HCPCS G9489: Remote E/MMedicare rate & RVUs in Oregon
G9489 identifies a 40-minute remote evaluation and management service for an established patient, distinct from the shorter established-patient time levels.
Medicare pays $75.41–$76.82 for G9489 in the office in Oregon, from Rest Of Oregon to Portland. 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 G9489 covers
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.
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.
Where G9489 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | $76.82 | $76.82 |
| Rest Of Oregon | $75.41 | $75.41 |
How the G9489 rate is calculated
Each of G9489’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 · G9489
RVUs × geographic indexes × conversion factor
Work2.11
2.11 RVUs× 1.000 GPCI
Practice expense0.00
0.00 RVUs× 1.000 GPCI
Malpractice0.21
0.21 RVUs× 1.000 GPCI
Adjusted RVUs
2.3200
Conversion factor
$33.4009
Medicare rate
$77.49
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for G9489
G9489 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 · G9489
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$77.49
- Non-facility (office)
- $77.49
- Facility
- $77.49
Higher because the practice carries its own overhead.
G9489 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- G9488Remote E/M
- G9488 is the 25-minute remote E/M level for an established patient; G9489 is the 40-minute level.
- G9487Remote E/M
- G9487 covers the 15-minute established-patient remote E/M level, rather than G9489’s 40-minute level.
- G9484Remote E/M
- G9484 is for a new patient at the 45-minute level. G9489 is for an established patient at the 40-minute level.
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 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
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