CPT code 97803: Nutrition therapy, individual, subsequent visit2026 Medicare rate & RVUs in North Dakota
Report individual medical nutrition therapy for a follow-up reassessment and nutrition intervention, counted in 15-minute units of patient-facing service.
In North Dakota, Medicare pays $31.53 for 97803 in the office and $21.85 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 North Dakota 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. North Dakota pays $31.53. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Dakota · this page$31.53
- Los Angeles, CA · California$35.23+$3.70
- Washington, DC area · District of Columbia$35.49+$3.96
- Miami, FL · Florida$32.91+$1.38
- Chicago, IL · Illinois$32.35+$0.82
- Manhattan, NY · New York$35.54+$4.01
- Alaska · Alaska$40.16+$8.63
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $29.54 | $21.06 |
| ArkansasArkansas | $29.26 | $20.94 |
| ArizonaArizona | $31.18 | $21.79 |
| Bakersfield, CACalifornia | $33.46 | $22.84 |
| Chico, CACalifornia | $33.40 | $22.79 |
| El Centro, CACalifornia | $33.40 | $22.79 |
| Fresno, CACalifornia | $33.40 | $22.79 |
| Hanford, CACalifornia | $33.40 | $22.79 |
| 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 |
| Sacramento, CACalifornia | $34.78 | $23.52 |
| Salinas, CACalifornia | $34.64 | $23.42 |
| San Diego, CACalifornia | $35.24 | $23.65 |
| Marin County, CACalifornia | $39.69 | $26.03 |
| San Francisco, CACalifornia | $39.68 | $26.02 |
| San Benito County, CACalifornia | $40.46 | $26.50 |
| Santa Clara County, CACalifornia | $40.42 | $26.45 |
| San Luis Obispo, CACalifornia | $34.11 | $23.07 |
| Santa Cruz, CACalifornia | $35.41 | $23.64 |
| Santa Maria, CACalifornia | $34.71 | $23.42 |
| Santa Rosa, CACalifornia | $35.76 | $23.86 |
| Stockton, CACalifornia | $33.40 | $22.79 |
| Vallejo, CACalifornia | $37.70 | $24.94 |
| Visalia, CACalifornia | $33.40 | $22.79 |
| Yuba City, CACalifornia | $33.40 | $22.79 |
| ColoradoColorado | $32.89 | $22.58 |
| ConnecticutConnecticut | $33.36 | $22.93 |
| DelawareDelaware | $31.58 | $22.01 |
| Fort Lauderdale, FLFlorida | $32.21 | $22.40 |
| Rest of FloridaFlorida | $31.18 | $21.92 |
| Atlanta, GAGeorgia | $32.10 | $22.26 |
| Rest of GeorgiaGeorgia | $30.03 | $21.39 |
| Hawaii, Guam, HIHawaii | $33.83 | $22.82 |
| IowaIowa | $30.14 | $21.28 |
| IdahoIdaho | $30.25 | $21.33 |
| East St. Louis, ILIllinois | $30.76 | $21.85 |
| Rest of IllinoisIllinois | $30.50 | $21.65 |
| Suburban Chicago, ILIllinois | $32.54 | $22.59 |
| IndianaIndiana | $30.36 | $21.39 |
| KansasKansas | $29.99 | $21.24 |
| KentuckyKentucky | $29.89 | $21.27 |
| New Orleans, LALouisiana | $30.81 | $21.70 |
| Rest of LouisianaLouisiana | $29.83 | $21.26 |
| Metropolitan Boston, MAMassachusetts | $35.49 | $23.92 |
| Rest of MassachusettsMassachusetts | $32.77 | $22.57 |
| Baltimore area, MDMaryland | $33.25 | $22.85 |
| Rest of MarylandMaryland | $32.05 | $22.25 |
| Rest of MaineMaine | $30.30 | $21.38 |
| Southern Maine, MEMaine | $31.46 | $21.86 |
| Detroit, MIMichigan | $31.39 | $22.04 |
| Rest of MichiganMichigan | $30.35 | $21.51 |
| MinnesotaMinnesota | $31.97 | $22.00 |
| Metropolitan Kansas City, MOMissouri | $30.72 | $21.63 |
| Metropolitan St. Louis, MOMissouri | $30.95 | $21.72 |
| Rest of MissouriMissouri | $29.46 | $21.11 |
| MississippiMississippi | $29.37 | $21.03 |
| MontanaMontana | $31.73 | $22.04 |
| North CarolinaNorth Carolina | $30.51 | $21.48 |
| NebraskaNebraska | $30.26 | $21.32 |
| New HampshireNew Hampshire | $32.36 | $22.28 |
| Northern New JerseyNew Jersey | $35.32 | $24.08 |
| Rest of New JerseyNew Jersey | $33.87 | $23.29 |
| New MexicoNew Mexico | $30.44 | $21.56 |
| NevadaNevada | $31.69 | $22.00 |
| NYC suburbs and Long Island, NYNew York | $36.07 | $24.56 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $34.03 | $23.43 |
| Queens, NYNew York | $35.82 | $24.37 |
| Rest of New YorkNew York | $30.81 | $21.61 |
| OhioOhio | $30.31 | $21.47 |
| OklahomaOklahoma | $29.91 | $21.26 |
| Portland, OROregon | $33.70 | $22.94 |
| Rest of OregonOregon | $31.57 | $21.92 |
| Metropolitan Philadelphia, PAPennsylvania | $32.74 | $22.65 |
| Rest of PennsylvaniaPennsylvania | $30.37 | $21.48 |
| Puerto RicoPuerto Rico | $31.91 | $22.11 |
| Rhode IslandRhode Island | $32.52 | $22.51 |
| South CarolinaSouth Carolina | $30.44 | $21.49 |
| South DakotaSouth Dakota | $31.51 | $21.82 |
| TennesseeTennessee | $30.09 | $21.28 |
| Austin, TXTexas | $32.67 | $22.42 |
| Beaumont, TXTexas | $30.23 | $21.42 |
| Brazoria, TXTexas | $31.63 | $22.03 |
| Dallas, TXTexas | $31.75 | $22.11 |
| Fort Worth, TXTexas | $31.59 | $22.04 |
| Galveston, TXTexas | $31.68 | $22.06 |
| Houston, TXTexas | $31.86 | $22.24 |
| Rest of TexasTexas | $30.86 | $21.67 |
| UtahUtah | $30.71 | $21.61 |
| VirginiaVirginia | $31.35 | $21.83 |
| Virgin Islands, VIUnited States Virgin Islands | $31.91 | $22.11 |
| VermontVermont | $31.40 | $21.81 |
| Rest of WashingtonWashington | $32.71 | $22.51 |
| King County, WAWashington | $36.14 | $24.25 |
| WisconsinWisconsin | $30.81 | $21.53 |
| West VirginiaWest Virginia | $29.73 | $21.31 |
| WyomingWyoming | $31.64 | $21.96 |
97803 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.
$29.26
$40.16
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $40.16 | 1 |
| AL | $29.54 | 1 |
| AR | $29.26 | 1 |
| AZ | $31.18 | 1 |
| CA | $33.40–$40.46 | 29 |
| CO | $32.89 | 1 |
| CT | $33.36 | 1 |
| DC | $35.49 | 1 |
| DE | $31.58 | 1 |
| FL | $31.18–$32.91 | 3 |
| GA | $30.03–$32.10 | 2 |
| GU | $33.83 | 1 |
| HI | $33.83 | 1 |
| IA | $30.14 | 1 |
| ID | $30.25 | 1 |
| IL | $30.50–$32.54 | 4 |
| IN | $30.36 | 1 |
| KS | $29.99 | 1 |
| KY | $29.89 | 1 |
| LA | $29.83–$30.81 | 2 |
| MA | $32.77–$35.49 | 2 |
| MD | $32.05–$35.49 | 3 |
| ME | $30.30–$31.46 | 2 |
| MI | $30.35–$31.39 | 2 |
| MN | $31.97 | 1 |
| MO | $29.46–$30.95 | 3 |
| MS | $29.37 | 1 |
| MT | $31.73 | 1 |
| NC | $30.51 | 1 |
| ND | $31.53 | 1 |
| NE | $30.26 | 1 |
| NH | $32.36 | 1 |
| NJ | $33.87–$35.32 | 2 |
| NM | $30.44 | 1 |
| NV | $31.69 | 1 |
| NY | $30.81–$36.07 | 5 |
| OH | $30.31 | 1 |
| OK | $29.91 | 1 |
| OR | $31.57–$33.70 | 2 |
| PA | $30.37–$32.74 | 2 |
| PR | $31.91 | 1 |
| RI | $32.52 | 1 |
| SC | $30.44 | 1 |
| SD | $31.51 | 1 |
| TN | $30.09 | 1 |
| TX | $30.23–$32.67 | 8 |
| UT | $30.71 | 1 |
| VA | $31.35–$35.49 | 2 |
| VI | $31.91 | 1 |
| VT | $31.40 | 1 |
| WA | $32.71–$36.14 | 2 |
| WI | $30.81 | 1 |
| WV | $29.73 | 1 |
| WY | $31.64 | 1 |
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
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 North Dakota 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
84
- Locality
- North Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.45 | × 1.000 | 0.4500 |
| Practice expense | 0.49 | × 1.000 | 0.4900 |
| Malpractice | 0.01 | × 0.406 | 0.0041 |
| Total RVUs | 0.9441 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Dakota$31.53
Office: (0.45 × 1 + 0.49 × 1 + 0.01 × 0.406) × $33.4009 = $31.53
Facility: (0.45 × 1 + 0.2 × 1 + 0.01 × 0.406) × $33.4009 = $21.85
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.
How 97803 has changed in North Dakota
97803 · Office / nonfacility
$31.53
Effective 2026-10-01
The base rate is $0.63 higher than on 2025-10-01, moving from $30.90 to $31.53 (2.0%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$30.90changed to$31.53
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.50 changed to 0.49
- Malpractice GPCI 0.517 changed to 0.406
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$31.46changed to$30.90
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.49 changed to 0.50
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$30.95changed to$31.46
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$32.01changed to$30.95
- Conversion factor 33.8872 changed to 32.7442
- Malpractice GPCI 0.474 changed to 0.517
January 1, 2023
RVU23A
$32.14changed to$32.01
- 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
- Malpractice GPCI 0.431 changed to 0.474
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$32.05changed to$32.14
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.46 changed to 0.47
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$32.83changed to$32.05
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.45 changed to 0.46
- Malpractice GPCI 0.485 changed to 0.431
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$32.46changed to$32.83
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.44 changed to 0.45
- Malpractice GPCI 0.540 changed to 0.485
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$30.27changed to$32.46
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.38 changed to 0.44
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$30.18changed to$30.27
- Conversion factor 35.8887 changed to 35.9996
- Malpractice GPCI 0.547 changed to 0.540
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$30.11changed to$30.18
- Conversion factor 35.8043 changed to 35.8887
- Malpractice GPCI 0.554 changed to 0.547
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$30.02changed to$30.11
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.01 changed to 0.02
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$29.87changed to$30.02
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$30.31changed to$29.87
- Conversion factor 35.8228 changed to 35.7547
- Malpractice RVU 0.03 changed to 0.01
- Malpractice GPCI 0.536 changed to 0.554
Held through RVU15B.
January 1, 2014
RVU14A
$30.13changed to$30.31
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.42 changed to 0.38
- Malpractice GPCI 0.517 changed to 0.536
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $30.13
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $31.53 | $21.85 | RVU26D |
| 2026-07-01 | $31.53 | $21.85 | RVU26C |
| 2026-04-01 | $31.53 | $21.85 | RVU26B |
| 2026-01-01 | $31.53 | $21.85 | RVU26A |
| 2025-10-01 | $30.90 | $26.37 | RVU25D |
| 2025-07-01 | $30.90 | $26.37 | RVU25C |
| 2025-04-01 | $30.90 | $26.37 | RVU25B |
| 2025-01-01 | $30.90 | $26.37 | RVU25A |
| 2024-10-01 | $31.46 | $26.80 | RVU24D |
| 2024-07-01 | $31.46 | $26.80 | RVU24C |
| 2024-04-01 | $31.46 | $26.80 | RVU24B |
| 2024-03-09 | $31.46 | $26.80 | RVU24AR |
| 2024-01-01 | $30.95 | $26.36 | RVU24A |
| 2023-10-01 | $32.01 | $27.27 | RVU23D |
| 2023-07-01 | $32.01 | $27.27 | RVU23C |
| 2023-04-01 | $32.01 | $27.27 | RVU23B |
| 2023-01-01 | $32.01 | $27.27 | RVU23A |
| 2022-10-01 | $32.14 | $27.64 | RVU22D |
| 2022-07-01 | $32.14 | $27.64 | RVU22C |
| 2022-04-01 | $32.14 | $27.64 | RVU22B |
| 2022-01-01 | $32.14 | $27.64 | RVU22A |
| 2021-10-01 | $32.05 | $27.87 | RVU21D |
| 2021-07-01 | $32.05 | $27.87 | RVU21C |
| 2021-04-01 | $32.05 | $27.87 | RVU21B |
| 2021-01-01 | $32.05 | $27.87 | RVU21A |
| 2020-10-01 | $32.83 | $28.86 | RVU20D |
| 2020-07-01 | $32.83 | $28.86 | RVU20C |
| 2020-04-01 | $32.83 | $28.86 | RVU20B |
| 2020-01-01 | $32.83 | $28.86 | RVU20A |
| 2019-10-01 | $32.46 | $29.22 | RVU19D |
| 2019-07-01 | $32.46 | $29.22 | RVU19C |
| 2019-04-01 | $32.46 | $29.22 | RVU19B |
| 2019-01-01 | $32.46 | $29.22 | RVU19A |
| 2018-10-01 | $30.27 | $27.75 | RVU18D |
| 2018-07-01 | $30.27 | $27.75 | RVU18C |
| 2018-04-01 | $30.27 | $27.75 | RVU18B |
| 2018-01-01 | $30.27 | $27.75 | RVU18AR1 |
| 2017-10-01 | $30.18 | $27.67 | RVU17D |
| 2017-07-01 | $30.18 | $27.67 | RVU17C |
| 2017-04-01 | $30.18 | $27.67 | RVU17B |
| 2017-01-01 | $30.18 | $27.67 | RVU17A |
| 2016-10-01 | $30.11 | $27.61 | RVU16D |
| 2016-07-01 | $30.11 | $27.61 | RVU16C |
| 2016-04-01 | $30.11 | $27.61 | RVU16B |
| 2016-01-01 | $30.11 | $27.61 | RVU16A |
| 2015-10-01 | $30.02 | $27.51 | RVU15D |
| 2015-07-01 | $30.02 | $27.51 | RVU15C |
| 2015-04-01 | $29.87 | $27.37 | RVU15B |
| 2015-01-01 | $29.87 | $27.37 | RVU15A |
| 2014-10-01 | $30.31 | $28.16 | RVU14D |
| 2014-07-01 | $30.31 | $28.16 | RVU14C |
| 2014-04-01 | $30.31 | $28.16 | RVU14B |
| 2014-01-01 | $30.31 | $28.16 | RVU14A |
| 2013-10-01 | $30.13 | $27.41 | RVU13D |
| 2013-07-01 | $30.13 | $27.41 | RVU13C |
| 2013-04-01 | $30.13 | $27.41 | RVU13B |
| 2013-01-01 | $30.13 | $27.41 | RVU13AR |
Where the North Dakota rate applies
North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.
- Abercrombie
- Adams
- Alamo
- Alexander
- Alice
- Almont
- Alsen
- Ambrose
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
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