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HCPCS G9488 Fee Schedule

Medicare rates as of October 2026

HCPCS G9488 is classified under Procedures / Professional Services, in the Additional Assorted Quality Measures subgroup.

Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the following 3 key components: a detailed history; a detailed examination; medical decision making of moderate complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 25 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology
Key FactDetail
Service Type

Procedures / Professional Services

Additional Assorted Quality Measures

Medicare Fee Schedule$54.78 national non-facility rate (2026)View Medicare rates for G9488
Medicaid Fee Schedule$51.24 median of the 3 states in the free previewView Medicaid rates for G9488

National average reimbursement for HCPCS G9488 by major payers:

BCBS / Anthem logo

$77.81

BCBS / Anthem

UnitedHealthcare logo

$71.14

UnitedHealthcare

Aetna logo

$54.03

Aetna

Cigna logo

$57.25

Cigna

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS G9488.

HCPCS G9488
5 of 25 sample ratesHigher to lower in this preview
  1. Arthur M. Blank Hospital, Inc., Arthur M. Blank Hospital

    Childrens Healthcare Of Atlanta Inc

    GAChildren's HospitalNPI 1689744450Tax ID 58-2147112

    $192.27Published rate
  2. Christopher Raio

    St Joseph Hospital

    NYEmergency Medicine PhysicianNPI 1255478004Tax ID 11-3438973

    $85.63Published rate
  3. Julie Webster

    Musc Community Physicians

    SCBody Imaging PhysicianNPI 1396769964Tax ID 85-3861695

    $74.76Published rate
  4. Texas Radiology Associates LLP

    Texas Radiology Associates, LLP

    HIDiagnostic Radiology PhysicianNPI 1083990717Tax ID 75-1459885

    $63.36Published rate
  5. Miguel Arenas

    Miguel A Arenas Md PC

    AZGastroenterology PhysicianNPI 1619087590Tax ID 30-0394179

    $46.68Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS G9488 vs. Other Additional Assorted Quality Measures Codes

The table lists codes related to G9488. Select one to see its fee schedule.

CodeDescription
G9487-HCPCSRemote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the following 3 key components: an expanded problem focused history; an expanded problem focused examination; medical decision making of low complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of low to moderate severity. typically, 15 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology
G9488-HCPCSRemote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the following 3 key components: a detailed history; a detailed examination; medical decision making of moderate complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 25 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology
G9489-HCPCSRemote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the following 3 key components: a comprehensive history; a comprehensive examination; medical decision making of high complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 40 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G9488. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the G9488 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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