No office rate
Both represent inpatient telehealth follow-up consultations. G0406 is the shorter service level; G0407 is typically 25 minutes.
On this page
CMS RVU26D · Effective 2026-10-01
G0407 Inpatient follow-up Medicare reimbursement rates in Nevada
Reports a physician’s subsequent inpatient telehealth consultation at the 25-minute level for reassessing a hospitalized patient after an earlier consultation. Compare G0407 office and facility rates across CMS payment localities in Nevada.
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 G0407 in Nevada?
Nevada 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
No supported rate
Facility setting
$63.14
1 of 1 localities have a supported rate.
Payment area: Nevada**
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.
Telehealth consultation
About G0407: Inpatient telehealth follow-up, 25 minutes
Reports a physician’s subsequent inpatient telehealth consultation at the 25-minute level for reassessing a hospitalized patient after an earlier consultation.
G0407 represents a physician’s follow-up consultation with a hospitalized patient by telehealth, at a service level typically involving about 25 minutes. A consulting physician, often a specialist, may reassess the patient’s course, review new clinical information, and discuss recommendations with the patient and inpatient team. The code is for a subsequent consultation, not the initial inpatient or emergency department teleconsultation.
Select this level when the documented follow-up service supports the 25-minute level. The record should establish that the encounter was a telehealth follow-up, describe the clinical reassessment and recommendations, and support the time associated with the service. CMS assigns the service a physician fee schedule valuation. The code represents the follow-up consultation as a service; document the work performed rather than treating each discussion or review as a separate unit.
Where the value comes from
- Work RVU1.39 · 73%
- Practice expense (office) RVU0.40 · 21%
- Malpractice RVU0.12 · 6%
26.5K
Medicare services in 2024 · #1022 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.
G0407 compared with similar codes
Office rates for Nevada, from the same CMS release.
No office rate
Both represent inpatient telehealth follow-up consultations. G0408 is the longer service level; G0407 is typically 25 minutes.
No office rate
G0425 is an initial inpatient or emergency department teleconsultation. G0407 is for a subsequent inpatient follow-up consultation.
Compare G0407 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
Nevada** →
Office / nonfacility
Unavailable
Facility
$63.14
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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 G0407 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
15,236
- Code
- G0407
- Physician work
- 1.39
- Practice expense
- 0.40
- Malpractice
- 0.12
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.39 | × 1.000 | 1.3900 |
| Practice expense | 0.40 | × 1.001 | 0.4004 |
| Malpractice | 0.12 | × 0.833 | 0.1000 |
| Total RVUs | 1.8904 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nevada**$63.14
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.39 | 1 |
| Practice expense | 0.4 | 1.001 |
| Malpractice | 0.12 | 0.833 |
(1.39 × 1 + 0.4 × 1.001 + 0.12 × 0.833) × $33.4009 = $63.14
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.
G0407 billing questions
When should G0407 be used instead of G0425, G0426, or G0427?
G0407 is for a follow-up inpatient telehealth consultation. G0425, G0426, and G0427 describe initial inpatient or emergency department teleconsultations at different service levels.
How does G0407 differ from G0406 and G0408?
These are follow-up inpatient telehealth consultation levels. G0406 is the shorter level, G0407 is typically 25 minutes, and G0408 is the longer level.
What documentation supports G0407?
Document the follow-up nature of the consultation, the patient’s clinical status and reassessment, recommendations, telehealth delivery, and time supporting this level.
Is G0407 reported in 25-minute units?
The code identifies a follow-up service level typically involving 25 minutes; it is not a code for each separate 25-minute increment.
Can G0407 represent the first inpatient telehealth consultation?
No. Use an initial inpatient or emergency department teleconsultation code when the service is the initial consultation; G0407 identifies follow-up care.
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.
15,233G0404,,Ekg tracing for initial prev,A,,0.00,0.20,,0.20,NA,0.01,0.21,0.21,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,234G0405,,Ekg interpret & report preve,A,,0.17,0.07,,0.07,,0.01,0.25,0.25,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,235G0406,,Inpt/tele follow up 15,A,,0.76,0.24,NA,0.24,,0.08,1.08,1.08,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,236G0407,,Inpt/tele follow up 25,A,,1.39,0.40,NA,0.40,,0.12,1.91,1.91,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,237G0408,,Inpt/tele follow up 35,A,,2.00,0.62,NA,0.62,,0.18,2.80,2.80,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,238G0409,,Corf related serv 15 mins ea,R,,0.00,0.71,,0.71,NA,0.01,0.72,0.72,9,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,239G0410,,Grp psych php/iop 45-50,X,,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
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097