HCPCS G9488: Remote E/MMedicare rate & RVUs in Washington
Reports a 25-minute remote evaluation and management service for an established patient receiving ongoing care from a physician or other qualified health care professional.
Medicare pays $54.31–$56.43 for G9488 in the office in Washington, from Rest Of Washington to Seattle (King Cnty). 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 G9488 covers
G9488 represents a remote evaluation and management service for a patient already established with the clinician, at the 25-minute level. A physician or other qualified health care professional uses the encounter to assess the patient's current concern, review relevant clinical information, and make or update a management plan. It fits ongoing care when the clinician can address the issue remotely, rather than requiring an in-person assessment.
Select this code based on established-patient status and the documented time level, not the new-patient remote E/M levels. The record should identify the concern, relevant history or records reviewed, assessment, management decisions, and time attributable to the remote E/M work. CMS fee schedule valuation is concentrated in physician work, with no office or facility practice-expense RVUs.
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.
Where G9488 pays more and less in Washington
| Payment locality | Office | Facility |
|---|---|---|
| Rest Of Washington | $54.31 | $54.31 |
| Seattle (King Cnty) | $56.43 | $56.43 |
How the G9488 rate is calculated
Each of G9488’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 · G9488
RVUs × geographic indexes × conversion factor
Work1.50
1.50 RVUs× 1.000 GPCI
Practice expense0.00
0.00 RVUs× 1.000 GPCI
Malpractice0.14
0.14 RVUs× 1.000 GPCI
Adjusted RVUs
1.6400
Conversion factor
$33.4009
Medicare rate
$54.78
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for G9488
G9488 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 · G9488
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$54.78
- Non-facility (office)
- $54.78
- Facility
- $54.78
Higher because the practice carries its own overhead.
G9488 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- G9487Remote E/M
- Both describe remote E/M for established patients; G9487 is the 15-minute level, while G9488 is labeled 25 minutes.
- G9489Remote E/M
- Both are established-patient remote E/M levels. G9489 is labeled 40 minutes, compared with 25 minutes for G9488.
- G9483Remote E/M
- G9483 is for a new patient and is labeled 30 minutes. G9488 is for an established patient and is labeled 25 minutes.
G9488 billing questions
Can G9488 be reported for a new patient?
No. G9488 is for an established patient; the G9481-G9485 codes describe the new-patient remote E/M levels.
How does G9488 differ from G9487 or G9489?
These are established-patient remote E/M time levels. G9487 is labeled 15 minutes, G9488 25 minutes, and G9489 40 minutes.
What should the note support?
Document established-patient status, the reason for the remote service, the evaluation and management performed, and the time supporting the 25-minute level.
Does G9488 include a professional or technical component?
The CMS facts provide no professional/technical component split for G9488. Its fee schedule valuation is concentrated in physician work.
Can G9488 be billed with another remote E/M time level for the same service?
The G9486-G9489 codes are different established-patient time levels. Choose the level supported by the service documentation rather than reporting multiple levels for the same work.
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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