G2252 covers an 11-20-minute check-in by a physician or QHP who can report E/M services. G2251 is the 5-10-minute service for a QHP who cannot report E/M services.
On this page
CMS RVU26D · Effective 2026-10-01
G2251 Virtual check-in Medicare reimbursement rates in Kansas
A qualified health care professional who cannot report E/M services uses G2251 for a 5-10-minute medical discussion with an established patient. Compare G2251 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 G2251 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
$13.35
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
Facility setting
$10.33
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 services
About G2251: Brief check-in by non-E/M QHP
A qualified health care professional who cannot report E/M services uses G2251 for a 5-10-minute medical discussion with an established patient.
G2251 covers a brief, live communication with an established patient about a medical concern, such as discussing a new symptom or a question about an ongoing treatment plan. The discussion must total 5-10 minutes. The service is performed by a qualified health care professional who cannot report evaluation and management services; eligible nonphysician practitioners may include therapists or other clinicians working within their Medicare benefit and scope.
Report G2251 only when the discussion meets the time and practitioner criteria and is not part of a related service in the preceding 7 days or followed by a related service or procedure within 24 hours or the soonest available appointment. Document the communication method, medical issue addressed, discussion time, and why the contact was distinct from related care. CMS assigns G2251 its own physician fee schedule values. Choose G2012 for the comparable 5-10-minute check-in when the practitioner can report E/M services, or G2252 for that practitioner’s longer check-in.
Where the value comes from
- Work RVU0.25 · 60%
- Practice expense (office) RVU0.16 · 38%
- Malpractice RVU0.01 · 2%
161
Medicare services in 2024 · #4508 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.
G2251 compared with similar codes
Office rates for Kansas, from the same CMS release.
G2250 concerns review of patient-submitted images or video; G2251 requires a medical discussion with the patient.
99421 is an online digital E/M service based on patient-initiated portal communication and cumulative time. G2251 is a 5-10-minute medical discussion by a QHP who cannot report E/M services.
Compare G2251 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
$13.35
Facility
$10.33
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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 G2251 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
15,533
- Code
- G2251
- Physician work
- 0.25
- Practice expense
- 0.16
- Malpractice
- 0.01
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.25 | × 1.000 | 0.2500 |
| Practice expense | 0.16 | × 0.904 | 0.1446 |
| Malpractice | 0.01 | × 0.504 | 0.0050 |
| Total RVUs | 0.3997 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kansas$13.35
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.25 | 1 |
| Practice expense | 0.16 | 0.904 |
| Malpractice | 0.01 | 0.504 |
(0.25 × 1 + 0.16 × 0.904 + 0.01 × 0.504) × $33.4009 = $13.35
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.25 | 1 |
| Practice expense | 0.06 | 0.904 |
| Malpractice | 0.01 | 0.504 |
(0.25 × 1 + 0.06 × 0.904 + 0.01 × 0.504) × $33.4009 = $10.33
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.
G2251 billing questions
Who should report G2251 instead of G2012?
G2251 is for a qualified health care professional who cannot report E/M services. G2012 covers the comparable 5-10-minute check-in when the practitioner can report E/M services.
How much discussion time supports G2251?
Document 5-10 minutes of medical discussion with the established patient. The code is not selected by adding unrelated record review or administrative work to the discussion.
Can G2251 be reported when the contact leads to an office visit?
Not when the check-in leads to a related service or procedure within 24 hours or the soonest available appointment. A related service in the preceding 7 days also affects whether G2251 fits.
How is G2251 different from G2250?
G2251 describes a brief medical discussion. G2250 is for a practitioner’s review and interpretation of images or video submitted by the patient.
When is G2252 a better fit?
G2252 is for an 11-20-minute check-in by a physician or other qualified health care professional who can report E/M services. G2251 is limited to 5-10 minutes and a QHP who cannot report E/M services.
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.
