HCPCS G9986: Remote E/MMedicare rate & RVUs in Nebraska
Reports a 40-minute remote evaluation and management service for an established patient, selected by patient status and documented time.
Medicare pays $157.91 for G9986 in the office in Nebraska (Nebraska). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What G9986 covers
G9986 identifies a remote evaluation and management service for an established patient in the 40-minute category. It is distinct from the remote E/M codes for new patients and from shorter-duration established-patient categories. The descriptor identifies the service as remote but does not specify a particular communication modality or clinical specialty.
Select the code based on established-patient status and documentation supporting the 40-minute category. The record should describe the remote E/M work and the time supporting code selection. CMS assigns work, practice-expense, and malpractice RVUs to the code. The 2024 CMS utilization data show zero office services and zero facility services for G9986; that utilization figure does not describe an individual claim’s adjudication.
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.
G9986 in Nebraska
| Payment locality | Office | Facility |
|---|---|---|
| Nebraska | $157.91 | $96.25 |
How the G9986 rate is calculated
Each of G9986’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · G9986
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.11Practice expense 2.75Malpractice 0.21
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for G9986
G9986 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · G9986
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$169.34
The facility rate would be $102.54 (+$66.80). In a facility, the facility bills its own costs separately.
G9986 compared with similar codes
Compare codes
G9986 vs G9985 vs G9984 vs G9981: national Medicare rates
Swap in your local Medicare rate.
How to choose
- G9985Remote E/M
- Use G9985 for the established-patient remote E/M category identified as 25 minutes; G9986 identifies the 40-minute category.
- G9984Remote E/M
- G9984 is the 15-minute remote E/M category for an established patient. G9986 is the 40-minute category.
- G9981Remote E/M
- G9981 is for a new patient in the 45-minute remote E/M category. G9986 is for an established patient in the 40-minute category.
G9986 billing questions
How does G9986 differ from G9985?
Both are remote E/M categories for established patients. G9985 is the 25-minute category; G9986 is the 40-minute category.
Does remote mean telephone-only?
The CMS short descriptor identifies a remote E/M service but does not specify the communication modality.
What should the record support?
Document established-patient status, the remote E/M work performed, and time supporting selection of the 40-minute category.
Is G9986 for a new patient?
No. G9986 is for an established patient; the remote E/M family has separate codes for new-patient 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets
Put G9986 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →