Both are for new-patient remote E/M; G9484 identifies the 45-minute category, while G9485 identifies the 60-minute category.
On this page
CMS RVU26D · Effective 2026-10-01
G9485 Remote E/M Medicare reimbursement rates in Minnesota
Report G9485 for a remote evaluation and management encounter with a new patient in the 60-minute duration category. Compare G9485 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 G9485 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
$109.44
1 of 1 localities have a supported rate.
Payment area: Minnesota
One mapped payment locality.
Facility setting
$109.44
1 of 1 localities have a supported rate.
Payment area: Minnesota
One mapped payment locality.
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 G9485: New patient remote E/M, 60 minutes
Report G9485 for a remote evaluation and management encounter with a new patient in the 60-minute duration category.
G9485 identifies a remote evaluation and management service for a new patient in the 60-minute category. A primary care or specialty clinician may use it to assess a patient's concerns remotely, gather relevant history, and determine a care plan. The code distinguishes this longer new-patient service from the shorter remote E/M duration categories in the G9481–G9484 series.
Choose the code based on the documented remote service and the time category supported by the encounter. Record the clinical work, patient concerns, assessment, plan, and time supporting the selected category. CMS physician fee schedule data assigns G9485 3.17 work RVUs and 0.36 malpractice RVUs, with zero practice-expense RVUs in both office and facility settings. The supplied CMS facts list no additional payment-rule details for this code.
Where the value comes from
- Work RVU3.17 · 90%
- Practice expense (office) RVU0.00 · 0%
- Malpractice RVU0.36 · 10%
33
Medicare services in 2024 · #5609 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.
G9485 compared with similar codes
Office rates for Minnesota, from the same CMS release.
G9486 is for an established patient in the 10-minute category. G9485 is for a new patient in the 60-minute category.
G9489 is for an established patient in the 40-minute category; G9485 is for a new patient in the 60-minute category.
Compare G9485 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
$109.44
Facility
$109.44
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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 G9485 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
15,995
- Code
- G9485
- Physician work
- 3.17
- Practice expense
- 0.00
- Malpractice
- 0.36
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.17 | × 1.000 | 3.1700 |
| Practice expense | 0.00 | × 1.029 | 0.0000 |
| Malpractice | 0.36 | × 0.296 | 0.1066 |
| Total RVUs | 3.2766 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Minnesota$109.44
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.17 | 1 |
| Practice expense | 0 | 1.029 |
| Malpractice | 0.36 | 0.296 |
(3.17 × 1 + 0 × 1.029 + 0.36 × 0.296) × $33.4009 = $109.44
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.17 | 1 |
| Practice expense | 0 | 1.029 |
| Malpractice | 0.36 | 0.296 |
(3.17 × 1 + 0 × 1.029 + 0.36 × 0.296) × $33.4009 = $109.44
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.
G9485 billing questions
How is G9485 distinguished from G9484?
Both describe remote E/M for a new patient, but G9485 is the 60-minute category and G9484 is the 45-minute category. The documented encounter should support the category selected.
Can G9485 be used for an established patient?
No. G9485 is the new-patient remote E/M code; the G9486–G9489 series identifies remote E/M categories for established patients.
What documentation supports G9485?
Document the remote evaluation, the patient's concerns, the assessment and plan, and the time supporting the 60-minute category.
Can G9485 be billed with a shorter new-patient remote E/M code for the same encounter?
The G9481–G9485 codes identify different duration categories for new-patient remote E/M. Select the category supported by the encounter rather than reporting multiple duration tiers for the same service.
Does G9485 have separate office and facility practice-expense values?
The CMS data supplied for G9485 lists zero practice-expense RVUs in both office and facility settings, alongside work 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 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.
