No office rate
Choose G0425 for the shorter initial inpatient or emergency department teleconsultation, typically 30 minutes; G0426 is typically 50 minutes.
On this page
CMS RVU26D · Effective 2026-10-01
G0426 Teleconsultation Medicare reimbursement rates in Kansas
A remote specialist consultation for a hospital inpatient or emergency department patient, selected for an initial evaluation typically requiring 50 minutes. Compare G0426 office and facility rates across CMS payment localities in Kansas.
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 G0426 in Kansas?
Kansas 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
No supported rate
Facility setting
$111.28
1 of 1 localities have a supported rate.
Payment area: Kansas
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.
Telehealth consultation
About G0426: Initial inpatient or emergency teleconsultation
A remote specialist consultation for a hospital inpatient or emergency department patient, selected for an initial evaluation typically requiring 50 minutes.
G0426 describes an initial remote consultation for a patient in a hospital inpatient setting or emergency department. A consulting physician evaluates the patient through telehealth, addresses the clinical question prompting the consultation, and provides recommendations to the treating team. Common examples include a hospital requesting specialist input on a newly admitted patient or an emergency department evaluation needing remote expertise.
Select G0426 for the initial consultation when the service is typically 50 minutes; G0425 and G0427 represent shorter and longer consultation levels. Document the patient’s inpatient or emergency department setting, the reason for the consultation, the evaluation and recommendations, and the time spent communicating with the patient by telehealth. CMS physician fee schedule valuation accounts for physician work, practice expense, and malpractice.
Where the value comes from
- Work RVU2.61 · 74%
- Practice expense (office) RVU0.67 · 19%
- Malpractice RVU0.23 · 7%
41.7K
Medicare services in 2024 · #856 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.
G0426 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
Choose G0427 for the longer initial inpatient or emergency department teleconsultation, typically 70 minutes; G0426 is typically 50 minutes.
No office rate
G0408 describes inpatient telehealth follow-up, while G0426 describes an initial consultation for an inpatient or emergency department patient.
Compare G0426 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
Kansas →
Office / nonfacility
Unavailable
Facility
$111.28
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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 G0426 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
15,253
- Code
- G0426
- Physician work
- 2.61
- Practice expense
- 0.67
- Malpractice
- 0.23
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.61 | × 1.000 | 2.6100 |
| Practice expense | 0.67 | × 0.904 | 0.6057 |
| Malpractice | 0.23 | × 0.504 | 0.1159 |
| Total RVUs | 3.3316 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$111.28
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.61 | 1 |
| Practice expense | 0.67 | 0.904 |
| Malpractice | 0.23 | 0.504 |
(2.61 × 1 + 0.67 × 0.904 + 0.23 × 0.504) × $33.4009 = $111.28
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.
G0426 billing questions
How does G0426 differ from G0425 and G0427?
These codes distinguish initial inpatient or emergency department teleconsultations by typical service time. G0426 is the 50-minute level; G0425 is shorter and G0427 is longer.
Can G0426 describe an inpatient follow-up consultation?
G0426 is for an initial inpatient or emergency department consultation. G0408 describes an inpatient telehealth follow-up service.
What documentation supports G0426?
Record the setting, clinical question, telehealth evaluation, recommendations, and time spent communicating with the patient. The record should support an initial consultation typically requiring 50 minutes.
Does G0426 include a professional and technical component?
The supplied CMS facts provide physician fee schedule values for work, practice expense, and malpractice, but do not identify separate professional and technical components for G0426.
Is G0426 reported for each 50-minute interval?
The code identifies an initial consultation typically requiring 50 minutes; it is not described as a per-interval service.
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.
15,250G0422,,Intens cardiac rehab w/exerc,A,,2.05,1.77,,1.77,,0.12,3.94,3.94,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,251G0423,,Intens cardiac rehab no exer,A,,2.05,1.77,,1.77,,0.12,3.94,3.94,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,252G0425,,Inpt/ed teleconsult30,A,,1.92,0.41,NA,0.41,,0.19,2.52,2.52,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,253G0426,,Inpt/ed teleconsult50,A,,2.61,0.67,NA,0.67,,0.23,3.51,3.51,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,254G0427,,Inpt/ed teleconsult70,A,,3.86,0.90,NA,0.90,,0.28,5.04,5.04,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,255G0428,,Collagen meniscus implant,N,,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
15,256G0429,,Dermal filler injection(s),A,,1.16,1.69,,0.39,,0.13,2.98,1.68,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958