$17.72–$18.92
Both are 10-minute remote E/M tiers, but G9481 is for a new patient and G9486 is for an established patient.
On this page
CMS RVU26D · Effective 2026-10-01
G9486 Remote E/M Medicare reimbursement rates in Texas
Remote evaluation and management for an established patient at the 10-minute tier, used to report remote clinical assessment and management. Compare G9486 office and facility rates across CMS payment localities in Texas.
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 G9486 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
$17.72–$18.92
8 of 8 localities have a supported rate.
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.
Where G9486 pays more and less in Texas
8 payment localities
$17.72 to $18.92
Evaluation and management
About G9486: Established Patient Remote E/M, 10 Minutes
Remote evaluation and management for an established patient at the 10-minute tier, used to report remote clinical assessment and management.
A clinician uses this code for a remote evaluation and management service for someone already established with the practice, with the service assigned to the 10-minute tier. It describes clinical assessment and management conducted remotely, rather than a new-patient evaluation. The code can be relevant when an established patient receives remote attention for a current health concern, such as symptom follow-up or discussion of a treatment issue. The CMS descriptor identifies remote E/M but does not specify a particular communication platform or specialty.
Choose G9486 for the 10-minute established-patient tier, rather than a longer time tier or a new-patient tier. Documentation should support established-patient status, the clinical issue addressed, the remote service, and time consistent with the selected tier. CMS physician fee schedule data assigns work and malpractice RVUs and zero practice-expense RVUs in both office and facility settings; those inputs do not state a payment amount.
Where the value comes from
- Work RVU0.48 · 89%
- Practice expense (office) RVU0.00 · 0%
- Malpractice RVU0.06 · 11%
42
Medicare services in 2024 · #5474 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.
G9486 compared with similar codes
Office rates for Texas, from the same CMS release.
Compare G9486 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office $17.84 | Facility $17.84 |
| Beaumont | Office $17.89 | Facility $17.89 |
| Brazoria | Office $17.72 | Facility $17.72 |
| Dallas | Office $17.90 | Facility $17.90 |
| Fort Worth | Office $17.92 | Facility $17.92 |
| Galveston | Office $17.82 | Facility $17.82 |
| Houston | Office $18.92 | Facility $18.92 |
| Rest Of Texas | Office $17.84 | Facility $17.84 |
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
G9486 billing questions
How does G9486 differ from G9487?
Both describe remote E/M for established patients. G9486 is the 10-minute tier; G9487 is the 15-minute tier.
Can G9486 be used for a new patient?
No. G9486 is designated for an established patient; G9481 is the 10-minute remote E/M code for a new patient.
What should the record support?
Document the established-patient relationship, the clinical issue assessed or managed remotely, and the time supporting the 10-minute tier.
Does the descriptor specify whether the service is by phone or video?
No communication platform is specified in the CMS descriptor. The record should identify the remote service performed.
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.
15,993G9483,,Remote e/m new pt 30mins,A,,1.42,0.00,,0.00,,0.16,1.58,1.58,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,994G9484,,Remote e/m new pt 45mins,A,,2.43,0.00,,0.00,,0.24,2.67,2.67,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,995G9485,,Remote e/m new pt 60mins,A,,3.17,0.00,,0.00,,0.36,3.53,3.53,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,996G9486,,Remote e/m est. pt 10mins,A,,0.48,0.00,,0.00,,0.06,0.54,0.54,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,997G9487,,Remote e/m est. pt 15mins,A,,0.97,0.00,,0.00,,0.09,1.06,1.06,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,998G9488,,Remote e/m est. pt 25mins,A,,1.50,0.00,,0.00,,0.14,1.64,1.64,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,999G9489,,Remote e/m est. pt 40mins,A,,2.11,0.00,,0.00,,0.21,2.32,2.32,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00