G0269 Medicare Reimbursement Rate (2026)
Current CMS pricing and breakdown for Occlusive device in vein art.
National Average Payment
Non-Facility (Private Office) Rate
G0269 Reimbursement Rate History
| Quarter | Q1 2025 | Q2 2025 | Q3 2025 | Q4 2025 | Q1 2026 | Q2 2026 |
|---|---|---|---|---|---|---|
| National Average Payment | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
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Code Description
Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug)
Reimbursement Summary
CPT code G0269 (Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug)) does not currently have a published national facility or non-facility reimbursement rate in 2026.
G0269 is a HCPCS Level II code in the category βPhysician Service.β Medicare does not publish a single national payment amount for this code in 2026 (Bundled Code). Payment is bundled into the primary service.
Because payment may be bundled into another service, a standalone national payment amount may not apply. You can still use MedFeeSchedule's Medicare Physician Fee Schedule Lookup Tool to research related codes and local context.
G0269 Reimbursement Rate History
| Quarter | Q1 2025 | Q2 2025 | Q3 2025 | Q4 2025 | Q1 2026 | Q2 2026 |
|---|---|---|---|---|---|---|
| National Average Payment | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
Historical Medicare Reimbursement
| Quarter | Non-Facility Rate | Facility Rate | YoY % Change (Non-Fac) | YoY % Change (Fac) |
|---|---|---|---|---|
| 2026 Q2 | $0.00 | $0.00 | β | β |
| 2026 Q1 | $0.00 | $0.00 | β | β |
| 2025 Q4 | $0.00 | $0.00 | β | β |
| 2025 Q3 | $0.00 | $0.00 | β | β |
| 2025 Q2 | $0.00 | $0.00 | β | β |
| 2025 Q1 | $0.00 | $0.00 | β | β |
Commercial Payer Rates for G0269
Pro FeatureNational average reimbursement from major commercial payers based on CMS Transparency in Coverage machine-readable files.
| Modifier | Place of Service | Avg. Rate | vs Medicare | Percentile Range |
|---|---|---|---|---|
| NULL | Office (11) | $91.46 | -4.0% | $80 β $104 |
| NULL | Telehealth (02) | $88.20 | -7.4% | $76 β $102 |
| NULL | Facility (21) | $79.31 | -15.6% | $68 β $95 |
| NULL | Outpatient Hospital (22) | $84.92 | -10.2% | $71 β $99 |
| NULL | Home (12) | $96.14 | +1.0% | $84 β $113 |
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Source: CMS Transparency in Coverage machine-readable files (MRFs). Commercial rates reflect payer-published negotiated amounts and may not reflect individual contracted rates.
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Facility vs. Non-Facility (Office) Payment
Medicare often publishes two payment rates for the same code: a **non-facility** rate (typically used when the service is performed in a private office where the clinician bears more overhead) and a **facility** rate (typically used when performed in a hospital or facility where the facility bills separately for its costs).
Because the practice expense portion of RVUs differs by setting, the non-facility and facility payment amounts can be different. For locality-adjusted estimates in 2026, use MedFeeSchedule's Medicare Physician Fee Schedule Lookup Tool.
Q2 2026 Breakdown
| Component | Office (Non-Fac) | Facility (Hosp) |
|---|---|---|
| Work RVU | 0 | 0 |
| Practice Expense (PE) | 0 | 0 |
| Malpractice (MP) | 0 | 0 |
| Total RVUs | 0.00 | 0.00 |
Learn How This Reimbursement Is Calculated
Medicare reimbursement is determined by RVUs, geographic adjustments, and the annual conversion factor.
Frequently Asked Questions
What is the 2026 Medicare rate for G0269?
Payment for G0269 may be bundled into another primary service, so a standalone national reimbursement rate may not apply (Payment is bundled into the primary service.).
What is the description for code G0269?
Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug)
Why do facility and non-facility payments differ for G0269?
For many physician services, Medicare publishes different practice-expense RVUs by setting. In general, non-facility rates apply when services are performed in a private office, while facility rates apply when performed in a hospital or facility where the facility bills separately.
How can I find my local Medicare rate for G0269?
Use MedFeeSchedule's Medicare Physician Fee Schedule Lookup Tool on the homepage to estimate your locality-adjusted reimbursement. Medicare payment can vary based on geographic adjustments (GPCI), place of service, and claim specifics.
Is G0269 covered by Medicare?
Coverage depends on medical necessity, setting, and Medicare policy. Some codes may be bundled, contractor-priced, or restricted. Verify final coverage guidance through CMS or your local MAC when applicable.
