$81.39
Choose G0140 when the navigation includes peer support; G0023 represents the monthly principal illness navigation pathway without that designation.
On this page
CMS RVU26D · Effective 2026-10-01
G0140 Peer navigation Medicare reimbursement rates in Iowa
Reports monthly principal illness navigation delivered with peer support to help a patient with a serious, high-risk condition manage care and access resources. Compare G0140 office and facility rates across CMS payment localities in Iowa.
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 G0140 in Iowa?
Iowa 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
$83.23
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
$42.28
1 of 1 localities have a supported rate.
Payment area: Iowa
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.
Care management
About G0140: Principal illness navigation with peer support
Reports monthly principal illness navigation delivered with peer support to help a patient with a serious, high-risk condition manage care and access resources.
G0140 covers principal illness navigation furnished with peer support for a patient facing a serious, high-risk illness. A peer support specialist with relevant lived experience and appropriate training helps the patient navigate care, connect with needed services, and build skills for managing the illness. The work may include helping a patient with cancer understand care pathways or connect with community resources. The service is part of the patient’s care plan and is billed by the practitioner responsible for the navigation service.
Report G0140 once the qualifying peer-support navigation work reaches 60 minutes in the calendar month. Document the serious, high-risk condition, the navigation and peer-support activities, the specialist’s role, and the time accumulated during that month. G0146 is the add-on for each additional 30 minutes of peer-support navigation; it is paired with G0140 when the additional time is furnished and supported. G0023 and G0024 describe the corresponding principal illness navigation pathway without the peer-support designation.
Where the value comes from
- Work RVU1.00 · 37%
- Practice expense (office) RVU1.60 · 60%
- Malpractice RVU0.07 · 3%
389
Medicare services in 2024 · #3761 by national volume
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.
G0140 compared with similar codes
Office rates for Iowa, from the same CMS release.
$50.19
G0140 represents the initial 60 minutes per calendar month. G0146 reports each additional 30 minutes of peer-support navigation.
$18.68
G0136 is a social-determinants-of-health risk assessment. G0140 covers ongoing principal illness navigation with peer support, not the assessment itself.
Compare G0140 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
Iowa →
Office / nonfacility
$83.23
Facility
$42.28
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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 G0140 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
15,106
- Code
- G0140
- Physician work
- 1.00
- Practice expense
- 1.60
- Malpractice
- 0.07
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.00 | × 1.000 | 1.0000 |
| Practice expense | 1.60 | × 0.915 | 1.4640 |
| Malpractice | 0.07 | × 0.397 | 0.0278 |
| Total RVUs | 2.4918 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$83.23
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1 | 1 |
| Practice expense | 1.6 | 0.915 |
| Malpractice | 0.07 | 0.397 |
(1 × 1 + 1.6 × 0.915 + 0.07 × 0.397) × $33.4009 = $83.23
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1 | 1 |
| Practice expense | 0.26 | 0.915 |
| Malpractice | 0.07 | 0.397 |
(1 × 1 + 0.26 × 0.915 + 0.07 × 0.397) × $33.4009 = $42.28
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.
G0140 billing questions
How is G0140 different from G0023?
G0140 is for principal illness navigation furnished with peer support. G0023 is the 60-minute monthly navigation code without the peer-support designation.
When can G0146 be reported with G0140?
Report G0146 for each additional 30 minutes of peer-support navigation beyond the 60 minutes represented by G0140. Document the additional time and work.
Does the 60 minutes need to occur in one visit?
No. The code is measured per calendar month, so document the navigation work and cumulative time across the month.
What documentation supports G0140?
Record the serious, high-risk illness, the patient’s navigation needs, the peer-support activities, the specialist’s role, and the minutes furnished during the calendar month.
Is G0140 the same as a social-needs risk assessment?
No. G0140 represents monthly navigation with peer support; G0136 describes a separate assessment of social determinants of health.
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.
15,103G0136,,Adm of pa/n assess 5-15 m,A,,0.18,0.41,,0.05,,0.01,0.60,0.24,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,104G0137,,"Inten outpt svs,min 9 pr 7 d",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
15,105G0138,,Iv cipaglucosidase alfa-atga,A,,0.21,5.62,,5.62,NA,0.05,5.88,5.88,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,106G0140,,Nav srv peer sup 60 min pr m,A,,1.00,1.60,,0.26,,0.07,2.67,1.33,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,107G0141,,"Scr c/v cyto,autosys and md",A,,0.25,0.46,,0.46,,0.01,0.72,0.72,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,108G0143,,"Scr c/v cyto,thinlayer,rescr",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
15,109G0144,,"Scr c/v cyto,thinlayer,rescr",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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136