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CMS RVU26D · Effective 2026-10-01

G9868 Asynchronous telehealth Medicare reimbursement rates in Nebraska

Reports a CMMI model-specific asynchronous telehealth service when the documented service time is less than 10 minutes. Compare G9868 office and facility rates across CMS payment localities in Nebraska.

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 G9868 in Nebraska?

Nebraska 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

$26.72

1 of 1 localities have a supported rate.

Payment area: Nebraska

One mapped payment locality.

Facility setting

$26.72

1 of 1 localities have a supported rate.

Payment area: Nebraska

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.

Find G9868 in your payment locality →

Telehealth

About G9868: CMMI asynchronous telehealth under 10 minutes

Reports a CMMI model-specific asynchronous telehealth service when the documented service time is less than 10 minutes.

G9868 identifies a short, asynchronous telehealth service reported under the applicable CMS Innovation Center model. The exchange is not a real-time visit: a clinician may review information sent digitally and respond later. It is distinct from a live telephone or video encounter and from longer asynchronous service levels in the same code series.

Select this code when the model’s reporting instructions call for the under-10-minute level and the record supports that duration. Documentation should identify the digital exchange, the clinician’s work, and the time spent. The CMS fee schedule file assigns 0.8 work RVU and zero practice-expense and malpractice RVUs. The supplied CMS facts do not specify additional payment or bundling instructions for this code.

Where the value comes from

  • Work RVU0.80 · 100%
  • Practice expense (office) RVU0.00 · 0%
  • Malpractice RVU0.00 · 0%

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.

G9868 compared with similar codes

Office rates for Nebraska, from the same CMS release.

G9869

Asynchronous telehealth

10–20 minutes

$35.74

Choose G9868 for a documented service under 10 minutes; G9869 describes the 10-to-20-minute level.

G9870

Asynchronous telehealth

More than 20 minutes

$44.76

G9870 is the over-20-minute level. G9868 is for a shorter asynchronous service under 10 minutes.

99421

Online E/M

5–10 minutes over seven days

$14.77

CPT 99421 describes online digital evaluation and management in a different reporting context; G9868 is a CMMI model-specific asynchronous telehealth code.

Compare G9868 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

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

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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 G9868 in Nebraska.

PPRRVU2026_Oct_nonQPP.csv

16,224

Code
G9868
Physician work
0.80
Practice expense
0.00
Malpractice
0.00

GPCI2026.csv

72

Locality
Nebraska
Physician work
1.000
Practice expense
0.923
Malpractice
0.378
Office / nonfacility calculation for G9868 in Nebraska
ComponentRVULocality factorAdjusted
Physician work0.80× 1.0000.8000
Practice expense0.00× 0.9230.0000
Malpractice0.00× 0.3780.0000
Total RVUs0.8000
Conversion factor× 33.4009

Office / nonfacility rate, Nebraska$26.72

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.81
Practice expense00.923
Malpractice00.378

(0.8 × 1 + 0 × 0.923 + 0 × 0.378) × $33.4009 = $26.72

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.81
Practice expense00.923
Malpractice00.378

(0.8 × 1 + 0 × 0.923 + 0 × 0.378) × $33.4009 = $26.72

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.

G9868 billing questions

How is G9868 distinguished from G9869?

G9868 is the under-10-minute level. G9869 is the next asynchronous telehealth time level, for 10 to 20 minutes.

Which code describes an asynchronous service over 20 minutes?

G9870 is the over-20-minute level in this CMMI asynchronous telehealth series.

Does this code describe a live phone or video visit?

No. It describes asynchronous work, such as reviewing digitally submitted information and responding later, rather than a real-time encounter.

What should the record support?

Document the asynchronous exchange, the clinician’s work, and a service time under 10 minutes, consistent with the applicable model’s reporting instructions.

What RVUs does the CMS file assign?

The supplied file lists 0.8 work RVU and zero practice-expense 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.

RVUs for G9868PPRRVU2026_Oct_nonQPP.csv, line 16,224 (RVU26D)
Geographic factors for NebraskaGPCI2026.csv, line 72 (RVU26D)