$54.66–$54.79
G9488 is the 25-minute remote E/M level for an established patient; G9489 is the 40-minute level.
On this page
CMS RVU26D · Effective 2026-10-01
G9489 Remote E/M Medicare reimbursement rates in Missouri
G9489 identifies a 40-minute remote evaluation and management service for an established patient, distinct from the shorter established-patient time levels. Compare G9489 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 G9489 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
$77.31–$77.50
3 of 3 localities have a supported rate.
Facility setting
$77.31–$77.50
3 of 3 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.
Where G9489 pays more and less in Missouri
3 payment localities
$77.31 to $77.50
Remote evaluation and management
About G9489: Established-patient remote E/M, 40 minutes
G9489 identifies a 40-minute remote evaluation and management service for an established patient, distinct from the shorter established-patient time levels.
G9489 represents remote evaluation and management for a patient who already has an established relationship with the clinician. A clinician may use it for remote follow-up involving an ongoing condition, such as reviewing symptoms or response to a treatment plan and deciding on next steps. The code’s distinguishing details are the established-patient status and the 40-minute time level; it is not the new-patient remote E/M series.
Select G9489 when the documented remote E/M service fits this time level, rather than a shorter established-patient level. The record should support the patient’s established status, that the service was provided remotely, the E/M work performed, and the time supporting code selection. In the supplied CMS fee-schedule data, G9489 has work and malpractice RVUs and zero practice-expense RVUs in both office and facility settings. The CMS rules supplied for this code do not specify an add-on, global-period, component, or reduction rule.
Where the value comes from
- Work RVU2.11 · 91%
- Practice expense (office) RVU0.00 · 0%
- Malpractice RVU0.21 · 9%
255
Medicare services in 2024 · #4125 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.
G9489 compared with similar codes
Office rates for Missouri, from the same CMS release.
$35.33–$35.41
G9487 covers the 15-minute established-patient remote E/M level, rather than G9489’s 40-minute level.
$88.97–$89.20
G9484 is for a new patient at the 45-minute level. G9489 is for an established patient at the 40-minute level.
Compare G9489 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
Metropolitan Kansas City →
Office / nonfacility
$77.33
Facility
$77.33
Metropolitan St. Louis →
Office / nonfacility
$77.50
Facility
$77.50
Rest Of Missouri →
Office / nonfacility
$77.31
Facility
$77.31
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G9489 billing questions
How does G9489 differ from G9488?
Both are remote E/M levels for established patients. G9489 is the 40-minute level; G9488 is the 25-minute level.
Can G9489 be used for a new patient?
No. G9489 is identified as an established-patient service. The G9481–G9485 codes are the remote E/M series for new patients.
What time should the record support?
Document the time supporting the 40-minute level, along with the remote E/M work performed and the patient’s established status.
Does the code identify a particular remote technology?
The CMS short descriptor identifies a remote E/M service but does not specify a particular communication technology.
What CMS payment information is shown for G9489?
The supplied fee-schedule data reports work and malpractice RVUs, with zero practice-expense RVUs in office and facility settings.
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.
15,996G9486,,Remote e/m est. pt 10mins,A,,0.48,0.00,,0.00,,0.06,0.54,0.54,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,997G9487,,Remote e/m est. pt 15mins,A,,0.97,0.00,,0.00,,0.09,1.06,1.06,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,998G9488,,Remote e/m est. pt 25mins,A,,1.50,0.00,,0.00,,0.14,1.64,1.64,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,999G9489,,Remote e/m est. pt 40mins,A,,2.11,0.00,,0.00,,0.21,2.32,2.32,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
16,000G9490,,Cmmi mod home visit,A,,0.18,1.32,,1.32,NA,0.03,1.53,1.53,0,XXX,0.00,0.00,0.00,0,0,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
16,001G9497,,Rec inst no smoke day surg,M,,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
16,002G9498,,Abx reg prescribed,M,,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