HCPCS G3002: Chronic pain managementMedicare rate & RVUs in Utah
Report G3002 for a physician or qualified health professional’s monthly, 30-minute chronic pain management service, including assessment and coordinated treatment planning.
Medicare pays $83.74 for G3002 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 G3002 covers
G3002 covers a monthly, pain-focused package of care for a patient with chronic pain. A physician or other qualified health professional may assess and monitor the pain, use a validated pain rating tool, develop or adjust a patient-centered care plan, manage treatment and medications, and coordinate related behavioral health or other care. Examples include ongoing management of persistent low back pain, neuropathic pain, or chronic pain associated with osteoarthritis. The work may take place in an office or other setting where the practitioner provides the service.
Report G3002 when the practitioner personally spends at least 30 minutes on qualifying chronic pain management and treatment during the calendar month. Documentation should support the time and describe the pain-related assessment, care planning, treatment management, or coordination performed. The monthly package includes activities such as pain assessment, medication management, pain and health literacy, and care coordination; do not count the same work again as a separate service. G3003 is used for qualifying additional time beyond the initial 30 minutes.
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.
G3002 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | $83.74 | $63.33 |
How the G3002 rate is calculated
Each of G3002’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 · G3002
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.45Practice expense 1.01Malpractice 0.12
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for G3002
G3002 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 · G3002
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$86.17
The facility rate would be $64.46 (+$21.71). In a facility, the facility bills its own costs separately.
G3002 compared with similar codes
Compare codes
G3002 vs G3003 vs 99490 vs 99214: national Medicare rates
Swap in your local Medicare rate.
How to choose
- G3003Pain management
- G3002 covers the initial 30 minutes in the month; G3003 accounts for each additional 15 minutes and is reported with G3002.
- 99490Chronic care management
- 99490 describes chronic care management for qualifying chronic conditions, while G3002 packages management and coordination specifically focused on chronic pain.
- 99214Office visit
- 99214 is an office E/M service selected by the documented visit work; G3002 accounts for monthly chronic pain management activities and qualifying time.
G3002 billing questions
When should G3002 be selected instead of G3003?
G3002 represents the initial 30 minutes of qualifying chronic pain management during the calendar month. G3003 is for each additional 15 minutes and is reported with G3002.
What documentation supports G3002?
Record the time personally spent by the physician or qualified health professional during the month and the chronic pain work performed, such as assessment, care-plan adjustment, medication management, or care coordination.
Can clinical staff time count toward G3002?
The 30-minute requirement is based on time personally spent by the physician or other qualified health professional. Do not use clinical staff time to meet that requirement.
Are pain assessment and care coordination separately reported?
Pain rating, treatment planning, medication management, and related care coordination are part of the G3002 monthly package. A separate service requires distinct work beyond the activities included in that package.
Can an office E/M service be reported in the same encounter?
A separately identifiable E/M service may be reported when it is performed and documented apart from the monthly chronic pain management work. Do not count the same work or time toward both services.
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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