$26.72–$26.91
G9868 is the CMMI asynchronous telehealth tier for under 10 minutes; G9869 covers 10–20 minutes.
On this page
CMS RVU26D · Effective 2026-10-01
G9869 Asynchronous telehealth Medicare reimbursement rates in Illinois
Reports a 10–20-minute asynchronous telehealth service under applicable CMS Innovation Center model reporting, based on documented service time. Compare G9869 office and facility rates across CMS payment localities in Illinois.
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 G9869 in Illinois?
Illinois has 4 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 4 payment areas shown below, using the same CMS release.
Office / nonfacility
$35.74–$35.99
4 of 4 localities have a supported rate.
Facility setting
$35.74–$35.99
4 of 4 localities have a supported rate.
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.
Where G9869 pays more and less in Illinois
4 payment localities
$35.74 to $35.99
Telehealth
About G9869: CMMI asynchronous telehealth service, 10–20 minutes
Reports a 10–20-minute asynchronous telehealth service under applicable CMS Innovation Center model reporting, based on documented service time.
G9869 identifies asynchronous telehealth work reported in the 10–20-minute tier for applicable CMS Innovation Center (CMMI) reporting. The service is conducted without a live, real-time exchange; the code identifies a time tier, not a particular diagnosis, body system, or clinical procedure. Use it only when the applicable CMMI reporting instructions call for this code. The descriptor alone does not establish which model participants or clinical circumstances qualify.
Document the asynchronous work performed, the service date, the time supporting this tier, and the applicable model attribution. The CMS Physician Fee Schedule data assigns 1.07 work RVUs and zero practice expense and malpractice RVUs; the work share of the office total is 100%. These RVU data describe the fee schedule valuation, not a dollar payment amount. The supplied CMS rules list no additional payment rules for this code.
Where the value comes from
- Work RVU1.07 · 100%
- Practice expense (office) RVU0.00 · 0%
- Malpractice RVU0.00 · 0%
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.
G9869 compared with similar codes
Office rates for Illinois, from the same CMS release.
$44.76–$45.07
G9870 is the CMMI asynchronous telehealth tier for more than 20 minutes; G9869 covers 10–20 minutes.
$30.38–$32.64
99422 belongs to the online digital E/M code family, not the CMMI G-code time tiers. Use the reporting framework that applies to the service.
Compare G9869 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.
4 of 4 payment localities
Chicago →
Office / nonfacility
$35.99
Facility
$35.99
East St. Louis →
Office / nonfacility
$35.74
Facility
$35.74
Rest Of Illinois →
Office / nonfacility
$35.74
Facility
$35.74
Suburban Chicago →
Office / nonfacility
$35.99
Facility
$35.99
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G9869 billing questions
How is G9869 distinguished from G9868 and G9870?
G9869 is the 10–20-minute tier. G9868 identifies asynchronous telehealth under 10 minutes, while G9870 identifies more than 20 minutes.
What should the record support?
Document the asynchronous work, the service date, the time supporting the 10–20-minute tier, and the applicable CMMI model attribution.
Does G9869 describe a live video visit?
No. It identifies an asynchronous telehealth service, rather than a real-time exchange.
Can G9869 be used for any online patient communication?
The descriptor identifies a CMMI reporting code, not a general code for all online communication. Use it when the applicable model instructions call for G9869.
What RVU components are assigned to G9869?
The CMS data assigns 1.07 work RVUs and zero practice expense and malpractice RVUs.
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.
16,222G9861,,Pt more than 3d hospice,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
16,223G9862,,Doc rsn no 10 yr follow,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
16,224G9868,,Cmmi asyntelehealth <10min,A,,0.80,0.00,,0.00,,0.00,0.80,0.80,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
16,225G9869,,Cmmi asyntelehealth 10-20min,A,,1.07,0.00,,0.00,,0.00,1.07,1.07,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
16,226G9870,,Cmmi asyntelehealth >20min,A,,1.34,0.00,,0.00,,0.00,1.34,1.34,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
16,227G9871,,"Bhv couns dm prev, onln 60 m",X,,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
16,228G9873,,1 em core session,X,,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