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CMS RVU26D · Effective 2026-10-01

G0540 Caregiver training Medicare reimbursement rates in Maine

Reports an additional 15 minutes of patient-present caregiver training beyond the initial service, when instruction supports the patient's treatment plan. Compare G0540 office and facility rates across CMS payment localities in Maine.

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 G0540 in Maine?

Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.

Office / nonfacility

$25.41–$25.98

2 of 2 localities have a supported rate.

Lowest: Rest Of Maine

Highest: Southern Maine

A spread of $0.57 per service.

Facility setting

$20.80–$21.02

2 of 2 localities have a supported rate.

Lowest: Rest Of Maine

Highest: Southern Maine

A spread of $0.22 per service.

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.

Find G0540 in your payment locality →

Caregiver training

About G0540: Additional caregiver training with patient present

Reports an additional 15 minutes of patient-present caregiver training beyond the initial service, when instruction supports the patient's treatment plan.

G0540 represents additional time spent training a caregiver while the patient is present. The clinician provides patient-specific instruction to help the caregiver carry out tasks or strategies that support the patient's treatment plan. For example, training may address how the caregiver assists with a treatment-related activity or provides support at home. The training should be directed to the caregiver, rather than being ordinary counseling or education delivered only to the patient.

Report G0540 only with the corresponding initial patient-present caregiver training service, G0539; it is not a standalone code. The record should identify the caregiver, the patient-related training provided, the patient's presence, and the additional time supporting the reported unit. As an add-on, G0540 is paid within the primary procedure's global period. Keep the documentation distinct from the initial training so the additional service is clear.

CMS billing rules for G0540

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 RVU0.54 · 69%
  • Practice expense (office) RVU0.24 · 31%
  • Malpractice RVU0.00 · 0%

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.

G0540 compared with similar codes

Office rates for Maine, from the same CMS release.

G0539

Caregiver training

Patient present, initial 30 minutes

$51.43–$52.81

G0539 reports the initial patient-present caregiver training service. G0540 reports additional training time and must be paired with the initial service.

G0542

Caregiver training

Patient absent, additional 15 minutes

$25.41–$25.98

G0542 reports additional caregiver training time when the patient is absent; G0540 is for training with the patient present.

G0543

Caregiver training

Group, patient absent

$20.80–$21.80

G0543 represents group caregiver training. G0540 is additional time for the patient-present training service, not a group-training code.

Compare G0540 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.

2 of 2 payment localities

Office and facility base rates · shared scale starting at $0

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G0540 billing questions

Which initial code must accompany G0540?

Pair G0540 with G0539, the initial patient-present caregiver training service. G0540 is not reported by itself.

How is G0540 different from G0542?

G0540 is for additional caregiver training when the patient is present. G0542 is the additional-time code for caregiver training without the patient present.

What should the note support?

Document the caregiver, the patient-specific training and its connection to the treatment plan, the patient's presence, and the additional time reported.

Can G0540 be billed as a separate service?

No. It is an add-on to the initial patient-present training service, G0539, and is paid within that primary procedure's global period.

Does G0540 represent additional training time?

Yes. It represents an additional 15 minutes beyond the initial caregiver training service; the record should support the 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.

RVUs for G0540PPRRVU2026_Oct_nonQPP.csv, line 15,335 (RVU26D)