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CPT code 99412: Group preventive counseling, approximately 60 minutes2026 Medicare rate & RVUs

Group preventive counseling addresses health risks and risk-reduction strategies in a shared session lasting approximately 60 minutes.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · 99412

Group preventive counseling, approximately 60 minutes

Office or facility?

Work RVUs
0.25
Total RVUs
0.33
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for 99412 →Billed by an NP, PA or therapist? →

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

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 99412 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 99412 covers

99412 identifies preventive health counseling provided to a group, with discussion of health risks and ways to reduce them. A physician or other qualified health professional typically leads the session. The group format distinguishes it from individual preventive counseling codes 99401–99404. The approximately 60-minute duration distinguishes 99412 from the shorter group service, 99411.

Medicare assigns status N to 99412, so Medicare does not cover the service under this code. Report it for a group preventive counseling session of approximately 60 minutes; use 99411 for the shorter, approximately 30-minute group service. Documentation should identify the group format, preventive topics, and session duration. Individual preventive counseling is represented by 99401–99404, with selection based on the approximate duration of the one-to-one service.

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 99412 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

99412 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

99412 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

View every state and territory as a table
99412 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 99412 rate is calculated

Each of 99412’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 · 99412

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.25

0.25 RVUs× 1.000 GPCI

Practice expense0.49

0.49 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

0.7600

Conversion factor

$33.4009

Medicare rate

$25.38

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

Payment rules and modifiers for 99412

99412 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 · 99412

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

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99412 isn’t priced in this setting.

99412 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 99412

    Group preventive counseling, approximately 60 minutes0.25 wRVU

    Not priced

  • 99411

    Group counseling, approximately 30 minutes0.15 wRVU

    Not priced

  • 99404

    Preventive counseling, individual, approximately 60 minutes1.95 wRVU

    Not priced

  • 99406

    Smoking cessation, more than 3 through 10 minutes0.24 wRVU

    $15.36

How to choose

99411Group counselingApproximately 30 minutes
Both are group preventive counseling services. Choose 99412 for the approximately 60-minute session and 99411 for the shorter, approximately 30-minute session.
99404Preventive counselingIndividual, approximately 60 minutes
Both describe approximately 60 minutes of preventive counseling, but 99404 is for individual counseling and 99412 is for a group.
99406Smoking cessationMore than 3 through 10 minutes
99406 identifies smoking or tobacco-use cessation counseling by time; 99412 identifies group preventive counseling by session duration.

Codes related to 99412

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 99412
CodeHow it relatesNational office range
Same family
99411Group counseling, approximately 30 minutesShorter group preventive counseling service, approximately 30 minutes.No office rate
Used instead
99401Preventive counseling, individual, approximately 15 minutesIndividual preventive counseling, approximately 15 minutes, rather than a group session.No office rate
99402Preventive counseling, approximately 30 minutesIndividual preventive counseling, approximately 30 minutes, rather than a group session.No office rate
99403Preventive counseling, individual, about 45 minutesIndividual preventive counseling, approximately 45 minutes, rather than a group session.No office rate
99404Preventive counseling, individual, approximately 60 minutesIndividual preventive counseling, approximately 60 minutes, rather than a group session.No office rate

99412 billing questions

How does 99412 differ from 99411?

Both describe preventive counseling delivered to a group. 99412 is for an approximately 60-minute session; 99411 is the shorter, approximately 30-minute group service.

When should individual preventive counseling codes be considered instead?

Use the individual preventive counseling series when counseling is delivered one-on-one rather than to a group. Codes 99401–99404 distinguish individual services by approximate session duration.

What session duration distinguishes 99412?

99412 describes approximately 60 minutes of preventive counseling for a group. Document the session duration and preventive focus.

Does Medicare cover 99412?

No. Medicare status N means Medicare does not cover the service under this code.

What documentation supports reporting 99412?

Document that counseling was provided to a group, the preventive topics addressed, and the session duration. The duration should support the approximately 60-minute service rather than the shorter group code.

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

Open CMS sourceHow we calculate rates

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