CPT code 97802: Medical nutrition therapy, individual, initial assessment2026 Medicare rate & RVUs in Riverside, CA

Reports an initial, face-to-face individual nutrition assessment and intervention, provided by a qualified nutrition professional and counted in 15-minute units.

CMS RVU26DEffective Oct 1, 2026One payment locality197.4K Medicare services in 2024

In Riverside, CA, Medicare pays $38.81 for 97802 in the office and $27.46 when it’s performed in a hospital or facility.

$38.81Office (non-facility)
$27.46Hospital or facility
+5.6%vs the national office rate ($36.74)

Check a contract rate as a % of Medicare · 97802 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 97802 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Riverside, CA
  2. What 97802 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 97802 covers

An initial individual MNT service combines nutrition assessment with tailored intervention: the practitioner evaluates relevant dietary patterns and nutrition needs, then develops or begins a plan with the patient. Registered dietitians and other qualified nutrition professionals commonly provide it in outpatient offices, clinics, or other settings where the patient receives face-to-face counseling. Common referrals involve nutrition management for diabetes, kidney disease, or other conditions affected by diet; the diagnosis and practitioner’s scope determine the clinical focus.

Choose 97802 for the initial assessment-and-intervention service, rather than later individual reassessment and intervention (97803) or group counseling (97804). Report the documented face-to-face service in 15-minute units. The note should identify the nutrition assessment, individualized plan or counseling delivered, patient participation, and time. CMS assigns separate office and facility practice-expense values in the Physician Fee Schedule, so use the setting that matches where the service was furnished.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Riverside, CA compares for 97802

Across 109 of 109 payment localities, the office rate for 97802 runs from $33.94 in Arkansas to $46.80 in San Benito County, CA. Riverside, CA pays $38.81. The RVUs are the same everywhere; the geographic indexes change the dollars.

97802 in Riverside, CA vs other payment areas
  1. Riverside, CA · this page$38.81
  2. Bakersfield, CA · California$38.74−$0.07
  3. Chico, CA · California$38.68−$0.13
  4. El Centro, CA · California$38.68−$0.13
  5. Fresno, CA · California$38.68−$0.13
  6. Hanford, CA · California$38.68−$0.13
  7. Los Angeles, CA · California$40.78+$1.97

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

97802 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$38.68$27.33
Merced, CACalifornia$38.68$27.33
Modesto, CACalifornia$38.68$27.33
Napa, CACalifornia$43.64$29.99
Oxnard, CACalifornia$40.51$28.28
Redding, CACalifornia$38.68$27.33
Rest of CaliforniaCalifornia$38.68$27.33
Sacramento, CACalifornia$40.27$28.23

97802 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$33.94

$46.66

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
97802 office rate range by state
State / territoryOffice rate rangeLocalities
AK$46.661
AL$34.261
AR$33.941
AZ$36.111
CA$38.68–$46.8029
CO$38.081
CT$38.611
DC$41.061
DE$36.571
FL$36.09–$38.023
GA$34.79–$37.162
GU$39.161
HI$39.161
IA$34.951
ID$35.071
IL$35.30–$37.634
IN$35.201
KS$34.781
KY$34.641
LA$34.58–$35.682
MA$37.95–$41.062
MD$37.12–$41.063
ME$35.12–$36.452
MI$35.16–$36.322
MN$37.051
MO$34.15–$35.843
MS$34.051
MT$36.741
NC$35.371
ND$36.541
NE$35.091
NH$37.471
NJ$39.20–$40.872
NM$35.261
NV$36.701
NY$35.71–$41.705
OH$35.121
OK$34.671
OR$36.57–$39.012
PA$35.19–$37.892
PR$36.941
RI$37.661
SC$35.271
SD$36.521
TN$34.881
TX$35.03–$37.828
UT$35.581
VA$36.32–$41.062
VI$36.941
VT$36.391
WA$37.88–$41.812
WI$35.721
WV$34.431
WY$36.651

See 97802 in every payment locality

How the 97802 rate is calculated

Each of 97802’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 97802

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.53

0.53 RVUs× 1.000 GPCI

Practice expense0.56

0.56 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

1.1000

Conversion factor

$33.4009

Medicare rate

$36.74

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Riverside, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,913

Code
97802
Physician work
0.53
Practice expense
0.56
Malpractice
0.01

GPCI2026.csv

20

Locality
Riverside, CA
Physician work
1.018
Practice expense
1.096
Malpractice
0.853
Office calculation for 97802 in Riverside, CA
ComponentRVULocality factorAdjusted
Physician work0.53× 1.0180.5395
Practice expense0.56× 1.0960.6138
Malpractice0.01× 0.8530.0085
Total RVUs1.1618
Conversion factor× 33.4009

Office rate, Riverside, CA$38.81

Office: (0.53 × 1.018 + 0.56 × 1.096 + 0.01 × 0.853) × $33.4009 = $38.81

Facility: (0.53 × 1.018 + 0.25 × 1.096 + 0.01 × 0.853) × $33.4009 = $27.46

Open 97802 in the RVU calculator

Payment rules and modifiers for 97802

97802 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 97802

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$36.74

Non-facility (office)
$36.74
Facility
$26.39

Higher because the practice carries its own overhead.

How 97802 has changed in Riverside, CA

97802 · Office / nonfacility

$38.81

Effective 2026-10-01

The base rate is $1.34 higher than on 2025-10-01, moving from $37.47 to $38.81 (3.6%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $37.47changed to$38.81

    • Conversion factor 32.3465 changed to 33.4009
    • Work GPCI 1.014 changed to 1.018
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.892 changed to 0.853

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $38.20changed to$37.47

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.55 changed to 0.56

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $37.57changed to$38.20

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $38.76changed to$37.57

    • Conversion factor 33.8872 changed to 32.7442
    • Work GPCI 1.021 changed to 1.014
    • Practice expense GPCI 1.079 changed to 1.093
    • Malpractice GPCI 0.924 changed to 0.892
  5. January 1, 2023

    RVU23A

    $39.03changed to$38.76

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.53 changed to 0.55
    • Malpractice RVU 0.02 changed to 0.01
    • Work GPCI 1.027 changed to 1.021
    • Practice expense GPCI 1.065 changed to 1.079
    • Malpractice GPCI 0.955 changed to 0.924

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $39.31changed to$39.03

    • Conversion factor 34.8931 changed to 34.6062
    • Malpractice GPCI 0.896 changed to 0.955

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $39.88changed to$39.31

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.51 changed to 0.53
    • Work GPCI 1.024 changed to 1.027
    • Practice expense GPCI 1.070 changed to 1.065
    • Malpractice GPCI 0.830 changed to 0.896

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $39.40changed to$39.88

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.50 changed to 0.51
    • Work GPCI 1.021 changed to 1.024
    • Practice expense GPCI 1.074 changed to 1.070
    • Malpractice GPCI 0.753 changed to 0.830

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $36.58changed to$39.40

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.43 changed to 0.50
    • Work GPCI 1.020 changed to 1.021
    • Malpractice GPCI 0.689 changed to 0.753

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $36.58changed to$36.58

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.024 changed to 1.020
    • Practice expense GPCI 1.079 changed to 1.074
    • Malpractice GPCI 0.626 changed to 0.689

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$36.58

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$38.81$27.46RVU26D
2026-07-01$38.81$27.46RVU26C
2026-04-01$38.81$27.46RVU26B
2026-01-01$38.81$27.46RVU26A
2025-10-01$37.47$32.87RVU25D
2025-07-01$37.47$32.87RVU25C
2025-04-01$37.47$32.87RVU25B
2025-01-01$37.47$32.87RVU25A
2024-10-01$38.20$33.10RVU24D
2024-07-01$38.20$33.10RVU24C
2024-04-01$38.20$33.10RVU24B
2024-03-09$38.20$33.10RVU24AR
2024-01-01$37.57$32.56RVU24A
2023-10-01$38.76$34.01RVU23D
2023-07-01$38.76$34.01RVU23C
2023-04-01$38.76$34.01RVU23B
2023-01-01$38.76$34.01RVU23A
2022-10-01$39.03$34.24RVU22D
2022-07-01$39.03$34.24RVU22C
2022-04-01$39.03$34.24RVU22B
2022-01-01$39.03$34.24RVU22A
2021-10-01$39.31$34.48RVU21D
2021-07-01$39.31$34.48RVU21C
2021-04-01$39.31$34.48RVU21B
2021-01-01$39.31$34.48RVU21A
2020-10-01$39.88$36.02RVU20D
2020-07-01$39.88$36.02RVU20C
2020-04-01$39.88$36.02RVU20B
2020-01-01$39.88$36.02RVU20A
2019-10-01$39.40$35.91RVU19D
2019-07-01$39.40$35.91RVU19C
2019-04-01$39.40$35.91RVU19B
2019-01-01$39.40$35.91RVU19A
2018-10-01$36.58$34.26RVU18D
2018-07-01$36.58$34.26RVU18C
2018-04-01$36.58$34.26RVU18B
2018-01-01$36.58$34.26RVU18AR1
2017-10-01$36.58$34.25RVU17D
2017-07-01$36.58$34.25RVU17C
2017-04-01$36.58$34.25RVU17B
2017-01-01$36.58$34.25RVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 97802 for an earlier date of service

Where the Riverside, CA rate applies

Riverside, CA is a Medicare payment area, not a city. Our Census mapping connects it to 127 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Ontario
  • Riverside
  • San Bernardino
  • Adelanto
  • Aguanga
  • Anza
  • Apple Valley
  • Baker

Browse all communities in California

97802 billing questions

How is 97802 different from 97803?

97802 is for the initial individual nutrition assessment and intervention. Use 97803 for subsequent individual reassessment and intervention.

When should 97804 be used instead?

97804 is the group MNT code. Use 97802 when the nutrition assessment and intervention are provided individually to the patient.

How are units reported?

The service is reported in 15-minute units. Document the face-to-face time and the nutrition assessment and intervention provided.

What documentation supports 97802?

Document the nutrition needs assessed, the individualized counseling or plan delivered, the patient's participation, and the face-to-face time.

Can 97802 be reported with an office E/M service?

The MNT service represents individualized nutrition assessment and intervention. A separate E/M service must reflect distinct, separately documented evaluation and management work.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 97802PPRRVU2026_Oct_nonQPP.csv, line 12,913 (RVU26D)
Geographic factors for Riverside, CAGPCI2026.csv, line 20 (RVU26D)

Open CMS sourceHow we calculate rates

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