$83.48
G3002 is the primary chronic pain management service; G3003 reports additional 15-minute increments and cannot stand alone.
On this page
CMS RVU26D · Effective 2026-10-01
G3003 Pain management Medicare reimbursement rates in West Virginia
Reports each additional 15 minutes of structured chronic pain management after the initial monthly service for a patient receiving ongoing, coordinated pain care. Compare G3003 office and facility rates across CMS payment localities in West 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 G3003 in West Virginia?
West Virginia has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$30.70
1 of 1 localities have a supported rate.
Payment area: West Virginia
One mapped payment locality.
Facility setting
$22.86
1 of 1 localities have a supported rate.
Payment area: West Virginia
One mapped payment locality.
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.
Chronic pain management
About G3003: Additional chronic pain management time
Reports each additional 15 minutes of structured chronic pain management after the initial monthly service for a patient receiving ongoing, coordinated pain care.
G3003 represents additional clinician time spent managing a patient’s chronic pain after the initial service. A physician or other qualified health care professional may use this time to review pain and treatment progress, update the person-centered care plan, manage medications, address pain-related needs, and coordinate relevant behavioral health, therapy, or community-based services. The work is part of ongoing chronic pain care rather than a stand-alone procedure.
Report G3003 only with the primary chronic pain management service, G3002, for additional 15-minute increments. Documentation should identify the chronic pain management work performed and support the additional time reported. CMS classifies G3003 as an add-on code: it is billed with the primary service and paid within that service’s global period.
CMS billing rules for G3003
- 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 RVU0.50 · 53%
- Practice expense (office) RVU0.40 · 42%
- Malpractice RVU0.05 · 5%
33.4K
Medicare services in 2024 · #936 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.
G3003 compared with similar codes
Office rates for West Virginia, from the same CMS release.
$47.83
99439 is additional time for general chronic care management. G3003 is tied specifically to the chronic pain management service reported with G3002.
Compare G3003 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.
1 of 1 payment localities
West Virginia →
Office / nonfacility
$30.70
Facility
$22.86
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for G3003 in West Virginia.
PPRRVU2026_Oct_nonQPP.csv
15,536
- Code
- G3003
- Physician work
- 0.50
- Practice expense
- 0.40
- Malpractice
- 0.05
GPCI2026.csv
110
- Locality
- West Virginia
- Physician work
- 1.000
- Practice expense
- 0.869
- Malpractice
- 1.431
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.50 | × 1.000 | 0.5000 |
| Practice expense | 0.40 | × 0.869 | 0.3476 |
| Malpractice | 0.05 | × 1.431 | 0.0716 |
| Total RVUs | 0.9192 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, West Virginia$30.70
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.5 | 1 |
| Practice expense | 0.4 | 0.869 |
| Malpractice | 0.05 | 1.431 |
(0.5 × 1 + 0.4 × 0.869 + 0.05 × 1.431) × $33.4009 = $30.70
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.5 | 1 |
| Practice expense | 0.13 | 0.869 |
| Malpractice | 0.05 | 1.431 |
(0.5 × 1 + 0.13 × 0.869 + 0.05 × 1.431) × $33.4009 = $22.86
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
G3003 billing questions
When should G3003 be reported instead of G3002?
G3002 represents the initial chronic pain management service. G3003 is for additional 15-minute increments and is reported only with G3002.
What should the record support for G3003?
Document the additional time and the chronic pain management work performed, such as care-plan updates, medication management, or coordination of related services.
Can G3003 be billed by itself?
No. It is an add-on code and must be billed with the primary service, G3002.
How many units of G3003 should be reported?
Report units for the additional 15-minute increments supported by the documented chronic pain management 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 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.
15,533G2251,,"Brief chkin, 5-10, non-e/m",A,,0.25,0.16,,0.06,,0.01,0.42,0.32,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,534G2252,,"Brief chkin by md/qhp, 11-20",A,,0.50,0.31,,0.13,,0.04,0.85,0.67,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,535G3002,,Chronic pain mgmt 30 mins,A,,1.45,1.01,,0.36,,0.12,2.58,1.93,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,536G3003,,Chronic pain mgmt addl 15m,A,,0.50,0.40,,0.13,,0.05,0.95,0.68,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,537G4000,,Dermatology ss,M,,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
15,538G4001,,Diagnostic rad ss,M,,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
15,539G4002,,Ep cardio ss,M,,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
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,