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CMS RVU26D · Effective 2026-10-01

G2252 Virtual check-in Medicare reimbursement rates in Missouri

Reports a brief real-time medical discussion with an established patient when the interaction lasts 11-20 minutes and does not become a related E/M visit. Compare G2252 office and facility rates across CMS payment localities in Missouri.

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 G2252 in Missouri?

Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.

Office / nonfacility

$26.93–$27.90

3 of 3 localities have a supported rate.

Lowest: Rest Of Missouri

Highest: Metropolitan St. Louis

A spread of $0.97 per service.

Facility setting

$21.74–$22.17

3 of 3 localities have a supported rate.

Lowest: Rest Of Missouri

Highest: Metropolitan St. Louis

A spread of $0.43 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 G2252 in your payment locality →

Where G2252 pays more and less in Missouri

3 payment localities

$26.93 to $27.90

$26.93$27.41$27.90
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

Communication service

About G2252: Established patient brief check-in, 11-20 minutes

Reports a brief real-time medical discussion with an established patient when the interaction lasts 11-20 minutes and does not become a related E/M visit.

G2252 describes a brief real-time medical discussion between a physician or other qualified health care professional and an established patient, commonly by telephone or another communication technology. It fits situations such as discussing a new symptom, reviewing a medication concern, or deciding whether the patient needs an in-person visit, when the discussion takes 11-20 minutes. It is not a substitute for a full office or other E/M service when that service is provided.

Report G2252 when the documented medical discussion meets the 11-20-minute interval, is not related to an E/M service in the preceding 7 days, and does not lead to an E/M service or procedure within the next 24 hours or the soonest available appointment. Record the communication method, clinical issue addressed, discussion time, and disposition. G2251 is the shorter check-in code for a 5-10-minute discussion. The CMS rules supplied for this code list no add-on, global-period, component, or reduction rule.

Where the value comes from

  • Work RVU0.50 · 59%
  • Practice expense (office) RVU0.31 · 36%
  • Malpractice RVU0.04 · 5%

3.6K

Medicare services in 2024 · #2053 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.

G2252 compared with similar codes

Office rates for Missouri, from the same CMS release.

G2251

Virtual check-in

Non-E/M-reporting QHP

$13.28–$13.77

Both describe brief real-time check-ins for established patients; choose G2251 for 5-10 minutes and G2252 for 11-20 minutes.

G2250

Remote image review

Recorded images or video

$12.10–$12.71

G2250 is for remote evaluation of patient-submitted images or video; G2252 is for a real-time medical discussion.

99421

Online E/M

5–10 minutes over seven days

$14.76–$15.38

99421 covers asynchronous online digital E/M communication, while G2252 describes a brief real-time discussion.

Compare G2252 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.

3 of 3 payment localities

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

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G2252 billing questions

When should G2252 be chosen over G2251?

Use G2252 for a qualifying medical discussion lasting 11-20 minutes. G2251 is for the shorter 5-10-minute interval.

Can G2252 be reported when the check-in leads to an office visit?

Do not report it when the discussion leads to an E/M service or procedure within the next 24 hours or the soonest available appointment. It also must not be related to an E/M service in the preceding 7 days.

What should the note include?

Document the established-patient relationship, communication method, medical issue discussed, total discussion time, and outcome or follow-up plan.

Does G2252 cover an asynchronous photo or image review?

No. G2252 describes a real-time medical discussion; G2250 is the related code for remote evaluation of patient-submitted images or video.

How many minutes does G2252 represent?

The qualifying medical discussion lasts 11-20 minutes. A 5-10-minute discussion falls in the G2251 interval.

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 G2252PPRRVU2026_Oct_nonQPP.csv, line 15,534 (RVU26D)