CPT code 99411: Group counseling, approximately 30 minutes2026 Medicare rate & RVUs in Florida
Reports approximately 30 minutes of preventive counseling or risk-factor reduction delivered to individuals together in a group setting.
CMS doesn’t publish an office rate for 99411 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
Your location
On this page 9 sections
What 99411 covers
99411 identifies preventive medicine counseling or risk-factor reduction provided to individuals together in a group, for approximately 30 minutes. The code is distinguished by group format and session length: individual preventive counseling is reported from the individual counseling series, while the longer group service is represented by 99412. It describes counseling for participating individuals, not a single service for the group as an entity.
Medicare assigns 99411 status N, meaning Medicare does not cover the service. For code selection, distinguish group counseling from one-on-one counseling and use the approximate duration: 99411 represents about 30 minutes, whereas 99412 represents about 60 minutes. Individual codes such as 99401 and 99402 represent approximate 15- and 30-minute sessions, respectively.
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.
Where 99411 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | Unavailable | Unavailable |
| Miami, FL | Unavailable | Unavailable |
| Rest of Florida | Unavailable | Unavailable |
How the 99411 rate is calculated
Each of 99411’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 · 99411
RVUs × geographic indexes × conversion factor
Work0.15
0.15 RVUs× 1.000 GPCI
Practice expense0.45
0.45 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.6100
Conversion factor
$33.4009
Medicare rate
$20.37
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 99411
99411 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 · 99411
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
—
99411 isn’t priced in this setting.
99411 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 99412Group preventive counselingApproximately 60 minutes
- Both are group preventive counseling codes; choose 99411 for approximately 30 minutes and 99412 for approximately 60 minutes.
- 99401Preventive counselingIndividual, approximately 15 minutes
- 99401 describes individual preventive counseling for approximately 15 minutes. Use 99411 when counseling is delivered to individuals together in a group.
- 99402Preventive counselingApproximately 30 minutes
- 99402 describes individual preventive counseling for approximately 30 minutes. The matching approximate duration does not make it interchangeable with 99411, which is for a group setting.
99411 billing questions
How does 99411 differ from 99412?
Both represent preventive counseling in a group setting. 99411 corresponds to approximately 30 minutes; 99412 corresponds to approximately 60 minutes.
When should an individual preventive counseling code be used instead?
Use an individual preventive counseling code, such as 99401 or 99402, when the counseling is provided one-on-one rather than in a group.
Does 99411 describe one service for the entire group?
No. It describes preventive counseling delivered to individuals in a group setting; it is not a code for the group as a single entity.
Does Medicare cover 99411?
No. Its Medicare status is N, meaning Medicare does not cover the service.
What session length does 99411 represent?
It represents approximately 30 minutes of preventive counseling in a group setting.
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
Fee sheets · Coming soon
Put 99411 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist