HCPCS G0500: Endoscopy sedationMedicare rate & RVUs in Utah
Reports the initial moderate sedation service provided by the endoscopist during a qualifying GI endoscopy for a patient age five or older.
Medicare pays $62.64 for G0500 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 G0500 covers
G0500 represents the endoscopist’s moderate sedation service during a gastrointestinal endoscopy, such as colonoscopy or upper endoscopy. The physician or other qualified health care professional performing the endoscopy also provides the sedation, with an independent trained observer assisting in monitoring the patient’s consciousness and physiologic status. The service covers the initial 15 minutes of intra-service time for patients age five or older.
Report G0500 with the endoscopic procedure when the endoscopist provides qualifying moderate sedation; it is not the code for anesthesia furnished by a separate anesthesia professional. The record should support the sedation provided, the observer’s monitoring role, the patient’s age, and the intra-service time. For additional qualifying sedation time, 99153 may be reported for each additional 15-minute interval when supported. CMS assigns G0500 separate physician fee schedule values for office and facility settings, with different practice-expense values by setting.
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.
G0500 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | $62.64 | $5.18 |
How the G0500 rate is calculated
Each of G0500’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 · G0500
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.10Practice expense 1.86Malpractice 0.03
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for G0500
G0500 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 · G0500
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$66.47
The facility rate would be $5.34 (+$61.13). In a facility, the facility bills its own costs separately.
G0500 compared with similar codes
Compare codes
G0500 vs 99152 vs 99153: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 99152Moderate sedation
- G0500 is specific to moderate sedation furnished by the endoscopist during GI endoscopy. 99152 describes the initial service for other qualifying diagnostic or therapeutic procedures.
- 99153Moderate sedation
- G0500 covers the initial 15 minutes of qualifying GI endoscopy sedation. 99153 is used for each additional 15-minute interval when supported.
G0500 billing questions
When should G0500 be used instead of 99152?
Use G0500 for qualifying moderate sedation furnished by the endoscopist during GI endoscopy for a patient age five or older. 99152 applies to qualifying moderate sedation for other diagnostic or therapeutic services.
Can G0500 be reported with the endoscopy?
Yes. Report it with the GI endoscopic procedure when the endoscopist provides the moderate sedation service described by this code.
How much sedation time does G0500 cover?
G0500 covers the initial 15 minutes of intra-service time. For additional qualifying time, 99153 may be reported in 15-minute intervals when documented.
What documentation supports G0500?
Document the endoscopist’s moderate sedation service, intra-service time, the patient’s age, and the independent trained observer’s role in monitoring consciousness and physiologic status.
Does G0500 apply when a separate anesthesia professional provides sedation?
No. G0500 describes sedation furnished by the professional performing the GI endoscopy, rather than anesthesia furnished by a separate anesthesia professional.
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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