$17.80
93797 reports cardiac rehabilitation without continuous ECG monitoring. G0166 reports an external counterpulsation treatment session.
On this page
CMS RVU26D · Effective 2026-10-01
G0166 Counterpulsation Medicare reimbursement rates in Minnesota
Reports a session of noninvasive external counterpulsation, typically provided for persistent angina under physician supervision. Compare G0166 office and facility rates across CMS payment localities in Minnesota.
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 G0166 in Minnesota?
Minnesota 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
$104.88
1 of 1 localities have a supported rate.
Payment area: Minnesota
One mapped payment locality.
Facility setting
No 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.
Cardiology
About G0166: External counterpulsation treatment
Reports a session of noninvasive external counterpulsation, typically provided for persistent angina under physician supervision.
External counterpulsation uses pressure cuffs around the legs, timed to the heartbeat, to support circulation during diastole. Trained staff typically provide the treatment in an outpatient setting, with a physician overseeing care. It is generally used for patients with persistent angina despite medical treatment, particularly when revascularization options are limited or have not relieved symptoms.
Report G0166 for each treatment, rather than using units to represent elapsed time. Documentation should support the angina treatment plan, the session performed, and physician oversight. CMS identifies this as an incident-to service: it may be billed only when performed under physician supervision. The CMS valuation assigns practice expense and malpractice relative value units, with no physician work relative value units.
CMS billing rules for G0166
- Professional and technical components
- Incident-to service: billed only when performed under physician supervision.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU3.04 · 99%
- Malpractice RVU0.04 · 1%
42K
Medicare services in 2024 · #853 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.
G0166 compared with similar codes
Office rates for Minnesota, from the same CMS release.
$26.05
93798 reports cardiac rehabilitation with continuous ECG monitoring. G0166 describes cuff-based counterpulsation, not a rehabilitation session.
Compare G0166 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
Minnesota →
Office / nonfacility
$104.88
Facility
Unavailable
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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 G0166 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
15,125
- Code
- G0166
- Physician work
- 0.00
- Practice expense
- 3.04
- Malpractice
- 0.04
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 3.04 | × 1.029 | 3.1282 |
| Malpractice | 0.04 | × 0.296 | 0.0118 |
| Total RVUs | 3.1400 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Minnesota$104.88
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 3.04 | 1.029 |
| Malpractice | 0.04 | 0.296 |
(0 × 1 + 3.04 × 1.029 + 0.04 × 0.296) × $33.4009 = $104.88
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.
G0166 billing questions
When should a practice report G0166?
Report it for a session of external counterpulsation, typically as part of treatment for persistent angina. It is reported per treatment.
Does G0166 require physician supervision?
Yes. CMS identifies G0166 as an incident-to service, billable only when performed under physician supervision.
How should the practice count units?
The code is per treatment. Report the treatment session, not a number of units based on minutes.
What documentation supports the service?
Document the angina treatment plan, the external counterpulsation session performed, and the physician supervision supporting incident-to billing.
Is G0166 a cardiac rehabilitation code?
No. G0166 reports external counterpulsation treatment; cardiac rehabilitation codes describe rehabilitation services.
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.
15,122G0160,,Hhc occup therapy ea 15,E,,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
15,123G0161,,Hhc slp ea 15 min,E,,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
15,124G0162,,"Hhc rn e&m plan svs, 15 min",E,,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
15,125G0166,,"Extrnl counterpulse, per tx",A,,0.00,3.04,,3.04,NA,0.04,3.08,3.08,5,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
15,126G0168,,Wound closure by adhesive,A,,0.30,2.79,,0.05,,0.07,3.16,0.42,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,127G0175,,"Opps service,sched team conf",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
15,128G0176,,Opps/php/iop; activity thrpy,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
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002