$18.54–$20.89
G0546 is the shorter consultation time tier; G0547 covers 11–20 minutes.
On this page
CMS RVU26D · Effective 2026-10-01
G0547 Interprofessional consult Medicare reimbursement rates in Virginia
Reports an interprofessional medical consultation conducted by phone, internet, or EHR when the consultant’s documented service time is 11–20 minutes. Compare G0547 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 G0547 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
$36.85–$41.41
2 of 2 localities have a supported rate.
Facility setting
$31.27–$34.72
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.
Consultation
About G0547: Interprofessional phone or EHR consultation
Reports an interprofessional medical consultation conducted by phone, internet, or EHR when the consultant’s documented service time is 11–20 minutes.
This service captures a consultant’s medical review and discussion with the treating clinician using telephone, internet, or the electronic health record, followed by advice for the patient’s care. It is typically performed by a physician or other qualified health care professional asked to provide specialty input when the treating clinician needs help interpreting findings, refining a diagnosis, or planning management. It is clinician-to-clinician consultation rather than a direct patient-facing telephone E/M service.
Choose G0547 when documented consultation time falls from 11 through 20 minutes; use a neighboring time tier when the recorded service time falls elsewhere. The record should identify the requesting and consulting clinicians, the clinical question, relevant record review, the consultant’s assessment and recommendations, communication back to the treating clinician, and the time spent. CMS assigns physician fee schedule relative values to this service. The code represents the interprofessional consultation, not a separate patient visit.
Where the value comes from
- Work RVU0.70 · 62%
- Practice expense (office) RVU0.36 · 32%
- Malpractice RVU0.07 · 6%
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.
G0547 compared with similar codes
Office rates for Virginia, from the same CMS release.
Compare G0547 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
$41.41
Facility
$34.72
Virginia →
Office / nonfacility
$36.85
Facility
$31.27
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
G0547 billing questions
How does G0547 differ from G0546?
The time tier distinguishes them: G0547 is for 11–20 minutes, while G0546 is the shorter neighboring tier. Select the code that matches the documented consultation time.
When should G0548 be used instead?
Use G0548 when the interprofessional consultation time falls in its longer 21–30-minute tier, rather than G0547’s 11–20-minute tier.
Is this a phone E/M service with the patient?
No. G0547 represents consultation between the consulting professional and the treating clinician, with recommendations communicated back to that clinician.
What documentation supports G0547?
Document the clinical question, clinicians involved, relevant record review, consultant’s assessment and recommendations, communication back to the treating clinician, and consultation time.
How is G0547 different from G0549?
Both are interprofessional phone, internet, or EHR consultation services, but G0549 is the longer time tier. Use G0547 for 11–20 minutes.
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.
15,339G0544,,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
15,341G0546,,Phone/internet ehr assess,A,,0.35,0.18,,0.09,,0.04,0.57,0.48,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,342G0547,,Phone/internet svs 11-20 m,A,,0.70,0.36,,0.19,,0.07,1.13,0.96,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,343G0548,,Phone/inter svs 21-30 m,A,,1.05,0.56,,0.29,,0.09,1.70,1.43,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,344G0549,,Phone/inter for treat>31m,A,,1.40,0.77,,0.38,,0.12,2.29,1.90,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,345G0550,,Phone/inter for dx/treat >5m,A,,0.70,0.30,,0.15,,0.05,1.05,0.90,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00