`G0408` Inpt/tele follow up 35

What G0408 is

Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth

HCPCS Level II long description, CMS October 2026 file. See the G codes page for the full section.

Medicare payment for G0408 (CY2026)

	Work RVU	Practice expense RVU	Malpractice RVU	Total	Medicare rate
Non-facility (office)	2.00	0.62	0.18	2.80	$93.52
Facility (hospital, ASC)	2.00	0.62	0.18	2.80	$93.52

National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.

Adjust for a Medicare locality:

Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.

Medically Unlikely Edit (MUE)

Medicare caps G0408 at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: CMS Policy. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with G0408? These codes are bundled into it

G0408 is a Column 1 code in 87 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 code	Short description	Modifier indicator
`36591`	Draw blood off venous device	0 - no modifier bypass	Check pair
`36592`	Collect blood from picc	0 - no modifier bypass	Check pair
`43752`	Nasal/orogastric w/tube plmt	1 - modifier may bypass	Check pair
`80503`	Path clin consltj sf 5-20	0 - no modifier bypass	Check pair
`80504`	Path clin consltj mod 21-40	0 - no modifier bypass	Check pair
`80505`	Path clin consltj high 41-60	0 - no modifier bypass	Check pair
`80506`	Path clin consltj prolng svc	0 - no modifier bypass	Check pair
`90832`	Psytx w pt 30 minutes	0 - no modifier bypass	Check pair
`90833`	Psytx w pt w e/m 30 min	0 - no modifier bypass	Check pair
`90836`	Psytx w pt w e/m 45 min	0 - no modifier bypass	Check pair
`90839`	Psytx crisis initial 60 min	0 - no modifier bypass	Check pair
`90840`	Psytx crisis ea addl 30 min	0 - no modifier bypass	Check pair
`90940`	Hemodialysis access study	0 - no modifier bypass	Check pair
`92002`	Intrm oph exam new patient	0 - no modifier bypass	Check pair
`92004`	Compre oph exam new pt 1/>	0 - no modifier bypass	Check pair
`92012`	Intrm oph exam est patient	0 - no modifier bypass	Check pair
`92014`	Compre oph exam est pt 1/>	0 - no modifier bypass	Check pair
`92531`	Spontaneous nystagmus study	0 - no modifier bypass	Check pair
`92532`	Positional nystagmus test	0 - no modifier bypass	Check pair
`93793`	Anticoag mgmt pt warfarin	0 - no modifier bypass	Check pair
`94002`	Vent mgmt inpat init day	0 - no modifier bypass	Check pair
`94003`	Vent mgmt inpat subq day	0 - no modifier bypass	Check pair
`94004`	Vent mgmt nf per day	0 - no modifier bypass	Check pair
`94644`	Cont inhlj tx 1st hour	1 - modifier may bypass	Check pair
`94660`	Cpap initiation&mgmt	0 - no modifier bypass	Check pair
`95851`	Range of motion measurements	0 - no modifier bypass	Check pair
`95852`	Range of motion measurements	0 - no modifier bypass	Check pair
`96020`	Functional brain mapping	1 - modifier may bypass	Check pair
`96116`	Nubhvl xm phys/qhp 1st hr	1 - modifier may bypass	Check pair
`96127`	Brief emotional/behav assmt	0 - no modifier bypass	Check pair

Showing 30 of 87 column 2 codes. Use the pair checker for any specific combination.

G0408 is bundled into these codes

G0408 appears as a Column 2 code in 423 active edits. Reported with one of these Column 1 codes on the same date of service, G0408 is the code that denies.

Column 1 code	Short description
`00100`	Anes px salivary gland w/bx	Check pair
`00102`	Anes px plstc rpr cleft lip	Check pair
`00103`	Anes rcnstv px eyelid	Check pair
`00104`	Anes electroconvulsive ther	Check pair
`00120`	Anes px ear w/bx nos	Check pair
`00124`	Anes px ear otoscopy	Check pair
`00126`	Anes px ear tympanotomy	Check pair
`00140`	Anes procedures on eye nos	Check pair
`00142`	Anes px on eye lens surgery	Check pair
`00144`	Anes px eye corneal trnspl	Check pair
`00145`	Anes px eye vitreortnl surg	Check pair
`00147`	Anes px on eye iridectomy	Check pair
`00148`	Anes px eye ophthalmoscopy	Check pair
`00160`	Anes px nose&sinus nos	Check pair
`00162`	Anes px nose&sinus rad surg	Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.