No office rate
G0425 is the lower-level emergency department or initial inpatient telehealth consultation, typically associated with 30 minutes; G0427 is the highest level, typically associated with 70 minutes.
On this page
CMS RVU26D · Effective 2026-10-01
G0427 Telehealth consult Medicare reimbursement rates in Virginia
Report G0427 for a high-level telehealth consultation with a patient in an emergency department or at the initial inpatient stage, typically lasting 70 minutes. Compare G0427 office and facility rates across CMS payment localities in Virginia.
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 G0427 in Virginia?
Virginia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$165.08–$181.71
2 of 2 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.
Telehealth consultation
About G0427: High-level inpatient or ED teleconsultation
Report G0427 for a high-level telehealth consultation with a patient in an emergency department or at the initial inpatient stage, typically lasting 70 minutes.
G0427 represents a high-level remote consultation for a patient in an emergency department or during the initial inpatient stage. A consulting physician or other qualified practitioner evaluates the patient by telehealth, reviews relevant records, and provides assessment and recommendations to the treating team. A common clinical situation is a remote specialist assessing a patient whose condition requires expertise not immediately available at the hospital, such as a neurologic emergency.
Select this level within the G0425–G0427 series when the documented consultation supports the highest service level, typically associated with 70 minutes. The record should describe the patient’s clinical problem, the consultant’s evaluation and decision-making, and the recommendations communicated to the treating team; document time when it supports the selected level. G0427 describes the consultation itself, rather than a later inpatient follow-up encounter.
Where the value comes from
- Work RVU3.86 · 77%
- Practice expense (office) RVU0.90 · 18%
- Malpractice RVU0.28 · 6%
31.5K
Medicare services in 2024 · #954 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.
G0427 compared with similar codes
Office rates for Virginia, from the same CMS release.
No office rate
G0426 represents the intermediate level in the same consultation series, typically associated with 50 minutes. Choose G0427 for the higher-level service typically associated with 70 minutes.
No office rate
G0406 describes an inpatient telehealth follow-up consultation. G0427 is for an emergency department or initial inpatient consultation, not a later follow-up.
Compare G0427 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.
2 of 2 payment localities
Dc + Md/Va Suburbs →
Office / nonfacility
Unavailable
Facility
$181.71
Virginia →
Office / nonfacility
Unavailable
Facility
$165.08
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G0427 billing questions
How does G0427 differ from G0425 and G0426?
All three describe telehealth consultations for emergency department or initial inpatient patients. G0427 is the highest level in this series and is typically associated with 70 minutes; G0425 and G0426 represent lower levels.
Does the record need to support 70 minutes?
The service is typically associated with 70 minutes. Document the consultation and its duration when time supports selection of G0427, along with the clinical assessment and recommendations.
Can G0427 describe an inpatient follow-up consultation?
G0427 is for an emergency department or initial inpatient consultation. Inpatient follow-up telehealth consultations are represented by a separate code series, including G0406 through G0408.
What documentation supports G0427?
Include the reason for the consultation, the consultant’s evaluation and clinical decision-making, relevant record review, and recommendations communicated to the treating team. Document time when it supports the selected level.
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.
15,251G0423,,Intens cardiac rehab no exer,A,,2.05,1.77,,1.77,,0.12,3.94,3.94,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,252G0425,,Inpt/ed teleconsult30,A,,1.92,0.41,NA,0.41,,0.19,2.52,2.52,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,253G0426,,Inpt/ed teleconsult50,A,,2.61,0.67,NA,0.67,,0.23,3.51,3.51,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,254G0427,,Inpt/ed teleconsult70,A,,3.86,0.90,NA,0.90,,0.28,5.04,5.04,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,255G0428,,Collagen meniscus implant,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
15,256G0429,,Dermal filler injection(s),A,,1.16,1.69,,0.39,,0.13,2.98,1.68,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,257G0432,,Eia hiv-1/hiv-2 screen,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00