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

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 Iowa, Medicare pays $16.12 for 97804 in the office and $11.84 when it’s performed in a hospital or facility.

$16.12Office (non-facility)
$11.84Hospital or facility
−5.3%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 Iowa
  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 Iowa 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. Iowa pays $16.12. The RVUs are the same everywhere; the geographic indexes change the dollars.

97804 in Iowa vs other payment areas
  1. Iowa · this page$16.12
  2. Los Angeles, CA · California$18.79+$2.67
  3. Washington, DC area · District of Columbia$19.01+$2.89
  4. Miami, FL · Florida$17.89+$1.77
  5. Chicago, IL · Illinois$17.57+$1.45
  6. Manhattan, NY · New York$19.12+$3.00
  7. Alaska · Alaska$21.60+$5.48

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

Every other payment area

97804 in every other Medicare payment locality
Payment localityOfficeFacility
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
Hanford, 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 Iowa 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

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office calculation for 97804 in Iowa
ComponentRVULocality factorAdjusted
Physician work0.25× 1.0000.2500
Practice expense0.25× 0.9150.2288
Malpractice0.01× 0.3970.0040
Total RVUs0.4827
Conversion factor× 33.4009

Office rate, Iowa$16.12

Office: (0.25 × 1 + 0.25 × 0.915 + 0.01 × 0.397) × $33.4009 = $16.12

Facility: (0.25 × 1 + 0.11 × 0.915 + 0.01 × 0.397) × $33.4009 = $11.84

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 Iowa

97804 · Office / nonfacility

$16.12

Effective 2026-10-01

The base rate is $0.50 higher than on 2025-10-01, moving from $15.62 to $16.12 (3.2%).

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

    $15.62changed to$16.12

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense GPCI 0.913 changed to 0.915
    • Malpractice GPCI 0.457 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $15.77changed to$15.62

    • 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

    $15.51changed to$15.77

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $16.02changed to$15.51

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 0.910 changed to 0.913
    • Malpractice GPCI 0.441 changed to 0.457
  5. January 1, 2023

    RVU23A

    $16.33changed to$16.02

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense GPCI 0.907 changed to 0.910
    • Malpractice GPCI 0.425 changed to 0.441

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $16.15changed to$16.33

    • 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

    $16.38changed to$16.15

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.22 changed to 0.23
    • Malpractice GPCI 0.424 changed to 0.425

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $16.35changed to$16.38

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice GPCI 0.423 changed to 0.424

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $15.36changed to$16.35

    • 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

    $15.29changed to$15.36

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.902 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.423

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $15.22changed to$15.29

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 0.493 changed to 0.458

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $15.28changed to$15.22

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $15.20changed to$15.28

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $15.20changed to$15.20

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense GPCI 0.892 changed to 0.896
    • Malpractice GPCI 0.475 changed to 0.493

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $14.70changed to$15.20

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.20 changed to 0.19
    • Practice expense GPCI 0.887 changed to 0.892
    • Malpractice GPCI 0.456 changed to 0.475

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $14.70

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$16.12$11.84RVU26D
2026-07-01$16.12$11.84RVU26C
2026-04-01$16.12$11.84RVU26B
2026-01-01$16.12$11.84RVU26A
2025-10-01$15.62$14.14RVU25D
2025-07-01$15.62$14.14RVU25C
2025-04-01$15.62$14.14RVU25B
2025-01-01$15.62$14.14RVU25A
2024-10-01$15.77$14.55RVU24D
2024-07-01$15.77$14.55RVU24C
2024-04-01$15.77$14.55RVU24B
2024-03-09$15.77$14.55RVU24AR
2024-01-01$15.51$14.31RVU24A
2023-10-01$16.02$14.79RVU23D
2023-07-01$16.02$14.79RVU23C
2023-04-01$16.02$14.79RVU23B
2023-01-01$16.02$14.79RVU23A
2022-10-01$16.33$14.76RVU22D
2022-07-01$16.33$14.76RVU22C
2022-04-01$16.33$14.76RVU22B
2022-01-01$16.33$14.76RVU22A
2021-10-01$16.15$14.88RVU21D
2021-07-01$16.15$14.88RVU21C
2021-04-01$16.15$14.88RVU21B
2021-01-01$16.15$14.88RVU21A
2020-10-01$16.38$15.39RVU20D
2020-07-01$16.38$15.39RVU20C
2020-04-01$16.38$15.39RVU20B
2020-01-01$16.38$15.39RVU20A
2019-10-01$16.35$15.37RVU19D
2019-07-01$16.35$15.37RVU19C
2019-04-01$16.35$15.37RVU19B
2019-01-01$16.35$15.37RVU19A
2018-10-01$15.36$14.70RVU18D
2018-07-01$15.36$14.70RVU18C
2018-04-01$15.36$14.70RVU18B
2018-01-01$15.36$14.70RVU18AR1
2017-10-01$15.29$14.64RVU17D
2017-07-01$15.29$14.64RVU17C
2017-04-01$15.29$14.64RVU17B
2017-01-01$15.29$14.64RVU17A
2016-10-01$15.22$14.58RVU16D
2016-07-01$15.22$14.58RVU16C
2016-04-01$15.22$14.58RVU16B
2016-01-01$15.22$14.58RVU16A
2015-10-01$15.28$14.63RVU15D
2015-07-01$15.28$14.63RVU15C
2015-04-01$15.20$14.56RVU15B
2015-01-01$15.20$14.56RVU15A
2014-10-01$15.20$14.56RVU14D
2014-07-01$15.20$14.56RVU14C
2014-04-01$15.20$14.56RVU14B
2014-01-01$15.20$14.56RVU14A
2013-10-01$14.70$14.39RVU13D
2013-07-01$14.70$14.39RVU13C
2013-04-01$14.70$14.39RVU13B
2013-01-01$14.70$14.39RVU13AR

Price 97804 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

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 IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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