G9986 Remote e/m established. pt 40mins
Also known as: virtual visit, telehealth follow-up, remote established patient visit
Remote evaluation and management service for an established patient via telehealth lasting approximately 40 minutes.
In Plain Language
online doctor visit; video appointment with your doctor
Clinical Context
Used for comprehensive follow-up consultations with established patients conducted via real-time synchronous interaction at a distance. Appropriate for complex established patient visits addressing multiple acute or chronic issues.
RVU Breakdown
| Work RVU | 2.11 |
| Total RVU | 2.11 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
G-codes are CMS-specific HCPCS codes for services not covered by standard CPT. Documentation requirements follow the same standards as the equivalent CPT service. Check Medicare LCD/NCD policies for coverage criteria.
How This Code Compares
With a work RVU of 2.11, this code ranks in the 79th percentile among G Codes codes — 2.2x the median (0.97). The highest wRVU in this category is 20.41.
Specialties
Frequently Asked Questions
What is CPT code G9986?
CPT G9986 (Remote e/m established. pt 40mins) is a G Codes code. Remote evaluation and management service for an established patient via telehealth lasting approximately 40 minutes.
Who uses CPT code G9986?
CPT G9986 is used by Primary Care, Telemedicine, Internal Medicine. Used for comprehensive follow-up consultations with established patients conducted via real-time synchronous interaction at a distance. Appropriate for complex established patient visits addressing multiple acute or chronic issues.
When is CPT G9986 used?
Used for comprehensive follow-up consultations with established patients conducted via real-time synchronous interaction at a distance. Appropriate for complex established patient visits addressing multiple acute or chronic issues.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.