HCPCS G9869: Asynchronous telehealthMedicare rate & RVUs in Kentucky
Reports a 10–20-minute asynchronous telehealth service under applicable CMS Innovation Center model reporting, based on documented service time.
Medicare pays $35.74 for G9869 in the office in Kentucky (Kentucky). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What G9869 covers
G9869 identifies asynchronous telehealth work reported in the 10–20-minute tier for applicable CMS Innovation Center (CMMI) reporting. The service is conducted without a live, real-time exchange; the code identifies a time tier, not a particular diagnosis, body system, or clinical procedure. Use it only when the applicable CMMI reporting instructions call for this code. The descriptor alone does not establish which model participants or clinical circumstances qualify.
Document the asynchronous work performed, the service date, the time supporting this tier, and the applicable model attribution. The CMS Physician Fee Schedule data assigns 1.07 work RVUs and zero practice expense and malpractice RVUs; the work share of the office total is 100%. These RVU data describe the fee schedule valuation, not a dollar payment amount. The supplied CMS rules list no additional payment rules for this code.
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.
G9869 in Kentucky
| Payment locality | Office | Facility |
|---|---|---|
| Kentucky | $35.74 | $35.74 |
How the G9869 rate is calculated
Each of G9869’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · G9869
RVUs × geographic indexes × conversion factor
Work1.07
1.07 RVUs× 1.000 GPCI
Practice expense0.00
0.00 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
1.0700
Conversion factor
$33.4009
Medicare rate
$35.74
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for G9869
G9869 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · G9869
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$35.74
- Non-facility (office)
- $35.74
- Facility
- $35.74
Higher because the practice carries its own overhead.
G9869 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- G9868Asynchronous telehealth
- G9868 is the CMMI asynchronous telehealth tier for under 10 minutes; G9869 covers 10–20 minutes.
- G9870Asynchronous telehealth
- G9870 is the CMMI asynchronous telehealth tier for more than 20 minutes; G9869 covers 10–20 minutes.
- 99422Online E/M
- 99422 belongs to the online digital E/M code family, not the CMMI G-code time tiers. Use the reporting framework that applies to the service.
G9869 billing questions
How is G9869 distinguished from G9868 and G9870?
G9869 is the 10–20-minute tier. G9868 identifies asynchronous telehealth under 10 minutes, while G9870 identifies more than 20 minutes.
What should the record support?
Document the asynchronous work, the service date, the time supporting the 10–20-minute tier, and the applicable CMMI model attribution.
Does G9869 describe a live video visit?
No. It identifies an asynchronous telehealth service, rather than a real-time exchange.
Can G9869 be used for any online patient communication?
The descriptor identifies a CMMI reporting code, not a general code for all online communication. Use it when the applicable model instructions call for G9869.
What RVU components are assigned to G9869?
The CMS data assigns 1.07 work RVUs and zero practice expense and malpractice RVUs.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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