 (RVU26D)