$226.72–$246.68
99495 represents transitional care management for a qualifying post-discharge episode. G0544 identifies the telephone follow-up contact, not the full transition-management service.
On this page
CMS RVU26D · Effective 2026-10-01
G0544 Discharge follow-up Medicare reimbursement rates in Massachusetts
Reports a telephone follow-up after a patient’s discharge, distinct from a broader transitional care management service covering the transition. Compare G0544 office and facility rates across CMS payment localities in Massachusetts.
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 G0544 in Massachusetts?
Massachusetts 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
$68.53–$74.04
2 of 2 localities have a supported rate.
Facility setting
$43.56–$45.73
2 of 2 localities have a supported rate.
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.
Care management
About G0544: Post-discharge telephone follow-up
Reports a telephone follow-up after a patient’s discharge, distinct from a broader transitional care management service covering the transition.
G0544 identifies a telephone contact made after a patient leaves a hospital or other care setting. The call may check how the patient is doing and address concerns related to the recent discharge. The CMS short descriptor does not specify who must make the call, a required contact window, a minimum duration, or particular discharge settings, so those details should not be inferred from this entry.
Document the discharge date, date and participants of the call, its post-discharge purpose, and the issues discussed or actions taken. Use this code for the follow-up contact itself; distinguish it from transitional care management, which represents a broader post-discharge service. The supplied CMS facts do not provide a time increment or unit basis for this code. They also list no additional payment rule to explain for this service.
Where the value comes from
- Work RVU0.98 · 49%
- Practice expense (office) RVU0.95 · 48%
- Malpractice RVU0.07 · 4%
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.
G0544 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
$307.69–$334.73
99496 is the higher-complexity transitional care management code. Choose it for the qualifying broader service, not solely because a post-discharge call occurred.
$19.27–$20.54
G0546 describes a phone or internet EHR assessment. G0544 is specifically identified as a post-discharge phone follow-up.
Compare G0544 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
Metropolitan Boston →
Office / nonfacility
$74.04
Facility
$45.73
Rest Of Massachusetts →
Office / nonfacility
$68.53
Facility
$43.56
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G0544 billing questions
How is G0544 different from transitional care management?
G0544 identifies a post-discharge telephone follow-up. CPT 99495 and 99496 represent broader transitional care management services, not just the call.
What should the record show?
Record the discharge date, call date, who participated, the reason for the post-discharge contact, and the concerns or next steps discussed.
Is G0544 reported by minutes or units?
The supplied CMS descriptor does not state a time increment or unit basis. Do not derive units from call duration using this entry alone.
Does the code specify a modifier?
The supplied CMS facts do not identify a modifier requirement. The record should make clear that the service was a telephone follow-up after discharge.
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.
15,336G0541,,No pt prsnt train initial 30,A,,1.00,0.58,,0.18,,0.01,1.59,1.19,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,337G0542,,No pt prsnt train add 15,A,,0.54,0.24,,0.09,,0.00,0.78,0.63,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,338G0543,,Group train w/o patient,A,,0.23,0.42,,0.04,,0.01,0.66,0.28,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,339G0544,,Post d/c phone follow up,A,,0.98,0.95,,0.24,,0.07,2.00,1.29,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,340G0545,,Inherent visit to inpt,A,,0.89,0.49,,0.25,,0.07,1.45,1.21,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,341G0546,,Phone/internet ehr assess,A,,0.35,0.18,,0.09,,0.04,0.57,0.48,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,342G0547,,Phone/internet svs 11-20 m,A,,0.70,0.36,,0.19,,0.07,1.13,0.96,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00