G9869 Cmmi asyntelehealth 10-20min

Receipt and analysis of remote, asynchronous images for dermatologic and/or ophthalmologic evaluation, for use only in a medicare-approved cmmi model, 10-20 minutes

Medicare pricing for G9869

Physician Fee Schedule (CY 2026, RVU26D)

Status A: active, paid separately under the PFS if covered. National amounts: non-facility $35.74, facility $35.74 (total RVUs 1.07 / 1.07 × $33.4009 conversion factor). Work RVU 1.07, practice expense RVU 0.00 non-facility and 0.00 facility, malpractice RVU 0.00. Global period XXX. Qualifying APM participants are paid at a $33.5675 conversion factor.

Payer policies and prior authorization for G9869

Medicaid fee-for-service

Prior authorization required or conditional in IN.

  • AZ: $37.31 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025
  • ND: $0.00 (physician), effective Aug 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.