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Describe a service in plain words, or type a CPT/HCPCS code.

Medicare expected-payment calculator

Enter a code, ZIP and date of service to get the allowed amount, what Medicare pays, and the CMS file and row behind each figure.

Claim details

CPT / HCPCS code
Service location
ZIP
Locality

Enter a service ZIP or select a locality for carrier pricing.

Date of service
Date of service
CMS release

CMS release: 2026 D

Place of service
Physician participation Participating Nonparticipating
Modifiers: None
Supplied modifier

Select a supplied modifier. Click it again to remove it.

Code does not support a professional/technical split (PCTC indicator 0).
Code does not support a professional/technical split (PCTC indicator 0).
Bilateral adjustment does not apply to this code (indicator 0).
Payable only if supporting documentation establishing the medical necessity of an assistant at surgery is submitted.
Payable only if supporting documentation establishing the medical necessity of an assistant at surgery is submitted.
Payable only if supporting documentation establishing the medical necessity of an assistant at surgery is submitted.
Payable only if supporting documentation establishing the medical necessity of an assistant at surgery is submitted.
Co-surgeon is not permitted for this code.
Team surgery is not permitted for this code.

Single-line modifiers only. Pricing -51? Use the MPPR calculator.

Payment answer

No national PFS rate for G0340

CMS marks this service status C: the Medicare Administrative Contractor (MAC) sets the amount. Carrier-priced codes require a specific Medicare locality. Select one below; there is no national MAC amount.

The available evidence does not establish a $0 allowance. Release 2026 D · status C (Carrier-priced)

Your Medicare Administrative Contractor prices this code case by case, usually after reviewing documentation.

View the CMS evidence
Code
G0340
DOS
Not supplied
Locality
National (GPCI 1.000)
Service ZIP
Not supplied
Setting
Office (non-facility)
Participation
Participating provider
Modifiers
None
Units
1
Release
Q4 2026, revision 2
Sequestration
Shown separately from the allowed amount

Carrier-priced codes require a specific Medicare locality. Select one below; there is no national MAC amount.

Citations

  • Establishes the PFS status of the base code.

    Physician relative value file (PPRRVU)CMS RVU26DOctober 1 – December 31, 2026revision 2

    This status record alone does not establish an allowed amount or a coverage determination.

    PPRRVU2026_Oct_nonQPP.csv row 15,207 in rvu26d-updated-08-26-2026.zip

    In the CMS file

    Loading rows 15,205–15,209 of PPRRVU2026_Oct_nonQPP.csv…

    Download rvu26d-updated-08-26-2026.zip from CMS File fingerprint 4d0d3f19bd954ffc0f5b8439169d267da023d4f6911f4539bb6e98723cb1a626

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