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CMS RVU26D · Effective 2026-10-01

G9978 Remote E/M Medicare reimbursement rates in Indiana

Reports a 10-minute remote evaluation and management service for a new patient, distinguished from longer-duration and established-patient remote E/M services. Compare G9978 office and facility rates across CMS payment localities in Indiana.

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 G9978 in Indiana?

Indiana 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

$48.59

1 of 1 localities have a supported rate.

Payment area: Indiana

One mapped payment locality.

Facility setting

$22.27

1 of 1 localities have a supported rate.

Payment area: Indiana

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.

Find G9978 in your payment locality →

Remote evaluation and management

About G9978: Remote E/M for a new patient, 10 minutes

Reports a 10-minute remote evaluation and management service for a new patient, distinguished from longer-duration and established-patient remote E/M services.

G9978 identifies a remote evaluation and management service for a new patient, with a 10-minute duration. It distinguishes this service from the longer-duration new-patient tiers and from remote E/M services for established patients. The code’s descriptor does not specify a particular clinical specialty, diagnosis, or remote communication technology, so the record should describe the service actually provided rather than infer those details from the code alone.

Select G9978 when the patient meets the applicable new-patient criteria and the documented remote E/M service supports the 10-minute tier. The record should identify the remote encounter, the patient’s status, the work performed, and the time supporting the selected tier. CMS assigns work, practice expense, and malpractice relative value units to the code in the Physician Fee Schedule. The supplied CMS facts list no additional payment rules for G9978.

Where the value comes from

  • Work RVU0.48 · 31%
  • Practice expense (office) RVU1.02 · 65%
  • Malpractice RVU0.06 · 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.

G9978 compared with similar codes

Office rates for Indiana, from the same CMS release.

G9979

Remote E/M

New patient, 20 minutes

$70.90

Both codes describe remote E/M for new patients, but G9979 is the 20-minute tier rather than the 10-minute tier.

G9980

Remote E/M

New patient, 30 minutes

$104.52

G9980 is the 30-minute new-patient remote E/M tier; G9978 is the 10-minute tier.

G9983

Remote E/M

Established patient, 10 minutes

$48.59

G9983 describes the 10-minute remote E/M tier for an established patient. G9978 is for a new patient.

Compare G9978 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

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

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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 G9978 in Indiana.

PPRRVU2026_Oct_nonQPP.csv

16,300

Code
G9978
Physician work
0.48
Practice expense
1.02
Malpractice
0.06

GPCI2026.csv

52

Locality
Indiana
Physician work
1.000
Practice expense
0.927
Malpractice
0.486
Office / nonfacility calculation for G9978 in Indiana
ComponentRVULocality factorAdjusted
Physician work0.48× 1.0000.4800
Practice expense1.02× 0.9270.9455
Malpractice0.06× 0.4860.0292
Total RVUs1.4547
Conversion factor× 33.4009

Office / nonfacility rate, Indiana$48.59

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.481
Practice expense1.020.927
Malpractice0.060.486

(0.48 × 1 + 1.02 × 0.927 + 0.06 × 0.486) × $33.4009 = $48.59

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.481
Practice expense0.170.927
Malpractice0.060.486

(0.48 × 1 + 0.17 × 0.927 + 0.06 × 0.486) × $33.4009 = $22.27

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.

G9978 billing questions

How does G9978 differ from G9979?

Both are remote E/M services for new patients. G9978 is the 10-minute tier; G9979 is the 20-minute tier.

Can G9978 be used for an established patient?

No. G9978 is identified as a new-patient service; G9983 is the 10-minute remote E/M code for an established patient.

What time should the documentation support?

Document the time supporting the 10-minute tier, along with the remote E/M work performed and the patient’s new-patient status.

Does the descriptor specify audio, video, or another remote format?

No specific communication technology is identified in the supplied descriptor. Document the remote service that was actually provided.

Should G9978 be selected based on complexity instead of time?

The supplied descriptor distinguishes G9978 by its 10-minute duration, not by a stated complexity level. Choose the tier supported by the service documentation.

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 G9978PPRRVU2026_Oct_nonQPP.csv, line 16,300 (RVU26D)
Geographic factors for IndianaGPCI2026.csv, line 52 (RVU26D)