# HCPCS G9986

> Medicare paid $153.32 for HCPCS G9986 in the office (non-facility) setting and $116.45 in a facility under the Q1 2025 Physician Fee Schedule, effective January 2025. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. Across payment localities, the office amount is $139.09–$191.21 and the facility amount is $107.38–$151.16. This is a 2.6% decrease from the previous quarter.

## What it is

Remote e/m est. pt 40mins

## Selected release

- Release: Q1 2025 (2025 A)
- Effective: January 1 – March 31, 2025
- Status indicator: A
- Office (non-facility) national allowed amount: $153.32
- Facility national allowed amount: $116.45
- Sequestration: not applied

## RVUs and formula

- Work RVU: 2.11
- Office (non-facility) practice expense RVU: 2.42
- Facility practice expense RVU: 1.28
- Malpractice RVU: 0.21
- Conversion factor: 32.3465
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q1 2025)
- CMS file: https://www.cms.gov/files/zip/rvu25a-updated-01/10/2025.zip
- Parsed file: PPRRVU25_JAN.csv, row 3,059
- Canonical page: https://localishealth.com/hcpcs/G9986/2025/A
- Release-specific citation URL: https://localishealth.com/hcpcs/G9986/2025/A
- Last significant update: 2026-08-04T03:14:43+00:00