HCPCS G0022: Community health integrationMedicare rate & RVUs in Utah
Reports each additional 30 minutes of monthly community health integration work addressing social needs that interfere with diagnosis or treatment, alongside the base service.
Medicare pays $52.20 for G0022 in the office in Utah (Utah). 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 G0022 covers
G0022 captures additional community health integration (CHI) work after the base monthly service. Trained auxiliary personnel, including community health workers, work under a physician’s or other qualified health care professional’s direction to address social needs that significantly limit diagnosis or treatment. Activities may include helping a patient navigate resources for food, housing, or transportation and coordinating access to needed community services.
The code represents each additional 30 minutes in the calendar month beyond the base CHI time reported with G0019. It is an add-on and is not reported by itself. Documentation should identify the relevant social needs, describe the navigation or coordination activities, and support the additional time with dated records. CMS treats the add-on as paid within the primary procedure’s global period.
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.
G0022 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | $52.20 | $30.22 |
How the G0022 rate is calculated
Each of G0022’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 · G0022
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.70Practice expense 0.87Malpractice 0.05
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for G0022
The CMS indicators that decide how G0022 is paid alongside other services.
CMS payment indicators · G0022
Community health integration
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
G0022 compared with similar codes
Compare codes
G0022 vs G0019 vs G0023 vs G0024: national Medicare rates
Swap in your local Medicare rate.
How to choose
- G0019Community health integration
- G0019 reports the base monthly CHI service; G0022 reports additional 30-minute increments and must accompany the base service.
- G0023Illness navigation
- G0023 is the base monthly principal illness navigation service. G0022 adds time to CHI, which addresses social needs limiting diagnosis or treatment.
- G0024Illness navigation
- G0024 adds time to principal illness navigation reported with G0023. G0022 adds time to community health integration reported with G0019.
G0022 billing questions
Can G0022 be reported by itself?
No. G0022 is an add-on for additional CHI time and is reported with the base service, G0019.
How does G0022 differ from G0019?
G0019 reports the base monthly CHI service. G0022 reports each additional 30 minutes beyond that base time during the calendar month.
What needs support CHI reporting?
The work addresses social needs that significantly limit the ability to diagnose or treat the patient’s condition. Document the needs and how the navigation or coordination activities address them.
How should the additional time be documented?
Keep dated records of the CHI activities and the time spent by the personnel performing them. The records should support each additional 30-minute increment reported for the month.
Can G0022 be used for principal illness navigation time?
No. G0022 is for additional CHI time. Principal illness navigation uses G0023 for the base service and G0024 for additional time.
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
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