HCPCS G0500
National PFS baseline · Q3 2026
G0500 · Current Status A Medicare calculates a national payment amount for this code and pays it separately when the service is covered. Full definition →GPCIs 1.000 · Participating · Before sequestration
Find the locality-adjusted allowed amount
( Work0.10 × 1.000 + Practice exp.1.86 × 1.000 + Malpractice0.03 × 1.000 ) × Conv. factor$33.4009 = $66.47
( Work0.10 × 1.000 + Practice exp.0.03 × 1.000 + Malpractice0.03 × 1.000 ) × Conv. factor$33.4009 = $5.34
HCPCS Level II Nationally priced under PFS, using the RVU formula.
- Code
- G0500
- DOS
- Not selected; uses this release’s rates
- Locality
- National PFS baseline (GPCI 1.000)
- Setting
- Office (non-facility)
- Participation
- Participating
- Modifiers
- None
- Units
- 1
- Release
- Q3 2026, revision 1
- Sequestration
- Excluded
Citations
-
Supplies the RVUs and PFS status for this code and component.
Physician relative value file (PPRRVU)Q3 2026 · revision 1
Latest revision of this release
Release period: July 1 – September 30, 2026
Record details
PPRRVU2026_Jul_nonQPP.csv in rvu26c-updated-06-30-2026.zip (row 15,235)- hcpcs (col 1)
- G0500
- modifier (col 2)
- blank
- status_code (col 4)
- A
- work_rvu (col 6)
- 0.1
- pe_rvu_nonfacility (col 7)
- 1.86
- pe_rvu_facility (col 9)
- 0.03
- mp_rvu (col 11)
- 0.03
SHA-256: b7d197e73211ef6854c213c267d5fa9dec8df995db8e1ee7d44c0556ad7cee21
-
Supplies the dollar conversion factor used in the formula.
Physician relative value file (PPRRVU)Q3 2026 · revision 1
Latest revision of this release
Release period: July 1 – September 30, 2026
Record details
PPRRVU2026_Jul_nonQPP.csv in rvu26c-updated-06-30-2026.zip (row 11)- conversion_factor (col 26)
- 33.4009
SHA-256: b7d197e73211ef6854c213c267d5fa9dec8df995db8e1ee7d44c0556ad7cee21
- Code
- G0500
- DOS
- Not selected; uses this release’s rates
- Locality
- National PFS baseline (GPCI 1.000)
- Setting
- Facility
- Participation
- Participating
- Modifiers
- None
- Units
- 1
- Release
- Q3 2026, revision 1
- Sequestration
- Excluded
Citations
-
Supplies the RVUs and PFS status for this code and component.
Physician relative value file (PPRRVU)Q3 2026 · revision 1
Latest revision of this release
Release period: July 1 – September 30, 2026
Record details
PPRRVU2026_Jul_nonQPP.csv in rvu26c-updated-06-30-2026.zip (row 15,235)- hcpcs (col 1)
- G0500
- modifier (col 2)
- blank
- status_code (col 4)
- A
- work_rvu (col 6)
- 0.1
- pe_rvu_nonfacility (col 7)
- 1.86
- pe_rvu_facility (col 9)
- 0.03
- mp_rvu (col 11)
- 0.03
SHA-256: b7d197e73211ef6854c213c267d5fa9dec8df995db8e1ee7d44c0556ad7cee21
-
Supplies the dollar conversion factor used in the formula.
Physician relative value file (PPRRVU)Q3 2026 · revision 1
Latest revision of this release
Release period: July 1 – September 30, 2026
Record details
PPRRVU2026_Jul_nonQPP.csv in rvu26c-updated-06-30-2026.zip (row 11)- conversion_factor (col 26)
- 33.4009
SHA-256: b7d197e73211ef6854c213c267d5fa9dec8df995db8e1ee7d44c0556ad7cee21
The national PFS baseline is $66.47 for HCPCS G0500 in the Office (non-facility) setting and $5.34 in a facility under the Q3 2026 Physician Fee Schedule, effective July 2026. These are the national allowed amounts before locality (GPCI) adjustment; sequestration is excluded.
Calculation evidence
Why are the facility and non-facility amounts different?
Only the practice-expense RVU changes with the setting. For G0500 it's 1.86 RVUs in the Office (non-facility) setting versus 0.03 in a facility—the whole $61.13 gap between $66.47 and $5.34. In the Office (non-facility) setting the practice bears the overhead, so the allowed amount is higher; in a hospital or ASC the facility bills its own fee, so the professional amount is lower. See facility vs non-facility.
Sources: CMS Medicare Physician Fee Schedule Relative Value Files; CMS Practice Expense methodology (cms.gov).
About this code
Mod sedat endo service >5yrs
What could change this amount? Copy link
Here are the inputs and payment rules that apply to this code. Each link takes you to the detail below.
Service location and setting · Participation and payment shares
Other payment indicators (8)
Professional/technical component: Does not apply, Bilateral adjustment: Does not apply, Multiple-procedure reduction: Does not apply, Assistant/co-surgeon treatment: Does not apply, Global surgery: Does not apply, MUE behavior: Not determined, Other fee-schedule routing: Does not apply, Contractor pricing: Does not apply.
Why would a Medicare claim for G0500 be denied or paid less?
These come from CMS indicators on this page, not general billing advice.
- 340 codes form NCCI pairs with G0500 carrying modifier indicator 0—no NCCI-associated modifier bypasses the edit, so billed together on the same date of service, a line of the pair denies. See billing together
- 101 codes pair with G0500 under modifier indicator 1—separately payable only when an NCCI-associated modifier (59, or a more specific XE, XS, XP, or XU) is clinically appropriate and the documentation supports a distinct service; without one, a line of the pair denies. See billing together
Payer-specific coverage and documentation rules live outside these files, so a claim that clears every check here can still be denied on other grounds.
How location and RVUs set the amount Copy link
Rates by locality Copy link
The national baseline uses GPCI 1.000. These locality-adjusted allowed amounts use each payment locality's own GPCIs. Select a state to see its localities.
G0500 Office (non-facility) rate by metro area
Highest amount first. Each figure is that payment locality's own GPCI-adjusted allowed amount.
San Jose, CA
$93.69
Locality 01112-09
San Francisco, CA
$91.68
Locality 01112-05
Seattle, WA
$80.55
Locality 02402-02
Long Island, NY
$79.28
Locality 13202-02
Boston, MA
$78.55
Locality 14212-01
Queens, NY
$78.43
Locality 13292-04
San Diego, CA
$78.29
Locality 01182-72
Show 55 more metros Show fewer metros
Washington, DC
$77.82
Locality 12202-01
Los Angeles, CA
$77.64
Locality 01182-18
Ventura County, CA
$77.49
Locality 01182-17
New York City, NY
$77.33
Locality 13202-01
Northern New Jersey, NJ
$76.69
Locality 12402-01
Sacramento, CA
$76.25
Locality 01112-63
Honolulu, HI
$74.56
Locality 01212-01
Portland, OR
$73.16
Locality 02302-01
Riverside, CA
$72.34
Locality 01112-62
Bakersfield, CA
$72.10
Locality 01112-54
Fresno, CA
$72.02
Locality 01112-56
Anchorage, AK
$71.73
Locality 02102-01
Hartford, CT
$71.53
Locality 13102-00
Baltimore, MD
$71.29
Locality 12302-01
Miami, FL
$70.55
Locality 09102-04
Denver, CO
$70.26
Locality 04112-01
Austin, TX
$69.96
Locality 04412-31
Philadelphia, PA
$69.27
Locality 12502-01
Suburban Chicago, IL
$68.94
Locality 06102-15
Providence, RI
$68.47
Locality 14412-01
Chicago, IL
$68.10
Locality 06102-16
Fort Lauderdale, FL
$68.09
Locality 09102-03
Atlanta, GA
$67.67
Locality 10212-01
Minneapolis, MN
$67.56
Locality 06202-00
Houston, TX
$66.44
Locality 04412-18
Las Vegas, NV
$66.36
Locality 01312-00
Dallas, TX
$66.11
Locality 04412-11
Portland, ME
$65.54
Locality 14112-03
Fort Worth, TX
$65.50
Locality 04412-28
Richmond, VA
$65.12
Locality 11302-00
Detroit, MI
$64.98
Locality 08202-01
Phoenix, AZ
$64.40
Locality 03102-00
Tampa, FL
$64.24
Locality 09102-99
St. Louis, MO
$63.49
Locality 05302-01
San Antonio, TX
$63.20
Locality 04412-99
Milwaukee, WI
$63.17
Locality 06302-00
Buffalo, NY
$63.06
Locality 13282-99
New Orleans, LA
$62.94
Locality 07202-01
Kansas City, MO
$62.66
Locality 05302-02
Salt Lake City, UT
$62.64
Locality 03502-09
Metro East, IL
$62.51
Locality 06102-12
Charlotte, NC
$61.94
Locality 11502-00
Charleston, SC
$61.60
Locality 11202-01
Albuquerque, NM
$61.51
Locality 04212-05
Indianapolis, IN
$61.42
Locality 08102-00
Pittsburgh, PA
$61.32
Locality 12502-99
Columbus, OH
$61.07
Locality 15202-00
Omaha, NE
$61.06
Locality 05402-00
Boise, ID
$60.97
Locality 02202-00
Des Moines, IA
$60.58
Locality 05102-00
Nashville, TN
$60.35
Locality 10312-35
Wichita, KS
$60.01
Locality 05202-00
Oklahoma City, OK
$59.60
Locality 04312-00
Louisville, KY
$59.49
Locality 15102-00
Birmingham, AL
$58.27
Locality 10112-00
G0500 facility rate by metro area
Highest amount first. Each figure is that payment locality's own GPCI-adjusted allowed amount.
Miami, FL
$6.92
Locality 09102-04
Chicago, IL
$6.67
Locality 06102-16
Anchorage, AK
$6.63
Locality 02102-01
Long Island, NY
$6.61
Locality 13202-02
New York City, NY
$6.31
Locality 13202-01
Metro East, IL
$6.28
Locality 06102-12
Queens, NY
$6.18
Locality 13292-04
Show 55 more metros Show fewer metros
Fort Lauderdale, FL
$6.17
Locality 09102-03
Suburban Chicago, IL
$6.17
Locality 06102-15
Detroit, MI
$6.00
Locality 08202-01
Washington, DC
$5.82
Locality 12202-01
Tampa, FL
$5.80
Locality 09102-99
Northern New Jersey, NJ
$5.78
Locality 12402-01
Houston, TX
$5.74
Locality 04412-18
Baltimore, MD
$5.71
Locality 12302-01
Hartford, CT
$5.70
Locality 13102-00
Philadelphia, PA
$5.64
Locality 12502-01
Atlanta, GA
$5.57
Locality 10212-01
Boston, MA
$5.57
Locality 14212-01
Seattle, WA
$5.56
Locality 02402-02
San Jose, CA
$5.55
Locality 01112-09
San Francisco, CA
$5.50
Locality 01112-05
Albuquerque, NM
$5.46
Locality 04212-05
New Orleans, LA
$5.42
Locality 07202-01
Riverside, CA
$5.35
Locality 01112-62
Los Angeles, CA
$5.33
Locality 01182-18
Providence, RI
$5.33
Locality 14412-01
St. Louis, MO
$5.30
Locality 05302-01
Austin, TX
$5.29
Locality 04412-31
Kansas City, MO
$5.26
Locality 05302-02
Columbus, OH
$5.26
Locality 15202-00
Portland, OR
$5.25
Locality 02302-01
Ventura County, CA
$5.24
Locality 01182-17
Denver, CO
$5.23
Locality 04112-01
Dallas, TX
$5.23
Locality 04412-11
Fort Worth, TX
$5.23
Locality 04412-28
Pittsburgh, PA
$5.21
Locality 12502-99
San Antonio, TX
$5.20
Locality 04412-99
San Diego, CA
$5.18
Locality 01182-72
Las Vegas, NV
$5.18
Locality 01312-00
Salt Lake City, UT
$5.18
Locality 03502-09
Phoenix, AZ
$5.17
Locality 03102-00
Sacramento, CA
$5.16
Locality 01112-63
Louisville, KY
$5.15
Locality 15102-00
Charleston, SC
$5.12
Locality 11202-01
Bakersfield, CA
$5.11
Locality 01112-54
Honolulu, HI
$5.06
Locality 01212-01
Fresno, CA
$5.03
Locality 01112-56
Richmond, VA
$5.03
Locality 11302-00
Oklahoma City, OK
$5.01
Locality 04312-00
Buffalo, NY
$5.00
Locality 13282-99
Portland, ME
$4.97
Locality 14112-03
Charlotte, NC
$4.92
Locality 11502-00
Nashville, TN
$4.79
Locality 10312-35
Birmingham, AL
$4.78
Locality 10112-00
Indianapolis, IN
$4.76
Locality 08102-00
Wichita, KS
$4.75
Locality 05202-00
Boise, ID
$4.74
Locality 02202-00
Minneapolis, MN
$4.67
Locality 06202-00
Des Moines, IA
$4.65
Locality 05102-00
Omaha, NE
$4.64
Locality 05402-00
Milwaukee, WI
$4.61
Locality 06302-00
Q3 2026 amounts, computed with each locality's own GPCIs, before the ~2% sequestration cut. A state with more than one payment locality shows a range—its tile is colored by the mean across those localities, which is a shading choice, not an amount anyone is paid.
How this amount is computed Copy link
HCPCS G0500 has a work RVU of 0.10, a non-facility practice expense RVU of 1.86, a facility practice expense RVU of 0.03 and a malpractice RVU of 0.03—for total non-facility RVUs of 1.99 and total facility RVUs of 0.16 in the Q3 2026 release.
The formula is: (work RVU × work GPCI + PE RVU × PE GPCI + MP RVU × MP GPCI) × conversion factor. National amounts use GPCI = 1.000. To price an RVU figure of your own, use the RVU-to-dollars converter.
| Component | RVU |
|---|---|
| Work RVU | 0.10 |
| Practice expense RVU (non-facility) | 1.86 |
| Practice expense RVU (facility) | 0.03 |
| Malpractice RVU | 0.03 |
Every rate combines three parts: work (the clinician’s time, skill and effort), practice expense (office overhead—higher when the service is done in a doctor’s own office), and malpractice (the share of liability-insurance cost). A blank means CMS publishes no national number for that part. Read it as unknown, never as zero.
Allowed amount, Medicare's share, and patient share Copy link
These figures use the same national baseline, with different participation and payment assumptions.
Computed from the Q3 2026 CMS release
- Medicare allowed amount
- $66.47
- Medicare's share
- $53.18
- Patient coinsurance
- $13.29
- Limiting charge
- $72.62
The fee-schedule amount for G0500 in the Office (non-facility) setting. The figures below all start from it.
80% of the allowed amount, before the ~2% sequestration cut.
The remaining 20%, once the annual Part B deductible is met. Medigap or Medicaid often covers it.
The ceiling a non-participating provider can bill a patient on an unassigned claim—109.25% of the allowed amount.
National Q3 2026 figures at GPCI 1.000. Adjust for your locality and sequestration, or open the explanations below for each figure in full.
Is $66.47 what a practice actually receives?
It's the national allowed amount—the starting point. Medicare pays 80% of it ($53.18) and the patient owes 20% coinsurance ($13.29). Sequestration trims Medicare's share by about 2%, your locality's GPCIs scale the total up or down, and the expected-payment calculator applies all three. That payment is practice revenue that covers staff, space, equipment, and billing. It isn't the clinician's take-home pay. The practice-expense RVU above is CMS's estimate of that overhead share.
Sources: Budget Control Act sequestration provisions; CMS Medicare Fee-for-Service payment guidance; CMS Geographic Practice Cost Index (GPCI) files; CMS Physician Fee Schedule overview (cms.gov).
What's the non-participating amount for G0500?
$63.15 in the Office (non-facility) setting—95% of the $66.47 participating fee schedule amount above. A participating provider takes the fee schedule amount as payment in full on every claim. A non-participating provider is paid this reduced amount, but chooses claim by claim whether to accept assignment. See participating vs non-participating.
Sources: CMS Physician Fee Schedule overview (cms.gov); CMS Medicare Fee-for-Service payment guidance.
What's the limiting charge for G0500?
$72.62 in the Office (non-facility) setting—the ceiling on what a non-participating provider can bill the patient on an unassigned claim. That's 109.25% of the $66.47 amount above. The non-participating amount is 95% of the fee schedule rate ($63.15), and the statutory cap is 115% of that. See limiting charge.
Sources: CMS Physician Fee Schedule overview (cms.gov); CMS Medicare Fee-for-Service payment guidance.
Which billing rules and modifiers apply? Copy link
Global period: what G0500's fee already covers Copy link
The global surgery concept does not apply to this code.
Can you bill it with another code? Copy link
Check a pair of codes Copy link
Enter a second CPT or HCPCS code billed on the same date of service. We'll check the current NCCI procedure-to-procedure edit for the pair.
Billing together (NCCI edits) Copy link
NCCI Q3 2026Based on CMS's National Correct Coding Initiative (NCCI). A few examples appear here; use the complete edit page to check a specific pair.
Not separately payable with G0500 on the same date of service—no modifier bypasses the edit (modifier indicator 0)
Showing 3 of 340.
Separately payable with G0500 only when an NCCI-associated modifier is appropriate and documented (modifier indicator 1)
Showing 3 of 101.
Modifier 59 and the X modifiers are not a universal bypass—CMS expects the most specific applicable modifier, and which one that is depends on the pair and the documented circumstances.
How has it changed? Copy link
Rate history by release Copy link
National Office (non-facility) amount for G0500 across quarterly releases. +12.2% increase since Q1 2017 · peak $66.47 in Q1 2026
| Release | Status | Office | Facility |
|---|---|---|---|
| Q4 2026 takes effect Oct 1, 2026 | A | $66.47 (0.0% no change ) | $5.34 (0.0% no change ) |
| Q3 2026 Jul 1, 2026 – Sep 30, 2026 | A | $66.47 (0.0% no change ) | $5.34 (0.0% no change ) |
| Q2 2026 Apr 1, 2026 – Jun 30, 2026 | A | $66.47 (0.0% no change ) | $5.34 (0.0% no change ) |
| Q1 2026 Jan 1, 2026 – Mar 31, 2026 | A | $66.47 (+20.9% increase ) | $5.34 (-2.9% decrease ) |
| Q4 2025 Oct 1, 2025 – Dec 31, 2025 | A | $54.99 (0.0% no change ) | $5.50 (0.0% no change ) |
| Q3 2025 Jul 1, 2025 – Sep 30, 2025 | A | $54.99 (0.0% no change ) | $5.50 (0.0% no change ) |
| Q2 2025 Apr 1, 2025 – Jun 30, 2025 | A | $54.99 (0.0% no change ) | $5.50 (0.0% no change ) |
| Q1 2025 Jan 1, 2025 – Mar 31, 2025 | A | $54.99 (-3.9% decrease ) | $5.50 (-2.8% decrease ) |
| Q4 2024 Oct 1, 2024 – Dec 31, 2024 | A | $57.25 (0.0% no change ) | $5.66 (0.0% no change ) |
| Q3 2024 Jul 1, 2024 – Sep 30, 2024 | A | $57.25 (0.0% no change ) | $5.66 (0.0% no change ) |
| Q2 2024 Apr 1, 2024 – Jun 30, 2024 | A | $57.25 (0.0% no change ) | $5.66 (0.0% no change ) |
| Q1 2024 Mar 9, 2024 – Mar 31, 2024 | A | $57.25 (+1.7% increase ) | $5.66 (+1.6% increase ) |
| Q1 2024 Jan 1, 2024 – Mar 8, 2024 | A | $56.32 (-0.5% decrease ) | $5.57 (+2.8% increase ) |
| Q4 2023 Oct 1, 2023 – Dec 31, 2023 | A | $56.59 (0.0% no change ) | $5.42 (0.0% no change ) |
| Q3 2023 Jul 1, 2023 – Sep 30, 2023 | A | $56.59 (0.0% no change ) | $5.42 (0.0% no change ) |
| Q2 2023 Apr 1, 2023 – Jun 30, 2023 | A | $56.59 (0.0% no change ) | $5.42 (0.0% no change ) |
| Q1 2023 Jan 1, 2023 – Mar 31, 2023 | A | $56.59 (-2.1% decrease ) | $5.42 (-2.2% decrease ) |
| Q4 2022 Oct 1, 2022 – Dec 31, 2022 | A | $57.79 (0.0% no change ) | $5.54 (0.0% no change ) |
| Q3 2022 Jul 1, 2022 – Sep 30, 2022 | A | $57.79 (0.0% no change ) | $5.54 (0.0% no change ) |
| Q2 2022 Apr 1, 2022 – Jun 30, 2022 | A | $57.79 (0.0% no change ) | $5.54 (0.0% no change ) |
| Q1 2022 Jan 1, 2022 – Mar 31, 2022 | A | $57.79 (-2.0% decrease ) | $5.54 (-0.7% decrease ) |
| Q4 2021 Oct 1, 2021 – Dec 31, 2021 | A | $58.97 (0.0% no change ) | $5.58 (0.0% no change ) |
| Q3 2021 Jul 1, 2021 – Sep 30, 2021 | A | $58.97 (0.0% no change ) | $5.58 (0.0% no change ) |
| Q2 2021 Apr 1, 2021 – Jun 30, 2021 | A | $58.97 (0.0% no change ) | $5.58 (0.0% no change ) |
| Q1 2021 Jan 1, 2021 – Mar 31, 2021 | A | $58.97 (+2.1% increase ) | $5.58 (-3.3% decrease ) |
| Q4 2020 Oct 1, 2020 – Dec 31, 2020 | A | $57.74 (0.0% no change ) | $5.77 (0.0% no change ) |
| Q3 2020 Jul 1, 2020 – Sep 30, 2020 | A | $57.74 (0.0% no change ) | $5.77 (0.0% no change ) |
| Q2 2020 Apr 1, 2020 – Jun 30, 2020 | A | $57.74 (0.0% no change ) | $5.77 (0.0% no change ) |
| Q1 2020 Jan 1, 2020 – Mar 31, 2020 | A | $57.74 (-1.7% decrease ) | $5.77 (0.0% no change ) |
| Q4 2019 Oct 1, 2019 – Dec 31, 2019 | A | $58.74 (0.0% no change ) | $5.77 (0.0% no change ) |
| Q3 2019 Jul 1, 2019 – Sep 30, 2019 | A | $58.74 (0.0% no change ) | $5.77 (0.0% no change ) |
| Q2 2019 Apr 1, 2019 – Jun 30, 2019 | A | $58.74 (0.0% no change ) | $5.77 (0.0% no change ) |
| Q1 2019 Jan 1, 2019 – Mar 31, 2019 | A | $58.74 (-1.7% decrease ) | $5.77 (+0.2% increase ) |
| Q4 2018 Oct 1, 2018 – Dec 31, 2018 | A | $59.76 (0.0% no change ) | $5.76 (0.0% no change ) |
| Q3 2018 Jul 1, 2018 – Sep 30, 2018 | A | $59.76 (0.0% no change ) | $5.76 (0.0% no change ) |
| Q2 2018 Apr 1, 2018 – Jun 30, 2018 | A | $59.76 (0.0% no change ) | $5.76 (0.0% no change ) |
| Q1 2018 Jan 1, 2018 – Mar 31, 2018 | A | $59.76 (+0.9% increase ) | $5.76 (+0.3% increase ) |
| Q4 2017 Oct 1, 2017 – Dec 31, 2017 | A | $59.22 (0.0% no change ) | $5.74 (0.0% no change ) |
| Q3 2017 Jul 1, 2017 – Sep 30, 2017 | A | $59.22 (0.0% no change ) | $5.74 (0.0% no change ) |
| Q2 2017 Apr 1, 2017 – Jun 30, 2017 | A | $59.22 (0.0% no change ) | $5.74 (0.0% no change ) |
| Q1 2017 Jan 1, 2017 – Mar 31, 2017 | A | $59.22 | $5.74 |
This amount has been unchanged since Q1 2026, when it increased 20.9%.
When does this rate change?
CMS publishes a fee schedule release every quarter (January, April, July, October), and each is versioned here. See what changed each release, or get an email when a new release moves rates.
The G0500 rate last moved in Q1 2026. See its rate history.
Sources: CMS Medicare Physician Fee Schedule Relative Value Files.
What it means outside Medicare Copy link
Contracted rate: % of Medicare Copy link
Commercial contracts are often written as a percentage of Medicare ("115% of Medicare"). Enter yours to see what it means for G0500. A contract benchmarked to the fee schedule applies it to your locality's allowed amount, not the $66.47 national baseline; the calculator finds that amount from your service ZIP.
We want to build this: store your multipliers once, and every code page shows your rate instead of Medicare's. Tell us if you'd use it →
Usage and related codes Copy link
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Source & method
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This page uses CMS's Medicare Physician Fee Schedule Q3 2026 release (effective July 2026). National baselines use GPCI 1.000 and exclude sequestration. Whether a national amount exists depends on the status and CMS’s payment instructions; blank RVUs are never treated as zero. Past releases are never edited, so these sources stay valid after CMS publishes a newer one. CMS owns the code description shown for HCPCS Level II codes. Our methodology explains sourcing, parsing, versioning, and how we cross-check claims before we publish them.
Conversion factor $33.4009 read from the same file, row 11, column 26.
Use the (i) buttons next to each amount above for the exact row, columns, and math.
Cite this rate
The citation names the release, so anyone can check it even after CMS publishes a newer one.
HCPCS G0500 National PFS baseline: Office (non-facility) $66.47; Facility $5.34 (Q3 2026; participating; whole service; GPCI 1.000; sequestration excluded). Localis. https://localishealth.com/hcpcs/G0500/2026/C