G9980 represents the 30-minute new-patient remote E/M level; G9981 represents the 45-minute level.
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CMS RVU26D · Effective 2026-10-01
G9981 Remote E/M Medicare reimbursement rates in Massachusetts
Report G9981 for a new-patient remote evaluation and management service at the 45-minute level, when the encounter documentation supports that time level. Compare G9981 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 G9981 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
$175.72–$190.13
2 of 2 localities have a supported rate.
Facility setting
$112.06–$117.95
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.
Remote evaluation and management
About G9981: New patient remote E/M, 45 minutes
Report G9981 for a new-patient remote evaluation and management service at the 45-minute level, when the encounter documentation supports that time level.
G9981 identifies a remote evaluation and management service for a new patient at the 45-minute level. The clinician assesses the patient’s concern, develops or updates a management plan, and communicates remotely. It is intended for a remote clinical encounter, rather than a code describing an in-person office visit. The descriptor does not specify the communication technology, so the record should identify how the encounter occurred.
Choose this code over neighboring time levels only when the documentation supports the 45-minute level and new-patient status. Record the remote interaction, presenting concern, assessment, management, and the basis for the reported time. CMS Physician Fee Schedule data assign work, office and facility practice-expense, and malpractice relative value units to the code. The supplied 2024 utilization file reports zero office and facility services.
Where the value comes from
- Work RVU2.43 · 47%
- Practice expense (office) RVU2.47 · 48%
- Malpractice RVU0.24 · 5%
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.
G9981 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
G9982 represents the 60-minute new-patient remote E/M level. Choose G9981 when the documentation supports its 45-minute level instead.
G9983 is for established-patient remote E/M at the 10-minute level. G9981 is for a new patient at the 45-minute level.
Compare G9981 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
$190.13
Facility
$117.95
Rest Of Massachusetts →
Office / nonfacility
$175.72
Facility
$112.06
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G9981 billing questions
How does G9981 differ from G9980 and G9982?
These are neighboring new-patient remote E/M time levels: G9980 is 30 minutes, G9981 is 45 minutes, and G9982 is 60 minutes. Use the level supported by the encounter documentation.
Can G9981 be reported for an established patient?
No. G9981 is identified as a new-patient service; the related G9983–G9986 codes describe established-patient remote E/M time levels.
What documentation supports G9981?
Document the remote encounter, the patient’s concern, the evaluation and management provided, new-patient status, and the time basis supporting the 45-minute level.
Does G9981 describe a particular remote technology?
The CMS short descriptor identifies a remote E/M service but does not specify the communication technology. Document how the encounter took place.
Does the CMS information identify separate services to bill with G9981?
The supplied CMS facts do not identify a paired or add-on service for this code. The descriptor alone does not establish separate reporting for related work.
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.
