CMS RBCS · Evaluation & management · Emergency Department Services

Emergency Department E&M codes

8 CPT®/HCPCS codes, ranked by est. all-Medicare services — scaled from national Medicare Part B fee-for-service volume. Open any code for the full market view — ranked physician groups, geography, and 12-year trend.

CY2024 · National scale is an all-Medicare estimate · est. — scaled estimate — assumes MA utilization mirrors FFS; not an observation; the observed fee-for-service figure is shown adjacent. Part B · national figures

HCPCS · E&M G0426 Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth CMS descriptor · HCPCS
Medicare Part B claims

First observed 2013 — start of our 12-year window; the code predates it

National scale 73,686 services · est. ▲ 15.6% YoY · 30,759 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 34,771 observed fee-for-service services

See the national market for G0426 → ranked groups · states · 12-yr trend

HCPCS · E&M G0425 Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth CMS descriptor · HCPCS
Medicare Part B claims

First observed 2013 — start of our 12-year window; the code predates it

National scale 54,864 services · est. ▼ 0.7% YoY · 24,253 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 26,148 observed fee-for-service services

See the national market for G0425 → ranked groups · states · 12-yr trend

HCPCS · E&M G0427 Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth CMS descriptor · HCPCS
Medicare Part B claims

First observed 2013 — start of our 12-year window; the code predates it

National scale 54,822 services · est. ▲ 24.2% YoY · 25,775 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 26,350 observed fee-for-service services

See the national market for G0427 → ranked groups · states · 12-yr trend

5 more CPT-coded procedures — shown with a trial or subscription, under AMA licensing.