$89.59
Both describe remote E/M for established patients; G9984 is the 15-minute level, while G9985 is the 25-minute level.
On this page
CMS RVU26D · Effective 2026-10-01
G9985 Remote E/M Medicare reimbursement rates in Guam
Remote E/M for an established patient at the 25-minute level, reported when a clinician evaluates and manages the patient through a remote service. Compare G9985 office and facility rates across CMS payment localities in Guam.
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 G9985 in Guam?
Guam 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
$128.76
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$70.66
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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.
Evaluation and management
About G9985: Established patient remote evaluation, 25 minutes
Remote E/M for an established patient at the 25-minute level, reported when a clinician evaluates and manages the patient through a remote service.
G9985 identifies remote evaluation and management for an established patient at the 25-minute level. It may fit a remote follow-up with a patient already known to the practice, such as assessing a new symptom or reassessing treatment. The descriptor does not identify a specific communication channel, so the record should make clear what remote service occurred. Physicians and other practitioners furnishing E/M care remotely may encounter this code.
Select G9985 rather than a neighboring established-patient level when the documented service supports the 25-minute designation. Record the patient’s concern, relevant evaluation, clinical decisions or plan, and the time associated with the remote service. CMS assigns work, practice-expense, and malpractice relative value units, with separate office and facility practice-expense inputs.
Where the value comes from
- Work RVU1.50 · 41%
- Practice expense (office) RVU2.00 · 55%
- Malpractice RVU0.14 · 4%
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.
G9985 compared with similar codes
Office rates for Guam, from the same CMS release.
$178.97
G9986 is the neighboring established-patient level with a 40-minute descriptor; G9985 identifies the 25-minute level.
$117.36
G9980 describes remote E/M for a new patient at the 30-minute level. G9985 is for an established patient.
Compare G9985 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
Hawaii, Guam →
Office / nonfacility
$128.76
Facility
$70.66
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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 G9985 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
16,307
- Code
- G9985
- Physician work
- 1.50
- Practice expense
- 2.00
- Malpractice
- 0.14
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.50 | × 1.000 | 1.5000 |
| Practice expense | 2.00 | × 1.137 | 2.2740 |
| Malpractice | 0.14 | × 0.579 | 0.0811 |
| Total RVUs | 3.8551 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$128.76
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.5 | 1 |
| Practice expense | 2 | 1.137 |
| Malpractice | 0.14 | 0.579 |
(1.5 × 1 + 2 × 1.137 + 0.14 × 0.579) × $33.4009 = $128.76
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.5 | 1 |
| Practice expense | 0.47 | 1.137 |
| Malpractice | 0.14 | 0.579 |
(1.5 × 1 + 0.47 × 1.137 + 0.14 × 0.579) × $33.4009 = $70.66
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.
G9985 billing questions
How does G9985 differ from G9984 or G9986?
These are neighboring established-patient remote E/M levels. G9984 has a 15-minute descriptor, G9985 a 25-minute descriptor, and G9986 a 40-minute descriptor; select the level supported by the service documentation.
Is G9985 for a new patient?
No. Its descriptor identifies an established patient. The nearby G9978 through G9982 codes are the new-patient remote E/M series.
What should the record show?
Document the remote E/M service, the patient’s reason for contact, the clinician’s assessment and plan, and support for the 25-minute level.
Does G9985 describe a particular remote communication method?
The CMS short descriptor identifies remote E/M but does not specify a channel. The record should identify the remote service that was furnished.
Can G9985 represent an in-person office visit?
No. The code describes remote E/M for an established patient, not a face-to-face office encounter.
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.
16,304G9982,,Remote e/m new pt 60mins,A,,3.17,3.23,,0.94,,0.36,6.76,4.47,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
16,305G9983,,Remote e/m est. pt 10mins,A,,0.48,1.02,,0.17,,0.06,1.56,0.71,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
16,306G9984,,Remote e/m est. pt 15mins,A,,0.97,1.46,,0.33,,0.09,2.52,1.39,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
16,307G9985,,Remote e/m est. pt 25mins,A,,1.50,2.00,,0.47,,0.14,3.64,2.11,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
16,308G9986,,Remote e/m est. pt 40mins,A,,2.11,2.75,,0.75,,0.21,5.07,3.07,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
16,309G9987,,Bpci advanced in home visit,A,,0.18,1.32,,1.32,,0.03,1.53,1.53,0,XXX,0.00,0.00,0.00,0,0,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
16,310G9988,,Pall serv during meas,M,,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
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014