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HCPCS Reimbursement
HCPCS G0444

CPT G0444 Medicare Reimbursement Rate in Texas (2026)

Annual depression screening, 15 minutes.

Non-Facility Allowed Amount
$11.04

Office, freestanding clinic, patient's home

Facility Allowed Amount
$7.96

Hospital outpatient, ASC, inpatient

Locality 0001100 · Conversion Factor 32.3465 · Formula 2026.1 · Verified against the CMS Medicare Physician Fee Schedule 2026 Final Rule

RVU Breakdown & Locality Adjustment

ComponentRVUGPCIAdjusted
Work0.181.0000.180
Practice Expense (Non-Facility)0.160.9510.152
Practice Expense (Facility)0.060.9510.057
Malpractice0.010.9100.009
Global Surgery Indicator
XXXGlobal concept does not apply
Status
A

What HCPCS G0444 covers

HCPCS Level II code G0444 represents annual depression screening, 15 min. Annual depression screening, 15 minutes.

As a G-code, G0444 is a Medicare-specific HCPCS Level II code created by CMS for services and procedures that don't have a CPT equivalent. Payment follows the standard CMS Physician Fee Schedule methodology, calculated from the code's Relative Value Units (RVUs) adjusted for the Geographic Practice Cost Index (GPCI) of the billing locality.

2026 Medicare reimbursement for G0444 in Texas

For 2026, Medicare's allowed amount for HCPCS G0444 in Texas is $11.04 when the service is provided in a non-facility setting and $7.96 when provided in a facility setting. These figures are calculated using locality 0001100 (Texas (Statewide Rest)), with a Work GPCI of 1.000, Practice Expense GPCI of 0.951, and Malpractice GPCI of 0.910, multiplied against the 2026 conversion factor of 32.3465.

Texas's non-facility allowed amount for G0444 runs roughly 2.5% below the national reference rate of $11.32. The variance is driven primarily by Texas's GPCI multipliers, which reflect cost-of-practice differences relative to a national baseline of 1.000.

Beneficiaries in Original Medicare typically owe 20% of the allowed amount as coinsurance after meeting the Part B deductible, unless the cost-sharing is covered by a Medicare Supplement (Medigap) policy or absorbed by a Medicare Advantage plan with different cost-sharing rules.

Why the non-facility rate is higher than the facility rate

The $3.08 gap between the non-facility ($11.04) and facility ($7.96) allowed amounts comes from the Practice Expense (PE) RVU. When a service is performed in a facility — a hospital outpatient department, ASC, or inpatient setting — the facility itself bills for and is reimbursed for the overhead, equipment, and clinical staff. The physician's PE RVU is therefore reduced.

When the same service is rendered in a non-facility setting (a physician's office, freestanding clinic, or the patient's home), the billing provider absorbs the full overhead, so CMS pays the higher PE RVU. For HCPCS G0444, the non-facility PE RVU is 0.16 versus a facility PE RVU of 0.06.

Place-of-service reporting on the CMS-1500 claim must match where the service was actually delivered. Misreporting POS to claim the higher non-facility rate is a documented OIG audit target.

How the G0444 payment is calculated for Texas

Medicare's Physician Fee Schedule formula multiplies each RVU component by its corresponding GPCI, sums the three, then multiplies by the conversion factor. For HCPCS G0444 in Texas, the math works out as: (Work RVU 0.18 × Work GPCI 1.000) + (Non-Facility PE RVU 0.16 × PE GPCI 0.951) + (MP RVU 0.01 × MP GPCI 0.910) × Conversion Factor 32.3465 = $11.04.

The Work component pays for the physician's time, intensity, and skill. The Practice Expense component covers the office overhead, supplies, and clinical staff. The Malpractice component covers professional liability. CMS recalibrates the RVU values annually as part of the Final Rule.

Global period for G0444

HCPCS G0444 carries a global surgery indicator of XXX — global concept does not apply. The global period determines which related pre-operative and post-operative services are bundled into the single allowed amount and cannot be billed separately.

Because the global concept does not apply to G0444, related E&M services on the same day are generally separately billable when documented and medically necessary.

Looking up G0444 payments in Texas

Texas providers submitting claims for G0444 should bill their Medicare Administrative Contractor (MAC) using locality 0001100. If your practice spans multiple ZIP codes inside Texas, the locality may differ — CMS publishes a ZIP-code-to-locality crosswalk (LOCCO file) that resolves the correct locality and PEs accordingly.

Allowed amounts shown here are Medicare reference values from the 2026 Physician Fee Schedule. Final payment depends on patient-specific cost-sharing, sequestration adjustments, and any quality-program incentives or penalties (such as MIPS) applied at the practice level.

Estimate other localities

Drag a slider to model how a different MAC locality's GPCI changes the allowed amount.

Estimated Non-Facility
$11.04
Estimated Facility
$7.96