G2082 Medicare Reimbursement Rate (2026)
Current CMS pricing and breakdown for Office or other outpatient visit for the evaluation and mana....
⚠️ This is a National Estimate
Your actual reimbursement depends on your specific Zip Code and GPCI adjustments (e.g., New York vs. Texas).
Code Description
Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of up to 56 mg of esketamine nasal self-administration, includes 2 hours post-administration observation
Reimbursement Summary
For 2026, the estimated National Average Medicare payment for G2082 is $952.59 in a non-facility (office) setting and $31.06 in a facility (hospital/outpatient) setting. Your actual reimbursement depends on locality adjustments.
This code’s RVU components (Work, Practice Expense, and Malpractice) combine to approximately 28.52 total RVUs in the office setting and 0.93 total RVUs in the facility setting.
Description: Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified hea.... For locality-adjusted estimates, use MedFeeSchedule's Medicare Physician Fee Schedule Lookup Tool.
Historical Medicare Reimbursement
| Quarter | Non-Facility Rate | Facility Rate | YoY % Change (Non-Fac) | YoY % Change (Fac) |
|---|---|---|---|---|
| 2026 Q2 | $952.59 | $31.06 | +15.35% | -7.67% |
| 2026 Q1 | $952.59 | $31.06 | +15.35% | -7.67% |
| 2025 Q4 | $825.81 | $33.64 | — | — |
| 2025 Q3 | $825.81 | $33.64 | — | — |
| 2025 Q2 | $825.81 | $33.64 | — | — |
| 2025 Q1 | $825.81 | $33.64 | — | — |
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 | 0.7 | 0.7 |
| Practice Expense (PE) | 27.75 | 0.16 |
| Malpractice (MP) | 0.07 | 0.07 |
| Total RVUs | 28.52 | 0.93 |
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 G2082?
The 2026 National Average Medicare reimbursement rate for G2082 (Physician Service) is $952.59. This rate is effective as of January 1, 2026.
What is the description for code G2082?
Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of up to 56 mg of esketamine nasal self-administration, includes 2 hours post-administration observation
Why do facility and non-facility payments differ for G2082?
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 G2082?
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 G2082 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.