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CPT code 97803: Nutrition therapy, individual, subsequent visit2026 Medicare rate & RVUs in Santa Clara County, CA

Report individual medical nutrition therapy for a follow-up reassessment and nutrition intervention, counted in 15-minute units of patient-facing service.

CMS RVU26DEffective Oct 1, 2026One payment locality185.7K Medicare services in 2024

In Santa Clara County, CA, Medicare pays $40.42 for 97803 in the office and $26.45 when it’s performed in a hospital or facility.

$40.42Office (non-facility)
$26.45Hospital or facility
+27.4%vs the national office rate ($31.73)

Check a contract rate as a % of Medicare · 97803 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 97803 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Santa Clara County, CA
  2. What 97803 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 97803 covers

A registered dietitian or other qualified nutrition professional uses this service for an individual follow-up after the initial nutrition assessment. The visit may reassess dietary intake, progress toward nutrition goals, or changes in a condition affecting nutrition, then provide tailored counseling or revise the nutrition plan. It is commonly furnished in an outpatient office, although the code identifies the service rather than a particular setting.

Report 97803 for subsequent individual medical nutrition therapy, counting each 15 minutes of service with the patient. The record should support the follow-up nature of the visit, the nutrition issues reassessed, the intervention provided, and the time spent. Do not use it for the initial individual assessment or for nutrition therapy delivered to a group. CMS assigns work, practice-expense, and malpractice relative value units; the practice-expense values differ between office and facility settings.

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 Santa Clara County, CA compares for 97803

Across 109 of 109 payment localities, the office rate for 97803 runs from $29.26 in Arkansas to $40.46 in San Benito County, CA. Santa Clara County, CA pays $40.42. The RVUs are the same everywhere; the geographic indexes change the dollars.

97803 in Santa Clara County, CA vs other payment areas
  1. Santa Clara County, CA · this page$40.42
  2. Bakersfield, CA · California$33.46−$6.96
  3. Chico, CA · California$33.40−$7.02
  4. El Centro, CA · California$33.40−$7.02
  5. Fresno, CA · California$33.40−$7.02
  6. Hanford, CA · California$33.40−$7.02
  7. Los Angeles, CA · California$35.23−$5.19

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

Every other payment area

97803 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$33.40$22.79
Merced, CACalifornia$33.40$22.79
Modesto, CACalifornia$33.40$22.79
Napa, CACalifornia$37.72$24.95
Oxnard, CACalifornia$35.00$23.56
Redding, CACalifornia$33.40$22.79
Rest of CaliforniaCalifornia$33.40$22.79
Riverside, CACalifornia$33.52$22.91

97803 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$29.26

$40.16

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

View every state and territory as a table
97803 office rate range by state
State / territoryOffice rate rangeLocalities
AK$40.161
AL$29.541
AR$29.261
AZ$31.181
CA$33.40–$40.4629
CO$32.891
CT$33.361
DC$35.491
DE$31.581
FL$31.18–$32.913
GA$30.03–$32.102
GU$33.831
HI$33.831
IA$30.141
ID$30.251
IL$30.50–$32.544
IN$30.361
KS$29.991
KY$29.891
LA$29.83–$30.812
MA$32.77–$35.492
MD$32.05–$35.493
ME$30.30–$31.462
MI$30.35–$31.392
MN$31.971
MO$29.46–$30.953
MS$29.371
MT$31.731
NC$30.511
ND$31.531
NE$30.261
NH$32.361
NJ$33.87–$35.322
NM$30.441
NV$31.691
NY$30.81–$36.075
OH$30.311
OK$29.911
OR$31.57–$33.702
PA$30.37–$32.742
PR$31.911
RI$32.521
SC$30.441
SD$31.511
TN$30.091
TX$30.23–$32.678
UT$30.711
VA$31.35–$35.492
VI$31.911
VT$31.401
WA$32.71–$36.142
WI$30.811
WV$29.731
WY$31.641

See 97803 in every payment locality

How the 97803 rate is calculated

Each of 97803’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 · 97803

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.45

0.45 RVUs× 1.000 GPCI

Practice expense0.49

0.49 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.9500

Conversion factor

$33.4009

Medicare rate

$31.73

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

The exact Santa Clara County, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,914

Code
97803
Physician work
0.45
Practice expense
0.49
Malpractice
0.01

GPCI2026.csv

28

Locality
Santa Clara County, CA
Physician work
1.110
Practice expense
1.442
Malpractice
0.397
Office calculation for 97803 in Santa Clara County, CA
ComponentRVULocality factorAdjusted
Physician work0.45× 1.1100.4995
Practice expense0.49× 1.4420.7066
Malpractice0.01× 0.3970.0040
Total RVUs1.2101
Conversion factor× 33.4009

Office rate, Santa Clara County, CA$40.42

Office: (0.45 × 1.11 + 0.49 × 1.442 + 0.01 × 0.397) × $33.4009 = $40.42

Facility: (0.45 × 1.11 + 0.2 × 1.442 + 0.01 × 0.397) × $33.4009 = $26.45

Open 97803 in the RVU calculator

Payment rules and modifiers for 97803

97803 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 · 97803

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

$31.73

Non-facility (office)
$31.73
Facility
$22.04

Higher because the practice carries its own overhead.

Codes related to 97803

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 97803
CodeHow it relatesOffice range, Santa Clara County, CA
Same family
97802Medical nutrition therapy, individual, initial assessmentInitial individual medical nutrition therapy assessment and intervention.$46.75
Used instead
97804Group nutrition therapy, two or more patientsMedical nutrition therapy delivered in a group rather than individually.$21.44
98960Self-management training, individual, per 30 minutesIndividual patient self-management education, distinct from medical nutrition therapy.No office rate

How 97803 has changed in Santa Clara County, CA

97803 · Office / nonfacility

$40.42

Effective 2026-10-01

The base rate is $1.06 higher than on 2025-10-01, moving from $39.36 to $40.42 (2.7%).

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

    $39.36changed to$40.42

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.50 changed to 0.49
    • Work GPCI 1.100 changed to 1.110
    • Practice expense GPCI 1.435 changed to 1.442
    • Malpractice GPCI 0.420 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $40.02changed to$39.36

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.49 changed to 0.50

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $39.37changed to$40.02

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $40.28changed to$39.37

    • Conversion factor 33.8872 changed to 32.7442
    • Work GPCI 1.098 changed to 1.100
    • Practice expense GPCI 1.409 changed to 1.435
    • Malpractice GPCI 0.417 changed to 0.420

  5. January 1, 2023

    RVU23A

    $39.85changed to$40.28

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.47 changed to 0.49
    • Malpractice RVU 0.02 changed to 0.01
    • Work GPCI 1.096 changed to 1.098
    • Practice expense GPCI 1.383 changed to 1.409
    • Malpractice GPCI 0.414 changed to 0.417

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $39.70changed to$39.85

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.46 changed to 0.47

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $40.21changed to$39.70

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.45 changed to 0.46
    • Work GPCI 1.089 changed to 1.096
    • Practice expense GPCI 1.369 changed to 1.383
    • Malpractice GPCI 0.401 changed to 0.414

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $39.31changed to$40.21

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.44 changed to 0.45
    • Work GPCI 1.083 changed to 1.089
    • Practice expense GPCI 1.354 changed to 1.369
    • Malpractice GPCI 0.388 changed to 0.401

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $36.35changed to$39.31

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.38 changed to 0.44

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $36.25changed to$36.35

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.086 changed to 1.083
    • Practice expense GPCI 1.351 changed to 1.354
    • Malpractice GPCI 0.402 changed to 0.388

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $36.15changed to$36.25

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.088 changed to 1.086
    • Practice expense GPCI 1.347 changed to 1.351
    • Malpractice GPCI 0.416 changed to 0.402

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $36.14changed to$36.15

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.01 changed to 0.02

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $35.96changed to$36.14

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $36.23changed to$35.96

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.03 changed to 0.01
    • Work GPCI 1.083 changed to 1.088
    • Practice expense GPCI 1.342 changed to 1.347
    • Malpractice GPCI 0.466 changed to 0.416

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $36.12changed to$36.23

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.42 changed to 0.38
    • Work GPCI 1.077 changed to 1.083
    • Practice expense GPCI 1.337 changed to 1.342
    • Malpractice GPCI 0.516 changed to 0.466

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$36.12

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$40.42$26.45RVU26D
2026-07-01$40.42$26.45RVU26C
2026-04-01$40.42$26.45RVU26B
2026-01-01$40.42$26.45RVU26A
2025-10-01$39.36$32.86RVU25D
2025-07-01$39.36$32.86RVU25C
2025-04-01$39.36$32.86RVU25B
2025-01-01$39.36$32.86RVU25A
2024-10-01$40.02$33.34RVU24D
2024-07-01$40.02$33.34RVU24C
2024-04-01$40.02$33.34RVU24B
2024-03-09$40.02$33.34RVU24AR
2024-01-01$39.37$32.79RVU24A
2023-10-01$40.28$33.60RVU23D
2023-07-01$40.28$33.60RVU23C
2023-04-01$40.28$33.60RVU23B
2023-01-01$40.28$33.60RVU23A
2022-10-01$39.85$33.63RVU22D
2022-07-01$39.85$33.63RVU22C
2022-04-01$39.85$33.63RVU22B
2022-01-01$39.85$33.63RVU22A
2021-10-01$39.70$33.91RVU21D
2021-07-01$39.70$33.91RVU21C
2021-04-01$39.70$33.91RVU21B
2021-01-01$39.70$33.91RVU21A
2020-10-01$40.21$34.77RVU20D
2020-07-01$40.21$34.77RVU20C
2020-04-01$40.21$34.77RVU20B
2020-01-01$40.21$34.77RVU20A
2019-10-01$39.31$34.92RVU19D
2019-07-01$39.31$34.92RVU19C
2019-04-01$39.31$34.92RVU19B
2019-01-01$39.31$34.92RVU19A
2018-10-01$36.35$32.93RVU18D
2018-07-01$36.35$32.93RVU18C
2018-04-01$36.35$32.93RVU18B
2018-01-01$36.35$32.93RVU18AR1
2017-10-01$36.25$32.86RVU17D
2017-07-01$36.25$32.86RVU17C
2017-04-01$36.25$32.86RVU17B
2017-01-01$36.25$32.86RVU17A
2016-10-01$36.15$32.78RVU16D
2016-07-01$36.15$32.78RVU16C
2016-04-01$36.15$32.78RVU16B
2016-01-01$36.15$32.78RVU16A
2015-10-01$36.14$32.75RVU15D
2015-07-01$36.14$32.75RVU15C
2015-04-01$35.96$32.58RVU15B
2015-01-01$35.96$32.58RVU15A
2014-10-01$36.23$33.34RVU14D
2014-07-01$36.23$33.34RVU14C
2014-04-01$36.23$33.34RVU14B
2014-01-01$36.23$33.34RVU14A
2013-10-01$36.12$32.48RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 97803 for an earlier date of service

Where the Santa Clara County, CA rate applies

Santa Clara County, CA is a Medicare payment area, not a city. Our Census mapping connects it to 24 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • San Jose
  • Santa Clara
  • Sunnyvale
  • Alum Rock
  • Burbank
  • Cambrian Park
  • Campbell
  • Cupertino

Browse all communities in California

97803 billing questions

How does 97803 differ from 97802?

97803 is for an individual follow-up reassessment and intervention. Use 97802 for the initial individual nutrition assessment and intervention.

Can 97803 be reported for a group session?

No. 97803 describes individual service; 97804 is the group medical nutrition therapy code.

How should units be counted?

The service is counted in 15-minute units. Document the time spent with the patient and the follow-up nutrition work performed.

What should the note support?

Document the nutrition concerns reassessed, the patient's progress or relevant changes, and the counseling or plan adjustment provided during the follow-up.

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 97803PPRRVU2026_Oct_nonQPP.csv, line 12,914 (RVU26D)
Geographic factors for Santa Clara County, CAGPCI2026.csv, line 28 (RVU26D)

Open CMS sourceHow we calculate rates

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