CPT code 97804: Group nutrition therapy, two or more patients2026 Medicare rate & RVUs in Kentucky
Report group medical nutrition therapy when a qualified nutrition professional provides structured nutrition counseling to multiple patients in a shared session.
In Kentucky, Medicare pays $16.08 for 97804 in the office and $11.92 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 Kentucky 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. Kentucky pays $16.08. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Kentucky · this page$16.08
- Los Angeles, CA · California$18.79+$2.71
- Washington, DC area · District of Columbia$19.01+$2.93
- Miami, FL · Florida$17.89+$1.81
- Chicago, IL · Illinois$17.57+$1.49
- Manhattan, NY · New York$19.12+$3.04
- Alaska · Alaska$21.60+$5.52
Other areas in Kentucky first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | $17.82 | $12.70 |
| Merced, CACalifornia | $17.82 | $12.70 |
| Modesto, CACalifornia | $17.82 | $12.70 |
| Napa, CACalifornia | $20.05 | $13.89 |
| Oxnard, CACalifornia | $18.66 | $13.13 |
| Redding, CACalifornia | $17.82 | $12.70 |
| Rest of CaliforniaCalifornia | $17.82 | $12.70 |
| Riverside, CACalifornia | $17.94 | $12.81 |
| Sacramento, CACalifornia | $18.54 | $13.10 |
| Salinas, CACalifornia | $18.47 | $13.05 |
| San Diego, CACalifornia | $18.77 | $13.18 |
| Marin County, CACalifornia | $21.07 | $14.48 |
| San Francisco, CACalifornia | $21.06 | $14.47 |
| San Benito County, CACalifornia | $21.49 | $14.75 |
| Santa Clara County, CACalifornia | $21.44 | $14.70 |
| San Luis Obispo, CACalifornia | $18.18 | $12.86 |
| Santa Cruz, CACalifornia | $18.85 | $13.17 |
| Santa Maria, CACalifornia | $18.50 | $13.05 |
| Santa Rosa, CACalifornia | $19.03 | $13.29 |
| Stockton, CACalifornia | $17.82 | $12.70 |
| Vallejo, CACalifornia | $20.04 | $13.87 |
| Visalia, CACalifornia | $17.82 | $12.70 |
| Yuba City, CACalifornia | $17.82 | $12.70 |
| ColoradoColorado | $17.60 | $12.62 |
| ConnecticutConnecticut | $17.91 | $12.88 |
| DelawareDelaware | $16.94 | $12.32 |
| Fort Lauderdale, FLFlorida | $17.41 | $12.68 |
| Rest of FloridaFlorida | $16.84 | $12.36 |
| Atlanta, GAGeorgia | $17.26 | $12.51 |
| Rest of GeorgiaGeorgia | $16.20 | $12.03 |
| Hawaii, Guam, HIHawaii | $18.04 | $12.72 |
| IowaIowa | $16.12 | $11.84 |
| IdahoIdaho | $16.19 | $11.89 |
| East St. Louis, ILIllinois | $16.71 | $12.40 |
| Rest of IllinoisIllinois | $16.50 | $12.23 |
| Suburban Chicago, ILIllinois | $17.58 | $12.77 |
| IndianaIndiana | $16.25 | $11.92 |
| KansasKansas | $16.07 | $11.84 |
| New Orleans, LALouisiana | $16.59 | $12.19 |
| Rest of LouisianaLouisiana | $16.06 | $11.92 |
| Metropolitan Boston, MAMassachusetts | $18.96 | $13.38 |
| Rest of MassachusettsMassachusetts | $17.54 | $12.62 |
| Baltimore area, MDMaryland | $17.86 | $12.84 |
| Rest of MarylandMaryland | $17.19 | $12.46 |
| Rest of MaineMaine | $16.24 | $11.94 |
| Southern Maine, MEMaine | $16.84 | $12.20 |
| Detroit, MIMichigan | $16.97 | $12.46 |
| Rest of MichiganMichigan | $16.35 | $12.08 |
| MinnesotaMinnesota | $17.04 | $12.23 |
| Metropolitan Kansas City, MOMissouri | $16.52 | $12.13 |
| Metropolitan St. Louis, MOMissouri | $16.63 | $12.18 |
| Rest of MissouriMissouri | $15.87 | $11.84 |
| MississippiMississippi | $15.79 | $11.76 |
| MontanaMontana | $17.03 | $12.36 |
| North CarolinaNorth Carolina | $16.35 | $11.99 |
| North DakotaNorth Dakota | $16.84 | $12.16 |
| NebraskaNebraska | $16.18 | $11.87 |
| New HampshireNew Hampshire | $17.34 | $12.47 |
| Northern New JerseyNew Jersey | $18.92 | $13.49 |
| Rest of New JerseyNew Jersey | $18.17 | $13.06 |
| New MexicoNew Mexico | $16.41 | $12.12 |
| NevadaNevada | $16.99 | $12.31 |
| NYC suburbs and Long Island, NYNew York | $19.43 | $13.87 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $18.27 | $13.15 |
| Queens, NYNew York | $19.24 | $13.71 |
| Rest of New YorkNew York | $16.52 | $12.08 |
| OhioOhio | $16.31 | $12.04 |
| OklahomaOklahoma | $16.07 | $11.89 |
| Portland, OROregon | $18.01 | $12.81 |
| Rest of OregonOregon | $16.90 | $12.24 |
| Metropolitan Philadelphia, PAPennsylvania | $17.59 | $12.72 |
| Rest of PennsylvaniaPennsylvania | $16.33 | $12.04 |
| Puerto RicoPuerto Rico | $17.12 | $12.39 |
| Rhode IslandRhode Island | $17.43 | $12.60 |
| South CarolinaSouth Carolina | $16.35 | $12.03 |
| South DakotaSouth Dakota | $16.81 | $12.14 |
| TennesseeTennessee | $16.12 | $11.87 |
| Austin, TXTexas | $17.50 | $12.55 |
| Beaumont, TXTexas | $16.26 | $12.00 |
| Brazoria, TXTexas | $16.95 | $12.32 |
| Dallas, TXTexas | $17.03 | $12.37 |
| Fort Worth, TXTexas | $16.95 | $12.34 |
| Galveston, TXTexas | $16.99 | $12.34 |
| Houston, TXTexas | $17.17 | $12.53 |
| Rest of TexasTexas | $16.58 | $12.14 |
| UtahUtah | $16.50 | $12.10 |
| VirginiaVirginia | $16.79 | $12.20 |
| Virgin Islands, VIUnited States Virgin Islands | $17.12 | $12.39 |
| VermontVermont | $16.79 | $12.16 |
| Rest of WashingtonWashington | $17.51 | $12.58 |
| King County, WAWashington | $19.29 | $13.55 |
| WisconsinWisconsin | $16.45 | $11.97 |
| West VirginiaWest Virginia | $16.08 | $12.02 |
| WyomingWyoming | $16.95 | $12.27 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $21.60 | 1 |
| AL | $15.85 | 1 |
| AR | $15.70 | 1 |
| AZ | $16.73 | 1 |
| CA | $17.82–$21.49 | 29 |
| CO | $17.60 | 1 |
| CT | $17.91 | 1 |
| DC | $19.01 | 1 |
| DE | $16.94 | 1 |
| FL | $16.84–$17.89 | 3 |
| GA | $16.20–$17.26 | 2 |
| GU | $18.04 | 1 |
| HI | $18.04 | 1 |
| IA | $16.12 | 1 |
| ID | $16.19 | 1 |
| IL | $16.50–$17.58 | 4 |
| IN | $16.25 | 1 |
| KS | $16.07 | 1 |
| KY | $16.08 | 1 |
| LA | $16.06–$16.59 | 2 |
| MA | $17.54–$18.96 | 2 |
| MD | $17.19–$19.01 | 3 |
| ME | $16.24–$16.84 | 2 |
| MI | $16.35–$16.97 | 2 |
| MN | $17.04 | 1 |
| MO | $15.87–$16.63 | 3 |
| MS | $15.79 | 1 |
| MT | $17.03 | 1 |
| NC | $16.35 | 1 |
| ND | $16.84 | 1 |
| NE | $16.18 | 1 |
| NH | $17.34 | 1 |
| NJ | $18.17–$18.92 | 2 |
| NM | $16.41 | 1 |
| NV | $16.99 | 1 |
| NY | $16.52–$19.43 | 5 |
| OH | $16.31 | 1 |
| OK | $16.07 | 1 |
| OR | $16.90–$18.01 | 2 |
| PA | $16.33–$17.59 | 2 |
| PR | $17.12 | 1 |
| RI | $17.43 | 1 |
| SC | $16.35 | 1 |
| SD | $16.81 | 1 |
| TN | $16.12 | 1 |
| TX | $16.26–$17.50 | 8 |
| UT | $16.50 | 1 |
| VA | $16.79–$19.01 | 2 |
| VI | $17.12 | 1 |
| VT | $16.79 | 1 |
| WA | $17.51–$19.29 | 2 |
| WI | $16.45 | 1 |
| WV | $16.08 | 1 |
| WY | $16.95 | 1 |
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
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 Kentucky 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
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.25 | × 1.000 | 0.2500 |
| Practice expense | 0.25 | × 0.889 | 0.2223 |
| Malpractice | 0.01 | × 0.915 | 0.0092 |
| Total RVUs | 0.4814 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Kentucky$16.08
Office: (0.25 × 1 + 0.25 × 0.889 + 0.01 × 0.915) × $33.4009 = $16.08
Facility: (0.25 × 1 + 0.11 × 0.889 + 0.01 × 0.915) × $33.4009 = $11.92
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 Kentucky
97804 · Office / nonfacility
$16.08
Effective 2026-10-01
The base rate is $0.61 higher than on 2025-10-01, moving from $15.47 to $16.08 (3.9%).
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
$15.47changed to$16.08
- Conversion factor 32.3465 changed to 33.4009
- Practice expense GPCI 0.877 changed to 0.889
- Malpractice GPCI 0.913 changed to 0.915
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$15.63changed to$15.47
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.24 changed to 0.25
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$15.38changed to$15.63
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$15.87changed to$15.38
- Conversion factor 33.8872 changed to 32.7442
- Practice expense GPCI 0.873 changed to 0.877
- Malpractice GPCI 0.870 changed to 0.913
January 1, 2023
RVU23A
$16.16changed to$15.87
- Conversion factor 34.6062 changed to 33.8872
- Practice expense GPCI 0.869 changed to 0.873
- Malpractice GPCI 0.827 changed to 0.870
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$15.99changed to$16.16
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.23 changed to 0.24
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$16.26changed to$15.99
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.22 changed to 0.23
- Practice expense GPCI 0.874 changed to 0.869
- Malpractice GPCI 0.823 changed to 0.827
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$16.28changed to$16.26
- Conversion factor 36.0391 changed to 36.0896
- Practice expense GPCI 0.880 changed to 0.874
- Malpractice GPCI 0.819 changed to 0.823
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$15.31changed to$16.28
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.19 changed to 0.22
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$15.24changed to$15.31
- Conversion factor 35.8887 changed to 35.9996
- Practice expense GPCI 0.876 changed to 0.880
- Malpractice GPCI 0.807 changed to 0.819
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$15.17changed to$15.24
- Conversion factor 35.8043 changed to 35.8887
- Practice expense GPCI 0.872 changed to 0.876
- Malpractice GPCI 0.795 changed to 0.807
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$15.22changed to$15.17
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$15.15changed to$15.22
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$15.17changed to$15.15
- Conversion factor 35.8228 changed to 35.7547
- Malpractice GPCI 0.774 changed to 0.795
Held through RVU15B.
January 1, 2014
RVU14A
$14.69changed to$15.17
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.20 changed to 0.19
- Practice expense GPCI 0.871 changed to 0.872
- Malpractice GPCI 0.752 changed to 0.774
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $14.69
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $16.08 | $11.92 | RVU26D |
| 2026-07-01 | $16.08 | $11.92 | RVU26C |
| 2026-04-01 | $16.08 | $11.92 | RVU26B |
| 2026-01-01 | $16.08 | $11.92 | RVU26A |
| 2025-10-01 | $15.47 | $14.06 | RVU25D |
| 2025-07-01 | $15.47 | $14.06 | RVU25C |
| 2025-04-01 | $15.47 | $14.06 | RVU25B |
| 2025-01-01 | $15.47 | $14.06 | RVU25A |
| 2024-10-01 | $15.63 | $14.46 | RVU24D |
| 2024-07-01 | $15.63 | $14.46 | RVU24C |
| 2024-04-01 | $15.63 | $14.46 | RVU24B |
| 2024-03-09 | $15.63 | $14.46 | RVU24AR |
| 2024-01-01 | $15.38 | $14.23 | RVU24A |
| 2023-10-01 | $15.87 | $14.68 | RVU23D |
| 2023-07-01 | $15.87 | $14.68 | RVU23C |
| 2023-04-01 | $15.87 | $14.68 | RVU23B |
| 2023-01-01 | $15.87 | $14.68 | RVU23A |
| 2022-10-01 | $16.16 | $14.65 | RVU22D |
| 2022-07-01 | $16.16 | $14.65 | RVU22C |
| 2022-04-01 | $16.16 | $14.65 | RVU22B |
| 2022-01-01 | $16.16 | $14.65 | RVU22A |
| 2021-10-01 | $15.99 | $14.77 | RVU21D |
| 2021-07-01 | $15.99 | $14.77 | RVU21C |
| 2021-04-01 | $15.99 | $14.77 | RVU21B |
| 2021-01-01 | $15.99 | $14.77 | RVU21A |
| 2020-10-01 | $16.26 | $15.31 | RVU20D |
| 2020-07-01 | $16.26 | $15.31 | RVU20C |
| 2020-04-01 | $16.26 | $15.31 | RVU20B |
| 2020-01-01 | $16.26 | $15.31 | RVU20A |
| 2019-10-01 | $16.28 | $15.33 | RVU19D |
| 2019-07-01 | $16.28 | $15.33 | RVU19C |
| 2019-04-01 | $16.28 | $15.33 | RVU19B |
| 2019-01-01 | $16.28 | $15.33 | RVU19A |
| 2018-10-01 | $15.31 | $14.68 | RVU18D |
| 2018-07-01 | $15.31 | $14.68 | RVU18C |
| 2018-04-01 | $15.31 | $14.68 | RVU18B |
| 2018-01-01 | $15.31 | $14.68 | RVU18AR1 |
| 2017-10-01 | $15.24 | $14.61 | RVU17D |
| 2017-07-01 | $15.24 | $14.61 | RVU17C |
| 2017-04-01 | $15.24 | $14.61 | RVU17B |
| 2017-01-01 | $15.24 | $14.61 | RVU17A |
| 2016-10-01 | $15.17 | $14.54 | RVU16D |
| 2016-07-01 | $15.17 | $14.54 | RVU16C |
| 2016-04-01 | $15.17 | $14.54 | RVU16B |
| 2016-01-01 | $15.17 | $14.54 | RVU16A |
| 2015-10-01 | $15.22 | $14.60 | RVU15D |
| 2015-07-01 | $15.22 | $14.60 | RVU15C |
| 2015-04-01 | $15.15 | $14.52 | RVU15B |
| 2015-01-01 | $15.15 | $14.52 | RVU15A |
| 2014-10-01 | $15.17 | $14.54 | RVU14D |
| 2014-07-01 | $15.17 | $14.54 | RVU14C |
| 2014-04-01 | $15.17 | $14.54 | RVU14B |
| 2014-01-01 | $15.17 | $14.54 | RVU14A |
| 2013-10-01 | $14.69 | $14.39 | RVU13D |
| 2013-07-01 | $14.69 | $14.39 | RVU13C |
| 2013-04-01 | $14.69 | $14.39 | RVU13B |
| 2013-01-01 | $14.69 | $14.39 | RVU13AR |
Where the Kentucky rate applies
Kentucky is a Medicare payment area, not a city. Our Census mapping connects it to 553 cities and communities in Kentucky. Some span more than one payment area; confirm with the service ZIP.
- Adairville
- Ages
- Albany
- Alexandria
- Allen
- Allensville
- Anchorage
- Annville
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
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