$80.38
G0019 reports the base monthly CHI service; G0022 reports additional 30-minute increments and must accompany the base service.
On this page
CMS RVU26D · Effective 2026-10-01
G0022 Community health integration Medicare reimbursement rates in Kentucky
Reports each additional 30 minutes of monthly community health integration work addressing social needs that interfere with diagnosis or treatment, alongside the base service. Compare G0022 office and facility rates across CMS payment localities in Kentucky.
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 G0022 in Kentucky?
Kentucky 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
$50.74
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
Facility setting
$29.96
1 of 1 localities have a supported rate.
Payment area: Kentucky
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.
Community health integration
About G0022: Additional community health integration time
Reports each additional 30 minutes of monthly community health integration work addressing social needs that interfere with diagnosis or treatment, alongside the base service.
G0022 captures additional community health integration (CHI) work after the base monthly service. Trained auxiliary personnel, including community health workers, work under a physician’s or other qualified health care professional’s direction to address social needs that significantly limit diagnosis or treatment. Activities may include helping a patient navigate resources for food, housing, or transportation and coordinating access to needed community services.
The code represents each additional 30 minutes in the calendar month beyond the base CHI time reported with G0019. It is an add-on and is not reported by itself. Documentation should identify the relevant social needs, describe the navigation or coordination activities, and support the additional time with dated records. CMS treats the add-on as paid within the primary procedure’s global period.
CMS billing rules for G0022
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU0.70 · 43%
- Practice expense (office) RVU0.87 · 54%
- Malpractice RVU0.05 · 3%
24.2K
Medicare services in 2024 · #1061 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.
G0022 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$81.27
G0023 is the base monthly principal illness navigation service. G0022 adds time to CHI, which addresses social needs limiting diagnosis or treatment.
$51.04
G0024 adds time to principal illness navigation reported with G0023. G0022 adds time to community health integration reported with G0019.
Compare G0022 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
Kentucky →
Office / nonfacility
$50.74
Facility
$29.96
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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 G0022 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
15,023
- Code
- G0022
- Physician work
- 0.70
- Practice expense
- 0.87
- Malpractice
- 0.05
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.70 | × 1.000 | 0.7000 |
| Practice expense | 0.87 | × 0.889 | 0.7734 |
| Malpractice | 0.05 | × 0.915 | 0.0458 |
| Total RVUs | 1.5192 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$50.74
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.7 | 1 |
| Practice expense | 0.87 | 0.889 |
| Malpractice | 0.05 | 0.915 |
(0.7 × 1 + 0.87 × 0.889 + 0.05 × 0.915) × $33.4009 = $50.74
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.7 | 1 |
| Practice expense | 0.17 | 0.889 |
| Malpractice | 0.05 | 0.915 |
(0.7 × 1 + 0.17 × 0.889 + 0.05 × 0.915) × $33.4009 = $29.96
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.
G0022 billing questions
Can G0022 be reported by itself?
No. G0022 is an add-on for additional CHI time and is reported with the base service, G0019.
How does G0022 differ from G0019?
G0019 reports the base monthly CHI service. G0022 reports each additional 30 minutes beyond that base time during the calendar month.
What needs support CHI reporting?
The work addresses social needs that significantly limit the ability to diagnose or treat the patient’s condition. Document the needs and how the navigation or coordination activities address them.
How should the additional time be documented?
Keep dated records of the CHI activities and the time spent by the personnel performing them. The records should support each additional 30-minute increment reported for the month.
Can G0022 be used for principal illness navigation time?
No. G0022 is for additional CHI time. Principal illness navigation uses G0023 for the base service and G0024 for additional time.
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.
15,020G0017,,Crisis psychotherapy 60m,A,,4.70,1.79,,0.40,,0.05,6.54,5.15,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,021G0018,,Crisis psychotherapy add 30m,A,,2.25,0.87,,0.21,,0.03,3.15,2.49,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,022G0019,,Comm hlth intg svs sdoh 60mn,A,,1.00,1.51,,0.25,,0.07,2.58,1.32,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,023G0022,,Comm hlth intg svs add 30 m,A,,0.70,0.87,,0.17,,0.05,1.62,0.92,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,024G0023,,Pin service 60m per month,A,,1.00,1.54,,0.26,,0.07,2.61,1.33,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,025G0024,,Pin srv add 30 min pr m,A,,0.70,0.88,,0.18,,0.05,1.63,0.93,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,026G0027,,Semen analysis,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
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
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631