CPT code 99412: Group preventive counseling, approximately 60 minutes2026 Medicare rate & RVUs in Guam
Group preventive counseling addresses health risks and risk-reduction strategies in a shared session lasting approximately 60 minutes.
CMS doesn’t publish an office rate for 99412 in Guam.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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.
99412 in Hawaii, Guam, HI
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam, HI | Unavailable | Unavailable |
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
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
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.
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.
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