# HCPCS G9986

> Medicare paid $169.34 for HCPCS G9986 in the office (non-facility) setting and $102.54 in a facility under the Q1 2026 Physician Fee Schedule, effective January 2026. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. Across payment localities, the office amount is $152.99–$214.44 and the facility amount is $95.61–$136.26. This is a 10.4% increase from the previous quarter.

## What it is

Remote e/m est. pt 40mins

## Selected release

- Release: Q1 2026 (2026 A)
- Effective: January 1 – March 31, 2026
- Status indicator: A
- Office (non-facility) national allowed amount: $169.34
- Facility national allowed amount: $102.54
- Sequestration: not applied

## RVUs and formula

- Work RVU: 2.11
- Office (non-facility) practice expense RVU: 2.75
- Facility practice expense RVU: 0.75
- Malpractice RVU: 0.21
- Conversion factor: 33.4009
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q1 2026)
- CMS file: https://www.cms.gov/files/zip/rvu26a-updated-12-29-2025.zip
- Parsed file: PPRRVU2026_Jan_nonQPP.csv, row 16,165
- Canonical page: https://localishealth.com/hcpcs/G9986/2026/A
- Release-specific citation URL: https://localishealth.com/hcpcs/G9986/2026/A
- Last significant update: 2026-08-04T03:16:00+00:00