HCPCS G9980: Remote E/MMedicare rate & RVUs in Utah

Reports a remote evaluation and management service for a new patient at the 30-minute level, selected when the documented encounter supports this time tier.

CMS RVU26DEffective Oct 1, 20261 payment locality

Medicare pays $107.49 for G9980 in the office in Utah (Utah). Which amount applies depends on the service address.

$107.49Office (non-facility)
$64.16Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open G9980 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Utah
  2. What G9980 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What G9980 covers

G9980 identifies a remote evaluation and management encounter for a new patient at the 30-minute level. A physician or other qualified health care professional may use it to assess a patient remotely, review relevant history, address the presenting concern, and make a care plan. The clinical work might include discussing new symptoms, reviewing available records, and deciding whether further evaluation or treatment is needed.

Select this code when the patient meets the applicable new-patient criteria and the documented service supports the 30-minute tier. The note should establish the remote nature of the encounter, the clinical assessment and plan, and the time basis for code selection. CMS assigns work, practice expense, and malpractice RVUs to the service, with separate office and facility practice-expense values. The supplied CMS payment facts do not specify additional payment adjustments for this code.

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.

G9980 in Utah

G9980 office and facility rates by payment locality
Payment localityOfficeFacility
Utah$107.49$64.16

How the G9980 rate is calculated

Each of G9980’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 · G9980

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 1.42Practice expense 1.76Malpractice 0.16

3.3400 adjusted RVUs×$33.4009 conversion factor=$111.56

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for G9980

G9980 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 · G9980

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

Non-facility (office) rate · national

$111.56

The facility rate would be $65.47 (+$46.09). In a facility, the facility bills its own costs separately.

G9980 compared with similar codes

Compare codes

G9980 vs G9979 vs G9981 vs G9983: national Medicare rates

Swap in your local Medicare rate.

  • G9980
    Remote E/M · 1.42 wRVU
    $111.56
  • G9979
    Remote E/M · 0.93 wRVU
    $75.15−$36.41
  • G9981
    Remote E/M · 2.43 wRVU
    $171.68+$60.12
  • G9983
    Remote E/M · 0.48 wRVU
    $52.11−$59.45

How to choose

G9979Remote E/M
Both are remote E/M services for new patients. G9979 identifies the 20-minute tier; G9980 identifies the 30-minute tier.
G9981Remote E/M
Both are remote E/M services for new patients. G9981 is the 45-minute tier, rather than G9980's 30-minute tier.
G9983Remote E/M
G9983 is for an established patient at the 10-minute tier. G9980 is for a new patient at the 30-minute tier.

G9980 billing questions

How does G9980 differ from G9979?

Both describe remote E/M for a new patient; G9979 is the 20-minute tier, while G9980 is the 30-minute tier. Choose the tier supported by the encounter documentation.

Can G9980 be used for an established patient?

No. G9980 is designated for a new patient; the G9983–G9986 codes describe remote E/M tiers for established patients.

What should the note support?

Document the remote encounter, the patient's presenting concern, the assessment and plan, new-patient status, and the time basis for selecting the 30-minute tier.

Is G9980 reported in multiple units?

The descriptor identifies a 30-minute E/M tier, not a per-unit service. Use the code for the documented encounter at that tier rather than multiplying it by elapsed 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

Show the CMS file lines behind this rate
RVUs for G9980PPRRVU2026_Oct_nonQPP.csv, line 16,302 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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