CPT G2025 Medicare Reimbursement Rate in Texas (2026)

HCPCS Level II code G2025 represents rhc/fqhc telehealth visit. Services furnished under the Rural Health Clinic (RHC) or Federally Qualified Health Center (FQHC) telehealth services policy.

As a G-code, G2025 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.

For 2026, Medicare's allowed amount for HCPCS G2025 in Texas is $0.00 when the service is provided in a non-facility setting and $0.00 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 G2025 closely tracks the national reference rate of $0.00 because the locality's GPCI values sit near the national baseline.

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.

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 G2025 in Texas, the math works out as: (Work RVU 0.00 × Work GPCI 1.000) + (Non-Facility PE RVU 0.00 × PE GPCI 0.951) + (MP RVU 0.00 × MP GPCI 0.910) × Conversion Factor 32.3465 = $0.00.

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.

G2025 is commonly billed with the following modifiers: 95. Modifier 95: synchronous telemedicine service via real-time interactive audio/video.

Modifier choice can change Medicare's payment, override an NCCI edit, or force a separate line of payment. Always document the clinical justification for any modifier in the medical record before submission.

HCPCS G2025 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 G2025, related E&M services on the same day are generally separately billable when documented and medically necessary.

If you're researching G2025, these related HCPCS Level II codes are commonly looked up at the same time:

G0008 (administration of influenza virus vaccine); G0009 (administration of pneumococcal vaccine); G0010 (administration of hepatitis b vaccine); G0438 (annual wellness visit, initial); G0439 (annual wellness visit, subsequent); G0444 (annual depression screening, 15 min).

• G2025
• G0008
• G0009
• G0010
• G0438
• G0439
• G0444

Texas providers submitting claims for G2025 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.