$85.21
G0140 represents the initial 60 minutes of monthly peer navigation; G0146 adds each further 30 minutes and is not reported alone.
On this page
CMS RVU26D · Effective 2026-10-01
G0146 Peer navigation Medicare reimbursement rates in New Mexico
Reports each additional 30 minutes of clinician-directed peer navigation in a calendar month for a patient with a serious, high-risk illness. Compare G0146 office and facility rates across CMS payment localities in New Mexico.
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 G0146 in New Mexico?
New Mexico 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
$51.33
1 of 1 localities have a supported rate.
Payment area: New Mexico
One mapped payment locality.
Facility setting
$30.19
1 of 1 localities have a supported rate.
Payment area: New Mexico
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.
Care navigation
About G0146: Additional peer illness navigation time
Reports each additional 30 minutes of clinician-directed peer navigation in a calendar month for a patient with a serious, high-risk illness.
G0146 covers additional time spent providing principal illness navigation through peer support. A physician or other qualified health care professional directs the service, which is delivered by certified or trained auxiliary personnel. It supports patients with a serious, high-risk illness, such as a condition that threatens hospitalization, functional decline, or death. Peer navigators help the patient engage with the care plan and address barriers to care; the work may involve direct patient contact and coordination related to the illness.
Report G0146 for each additional 30 minutes of qualifying peer-navigation service in the calendar month, after the primary service represented by G0140. It is an add-on and cannot be billed alone; CMS pays it within the primary procedure's global period. Documentation should identify the patient's illness-related navigation needs, the peer-support work performed, the personnel providing it, and the time attributable to the additional service. The record should also support the relationship of the work to the patient's care plan.
CMS billing rules for G0146
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU0.70 · 44%
- Practice expense (office) RVU0.86 · 54%
- Malpractice RVU0.04 · 3%
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.
G0146 compared with similar codes
Office rates for New Mexico, from the same CMS release.
$52.34
G0024 reports additional time for principal illness navigation without the peer-support designation. Use G0146 for additional time furnished as peer support.
$83.38
G0023 is the primary principal illness navigation service without the peer-support designation. G0146 is an add-on for additional peer-navigation time, paired with G0140.
Compare G0146 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
New Mexico →
Office / nonfacility
$51.33
Facility
$30.19
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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 G0146 in New Mexico.
PPRRVU2026_Oct_nonQPP.csv
15,111
- Code
- G0146
- Physician work
- 0.70
- Practice expense
- 0.86
- Malpractice
- 0.04
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.70 | × 1.000 | 0.7000 |
| Practice expense | 0.86 | × 0.917 | 0.7886 |
| Malpractice | 0.04 | × 1.201 | 0.0480 |
| Total RVUs | 1.5367 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, New Mexico$51.33
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.7 | 1 |
| Practice expense | 0.86 | 0.917 |
| Malpractice | 0.04 | 1.201 |
(0.7 × 1 + 0.86 × 0.917 + 0.04 × 1.201) × $33.4009 = $51.33
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.7 | 1 |
| Practice expense | 0.17 | 0.917 |
| Malpractice | 0.04 | 1.201 |
(0.7 × 1 + 0.17 × 0.917 + 0.04 × 1.201) × $33.4009 = $30.19
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.
G0146 billing questions
Can G0146 be billed by itself?
No. It is an add-on for additional peer-navigation time and must be billed with the primary service, G0140.
How does G0146 differ from G0140?
G0140 represents the initial 60 minutes of monthly peer navigation. G0146 reports each additional 30 minutes in that calendar month.
Is G0146 used for non-peer principal illness navigation?
No. G0146 is for additional navigation delivered through peer support; G0024 is the additional-time code for principal illness navigation services without the peer-support designation.
What time should the record support?
Document the additional peer-navigation time furnished during the calendar month, along with the work performed and its connection to the patient's care plan.
What should the documentation say about the patient?
It should describe the serious, high-risk illness and the patient's navigation needs, and identify the peer-support activities performed by the auxiliary personnel under clinician direction.
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.
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15,114G0151,,"Hhcp-serv of pt,ea 15 min",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
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
7704212,NM,05,NEW MEXICO,1.000,0.917,1.201
7813202,NY,01,MANHATTAN,1.064,1.162,1.586
7913202,NY,02,NYC SUBURBS/LONG ISLAND,1.064,1.189,1.857
8013202,NY,03,POUGHKPSIE/N NYC SUBURBS,1.045,1.095,1.210