G0426 HCPCS Level II code: Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth
G0426 is the HCPCS code for “Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
G0426Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth
Short description: Inpt/ed teleconsult50
HCPCS · United States
Medicare details
The indicators CMS publishes with G0426 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Medicare pricing
- Physician fee schedule – Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)
- Type of service
- Consultation
- BETOS category
- Consultations
- Added
- Jan 1, 2010
Where G0426 sits
- 1G codesProcedures and professional services
- 2Active code G0426Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code G0426 mean?
G0426 is the HCPCS code for “Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover G0426?
CMS lists G0426’s Medicare coverage as “Carrier judgment” and its pricing as “Physician fee schedule – Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside G0426
All G codesG0420Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hourG0421Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hourG0422Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per sessionG0423Intensive cardiac rehabilitation; with or without continuous ecg monitoring; without exercise, per sessionG0424Pulmonary rehabilitation, including exercise (includes monitoring), one hour, per session, up to two sessions per dayG0425Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealthG0427Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealthG0428Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex)G0429Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (lds) (e.g., as a result of highly active antiretroviral therapy)G0431Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounterG0432Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screeningG0433Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening