CPT code 97804: Group nutrition therapy, two or more patients2026 Medicare rate & RVUs in Miami, FL

Report group medical nutrition therapy when a qualified nutrition professional provides structured nutrition counseling to multiple patients in a shared session.

CMS RVU26DEffective Oct 1, 2026One payment locality2.6K Medicare services in 2024

In Miami, FL, Medicare pays $17.89 for 97804 in the office and $13.02 when it’s performed in a hospital or facility.

$17.89Office (non-facility)
$13.02Hospital or facility
+5.0%vs the national office rate ($17.03)

Check a contract rate as a % of Medicare · 97804 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 97804 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Miami, FL
  2. What 97804 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 97804 covers

This service covers nutrition counseling delivered to two or more patients together by a registered dietitian or other qualified nutrition professional. The session may address topics such as meal planning, nutrition-related health goals, and strategies for managing a condition through diet. It is distinct from a one-to-one nutrition assessment or follow-up, even when the subject matter is similar.

Report the service in 30-minute units for each patient who participates in the group session. Documentation should support the session duration, group format, nutrition topics addressed, and each patient’s attendance and participation. Choose the individual nutrition therapy codes when the professional provides one-to-one care rather than a shared session. Under the Medicare Physician Fee Schedule, this code has work, practice expense, and malpractice RVUs; the practice expense RVU differs 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 Miami, FL compares for 97804

Across 109 of 109 payment localities, the office rate for 97804 runs from $15.70 in Arkansas to $21.60 in Alaska. Miami, FL pays $17.89. The RVUs are the same everywhere; the geographic indexes change the dollars.

97804 in Miami, FL vs other payment areas
  1. Miami, FL · this page$17.89
  2. Fort Lauderdale, FL · Florida$17.41−$0.48
  3. Rest of Florida · Florida$16.84−$1.05
  4. Los Angeles, CA · California$18.79+$0.90
  5. Washington, DC area · District of Columbia$19.01+$1.12
  6. Chicago, IL · Illinois$17.57−$0.32
  7. Manhattan, NY · New York$19.12+$1.23

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

Every other payment area

97804 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$21.60$16.62
AlabamaAlabama$15.85$11.75
ArkansasArkansas$15.70$11.68
ArizonaArizona$16.73$12.20
Bakersfield, CACalifornia$17.86$12.74
Chico, CACalifornia$17.82$12.70
El Centro, CACalifornia$17.82$12.70
Fresno, CACalifornia$17.82$12.70

97804 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.

$15.70

$21.60

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

View every state and territory as a table
97804 office rate range by state
State / territoryOffice rate rangeLocalities
AK$21.601
AL$15.851
AR$15.701
AZ$16.731
CA$17.82–$21.4929
CO$17.601
CT$17.911
DC$19.011
DE$16.941
FL$16.84–$17.893
GA$16.20–$17.262
GU$18.041
HI$18.041
IA$16.121
ID$16.191
IL$16.50–$17.584
IN$16.251
KS$16.071
KY$16.081
LA$16.06–$16.592
MA$17.54–$18.962
MD$17.19–$19.013
ME$16.24–$16.842
MI$16.35–$16.972
MN$17.041
MO$15.87–$16.633
MS$15.791
MT$17.031
NC$16.351
ND$16.841
NE$16.181
NH$17.341
NJ$18.17–$18.922
NM$16.411
NV$16.991
NY$16.52–$19.435
OH$16.311
OK$16.071
OR$16.90–$18.012
PA$16.33–$17.592
PR$17.121
RI$17.431
SC$16.351
SD$16.811
TN$16.121
TX$16.26–$17.508
UT$16.501
VA$16.79–$19.012
VI$17.121
VT$16.791
WA$17.51–$19.292
WI$16.451
WV$16.081
WY$16.951

See 97804 in every payment locality

How the 97804 rate is calculated

Each of 97804’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 · 97804

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.25

0.25 RVUs× 1.000 GPCI

Practice expense0.25

0.25 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.5100

Conversion factor

$33.4009

Medicare rate

$17.03

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

The exact Miami, FL inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,915

Code
97804
Physician work
0.25
Practice expense
0.25
Malpractice
0.01

GPCI2026.csv

42

Locality
Miami, FL
Physician work
1.000
Practice expense
1.041
Malpractice
2.529
Office calculation for 97804 in Miami, FL
ComponentRVULocality factorAdjusted
Physician work0.25× 1.0000.2500
Practice expense0.25× 1.0410.2602
Malpractice0.01× 2.5290.0253
Total RVUs0.5355
Conversion factor× 33.4009

Office rate, Miami, FL$17.89

Office: (0.25 × 1 + 0.25 × 1.041 + 0.01 × 2.529) × $33.4009 = $17.89

Facility: (0.25 × 1 + 0.11 × 1.041 + 0.01 × 2.529) × $33.4009 = $13.02

Open 97804 in the RVU calculator

Payment rules and modifiers for 97804

97804 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 · 97804

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

$17.03

Non-facility (office)
$17.03
Facility
$12.36

Higher because the practice carries its own overhead.

How 97804 has changed in Miami, FL

97804 · Office / nonfacility

$17.89

Effective 2026-10-01

The base rate is $0.69 higher than on 2025-10-01, moving from $17.20 to $17.89 (4.0%).

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

    $17.20changed to$17.89

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense GPCI 1.027 changed to 1.041
    • Malpractice GPCI 2.500 changed to 2.529

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $17.36changed to$17.20

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.24 changed to 0.25

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $17.08changed to$17.36

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $17.68changed to$17.08

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 1.025 changed to 1.027
    • Malpractice GPCI 2.564 changed to 2.500
  5. January 1, 2023

    RVU23A

    $18.06changed to$17.68

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense GPCI 1.023 changed to 1.025
    • Malpractice GPCI 2.629 changed to 2.564

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $17.85changed to$18.06

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.23 changed to 0.24

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $18.11changed to$17.85

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.22 changed to 0.23
    • Practice expense GPCI 1.026 changed to 1.023
    • Malpractice GPCI 2.598 changed to 2.629

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $18.09changed to$18.11

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense GPCI 1.029 changed to 1.026
    • Malpractice GPCI 2.566 changed to 2.598

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $16.96changed to$18.09

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.19 changed to 0.22

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $16.91changed to$16.96

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 1.031 changed to 1.029
    • Malpractice GPCI 2.528 changed to 2.566

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $16.87changed to$16.91

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 1.033 changed to 1.031
    • Malpractice GPCI 2.490 changed to 2.528

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $16.93changed to$16.87

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $16.85changed to$16.93

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $17.01changed to$16.85

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense GPCI 1.044 changed to 1.033
    • Malpractice GPCI 2.653 changed to 2.490

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $16.64changed to$17.01

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.20 changed to 0.19
    • Practice expense GPCI 1.054 changed to 1.044
    • Malpractice GPCI 2.815 changed to 2.653

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $16.64

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$17.89$13.02RVU26D
2026-07-01$17.89$13.02RVU26C
2026-04-01$17.89$13.02RVU26B
2026-01-01$17.89$13.02RVU26A
2025-10-01$17.20$15.54RVU25D
2025-07-01$17.20$15.54RVU25C
2025-04-01$17.20$15.54RVU25B
2025-01-01$17.20$15.54RVU25A
2024-10-01$17.36$15.99RVU24D
2024-07-01$17.36$15.99RVU24C
2024-04-01$17.36$15.99RVU24B
2024-03-09$17.36$15.99RVU24AR
2024-01-01$17.08$15.73RVU24A
2023-10-01$17.68$16.29RVU23D
2023-07-01$17.68$16.29RVU23C
2023-04-01$17.68$16.29RVU23B
2023-01-01$17.68$16.29RVU23A
2022-10-01$18.06$16.29RVU22D
2022-07-01$18.06$16.29RVU22C
2022-04-01$18.06$16.29RVU22B
2022-01-01$18.06$16.29RVU22A
2021-10-01$17.85$16.42RVU21D
2021-07-01$17.85$16.42RVU21C
2021-04-01$17.85$16.42RVU21B
2021-01-01$17.85$16.42RVU21A
2020-10-01$18.11$17.00RVU20D
2020-07-01$18.11$17.00RVU20C
2020-04-01$18.11$17.00RVU20B
2020-01-01$18.11$17.00RVU20A
2019-10-01$18.09$16.98RVU19D
2019-07-01$18.09$16.98RVU19C
2019-04-01$18.09$16.98RVU19B
2019-01-01$18.09$16.98RVU19A
2018-10-01$16.96$16.22RVU18D
2018-07-01$16.96$16.22RVU18C
2018-04-01$16.96$16.22RVU18B
2018-01-01$16.96$16.22RVU18AR1
2017-10-01$16.91$16.17RVU17D
2017-07-01$16.91$16.17RVU17C
2017-04-01$16.91$16.17RVU17B
2017-01-01$16.91$16.17RVU17A
2016-10-01$16.87$16.13RVU16D
2016-07-01$16.87$16.13RVU16C
2016-04-01$16.87$16.13RVU16B
2016-01-01$16.87$16.13RVU16A
2015-10-01$16.93$16.19RVU15D
2015-07-01$16.93$16.19RVU15C
2015-04-01$16.85$16.11RVU15B
2015-01-01$16.85$16.11RVU15A
2014-10-01$17.01$16.26RVU14D
2014-07-01$17.01$16.26RVU14C
2014-04-01$17.01$16.26RVU14B
2014-01-01$17.01$16.26RVU14A
2013-10-01$16.64$16.28RVU13D
2013-07-01$16.64$16.28RVU13C
2013-04-01$16.64$16.28RVU13B
2013-01-01$16.64$16.28RVU13AR

Price 97804 for an earlier date of service

Where the Miami, FL rate applies

Miami, FL is a Medicare payment area, not a city. Our Census mapping connects it to 83 cities and communities in Florida. Some span more than one payment area; confirm with the service ZIP.

  • Miami
  • Aventura
  • Bal Harbour
  • Bay Harbor Islands
  • Big Coppitt Key
  • Big Pine Key
  • Biscayne Gardens
  • Biscayne Park

Browse all communities in Florida

97804 billing questions

How does 97804 differ from 97802 or 97803?

97804 is for nutrition therapy provided in a group of two or more patients. Use 97802 for an initial individual service and 97803 for a subsequent individual service.

How many patients are needed for a group session?

The service is group therapy for two or more patients. A one-to-one session belongs under an individual nutrition therapy code.

How should units be reported?

The service is measured in 30-minute units for each participating patient. Document the session duration and each patient’s attendance.

What documentation supports 97804?

Record the group format, date and duration, nutrition topics or counseling provided, and the individual patient’s participation.

Can a modifier turn an individual session into group therapy?

No. The code selection follows how the service was delivered: shared counseling for multiple patients versus one-to-one nutrition therapy.

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 97804PPRRVU2026_Oct_nonQPP.csv, line 12,915 (RVU26D)
Geographic factors for Miami, FLGPCI2026.csv, line 42 (RVU26D)

Open CMS sourceHow we calculate rates

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