$52.68–$58.40
Choose G0541 for the initial 30 minutes of caregiver training without the patient present; G0542 reports additional 15-minute time.
On this page
CMS RVU26D · Effective 2026-10-01
G0542 Caregiver training Medicare reimbursement rates in Virginia
Reports additional time spent training a caregiver without the patient present, after the initial caregiver-training service has been provided. Compare G0542 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 G0542 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
$25.92–$28.45
2 of 2 localities have a supported rate.
Facility setting
$20.99–$22.55
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.
Caregiver training
About G0542: Caregiver training without patient, add-on time
Reports additional time spent training a caregiver without the patient present, after the initial caregiver-training service has been provided.
G0542 represents additional 15-minute time spent training a caregiver when the patient is not present. The clinician may teach practical strategies for supporting the patient’s function or care, such as safe transfers, mobility, or activities of daily living. The caregiver receives the instruction directly; the patient is absent during this portion of the service.
Report G0542 only with the primary caregiver-training service, typically G0541 for the initial 30 minutes without the patient present. Documentation should identify the caregiver, the training provided, the patient’s relevant needs, and the additional time spent. CMS treats G0542 as an add-on: it is billed only with a primary procedure and paid within that procedure’s global period.
CMS billing rules for G0542
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU0.54 · 69%
- Practice expense (office) RVU0.24 · 31%
- Malpractice RVU0.00 · 0%
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.
G0542 compared with similar codes
Office rates for Virginia, from the same CMS release.
$21.71–$24.99
G0543 describes group caregiver training without the patient present. G0542 is for additional time in an individual caregiver-training service.
Compare G0542 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
$28.45
Facility
$22.55
Virginia →
Office / nonfacility
$25.92
Facility
$20.99
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G0542 billing questions
Can G0542 be reported by itself?
No. It is an add-on code and must be billed with a primary procedure, typically G0541 for the initial caregiver-training service without the patient present.
How does G0542 differ from G0541?
G0541 represents the initial 30 minutes of caregiver training without the patient present. G0542 represents additional 15-minute time.
Can G0542 be used for group caregiver training?
No. G0542 represents additional training time for an individual caregiver service. G0543 is the group-training code for training without the patient present.
What should the note include?
Document the caregiver and the training delivered, connect the instruction to the patient’s care or functional needs, and record the additional time spent.
How does the global-period rule affect payment?
G0542 is paid within the global period of its primary procedure and cannot be billed as a standalone service.
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.
15,334G0539,,Initial care training 30 m,A,,1.00,0.58,,0.18,,0.01,1.59,1.19,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,335G0540,,Train for caregiver add 15,A,,0.54,0.24,,0.09,,0.00,0.78,0.63,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,336G0541,,No pt prsnt train initial 30,A,,1.00,0.58,,0.18,,0.01,1.59,1.19,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,337G0542,,No pt prsnt train add 15,A,,0.54,0.24,,0.09,,0.00,0.78,0.63,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,338G0543,,Group train w/o patient,A,,0.23,0.42,,0.04,,0.01,0.66,0.28,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,339G0544,,Post d/c phone follow up,A,,0.98,0.95,,0.24,,0.07,2.00,1.29,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,340G0545,,Inherent visit to inpt,A,,0.89,0.49,,0.25,,0.07,1.45,1.21,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00