G0426 – Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth

HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)

Active code Carrier judgment

HCPCS codeG0426
Long description
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth
Short description
Inpt/ed teleconsult50
Pricing indicator
13 Priced by the Medicare contractor (carrier)
Medicare coverage
C Carrier judgment – coverage decided by the Medicare contractor
BETOS category
M6 Consultations
Added
January 1, 2010
Last change
January 1, 2012 – No change

Frequently asked questions

What is HCPCS code G0426?

G0426 is a HCPCS Level II code for telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth.

Does Medicare cover G0426?

The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.

Nearby G codes

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.