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See a sample rate comparisonHCPCS G2025 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Care Management Services |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for G2025 |
National average reimbursement for HCPCS G2025 by major payers:
$103.88
$111.50
$104.63
$122.25
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HCPCS G2025
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$245.63Published rateNorthside Hospital, Inc., Northside Hospital Duluth
$145.66Published rateTy Cobb Healthcare System, Cobb Memorial Hospital
Community Services Group Inc
$115.52Published rateSouthern Regional Medical Corporation, Leonard J. Chabert Medical Center
$94.44Published rateCarolina Radiology Associates LLC
Carolina Radiology Associates, LLC
$74.91Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G2025 vs. Other Care Management Services Codes
The HCPCS G2025 code is part of the Procedures / Professional Services services used for Care Management Services. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS G2025 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| G2022-HCPCS | Low | A model participant (ambulance supplier/provider), the beneficiary refuses services covered under the model (transport to an alternate destination/treatment in place) |
| G2025-HCPCS | Low | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G2025. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G2025 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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