HCPCS code G0270: Nutrition therapy, individual, second referral2026 Medicare rate & RVUs in Alaska

Reports individual medical nutrition therapy reassessment and intervention when a second referral in the same year follows a qualifying change in clinical needs.

CMS RVU26DEffective Oct 1, 2026One payment locality78.7K Medicare services in 2024

In Alaska, Medicare pays $40.16 for G0270 in the office and $29.84 when it’s performed in a hospital or facility.

$40.16Office (non-facility)
$29.84Hospital or facility
+26.6%vs the national office rate ($31.73)

Check a contract rate as a % of Medicare · G0270 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 G0270 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Alaska
  2. What G0270 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 G0270 covers

G0270 represents individual medical nutrition therapy (MNT) reassessment and follow-up intervention after a second referral in the same year prompted by a change in diagnosis, medical condition, or treatment regimen. A registered dietitian nutritionist or other qualified nutrition professional typically provides the counseling in an outpatient setting. The service is reported in 15-minute units for one patient; group counseling belongs to a different code.

Select G0270 when the record supports both the additional referral and the clinical change that calls for more MNT, rather than for an ordinary follow-up under the initial referral. Documentation should identify the referring provider, the changed diagnosis or clinical circumstance, the nutrition assessment and intervention, and the individual face-to-face service time. CMS prices the service through the physician fee schedule.

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 Alaska compares for G0270

Across 109 of 109 payment localities, the office rate for G0270 runs from $29.26 in Arkansas to $40.46 in San Benito County, CA. Alaska pays $40.16. The RVUs are the same everywhere; the geographic indexes change the dollars.

G0270 in Alaska vs other payment areas
  1. Alaska · this page$40.16
  2. Los Angeles, CA · California$35.23−$4.93
  3. Washington, DC area · District of Columbia$35.49−$4.67
  4. Miami, FL · Florida$32.91−$7.25
  5. Chicago, IL · Illinois$32.35−$7.81
  6. Manhattan, NY · New York$35.54−$4.62
  7. Alabama · Alabama$29.54−$10.62

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

Every other payment area

G0270 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$29.26$20.94
ArizonaArizona$31.18$21.79
Bakersfield, CACalifornia$33.46$22.84
Chico, CACalifornia$33.40$22.79
El Centro, CACalifornia$33.40$22.79
Fresno, CACalifornia$33.40$22.79
Hanford, CACalifornia$33.40$22.79
Madera, CACalifornia$33.40$22.79

G0270 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.

$29.26

$40.16

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
G0270 office rate range by state
State / territoryOffice rate rangeLocalities
AK$40.161
AL$29.541
AR$29.261
AZ$31.181
CA$33.40–$40.4629
CO$32.891
CT$33.361
DC$35.491
DE$31.581
FL$31.18–$32.913
GA$30.03–$32.102
GU$33.831
HI$33.831
IA$30.141
ID$30.251
IL$30.50–$32.544
IN$30.361
KS$29.991
KY$29.891
LA$29.83–$30.812
MA$32.77–$35.492
MD$32.05–$35.493
ME$30.30–$31.462
MI$30.35–$31.392
MN$31.971
MO$29.46–$30.953
MS$29.371
MT$31.731
NC$30.511
ND$31.531
NE$30.261
NH$32.361
NJ$33.87–$35.322
NM$30.441
NV$31.691
NY$30.81–$36.075
OH$30.311
OK$29.911
OR$31.57–$33.702
PA$30.37–$32.742
PR$31.911
RI$32.521
SC$30.441
SD$31.511
TN$30.091
TX$30.23–$32.678
UT$30.711
VA$31.35–$35.492
VI$31.911
VT$31.401
WA$32.71–$36.142
WI$30.811
WV$29.731
WY$31.641

See G0270 in every payment locality

How the G0270 rate is calculated

Each of G0270’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 · G0270

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.45

0.45 RVUs× 1.000 GPCI

Practice expense0.49

0.49 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.9500

Conversion factor

$33.4009

Medicare rate

$31.73

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

The exact Alaska inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

15,162

Code
G0270
Physician work
0.45
Practice expense
0.49
Malpractice
0.01

GPCI2026.csv

5

Locality
Alaska
Physician work
1.500
Practice expense
1.065
Malpractice
0.551
Office calculation for G0270 in Alaska
ComponentRVULocality factorAdjusted
Physician work0.45× 1.5000.6750
Practice expense0.49× 1.0650.5218
Malpractice0.01× 0.5510.0055
Total RVUs1.2024
Conversion factor× 33.4009

Office rate, Alaska$40.16

Office: (0.45 × 1.5 + 0.49 × 1.065 + 0.01 × 0.551) × $33.4009 = $40.16

Facility: (0.45 × 1.5 + 0.2 × 1.065 + 0.01 × 0.551) × $33.4009 = $29.84

Open G0270 in the RVU calculator

Payment rules and modifiers for G0270

G0270 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 · G0270

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

$31.73

Non-facility (office)
$31.73
Facility
$22.04

Higher because the practice carries its own overhead.

How G0270 has changed in Alaska

G0270 · Office / nonfacility

$40.16

Effective 2026-10-01

The base rate is $0.65 higher than on 2025-10-01, moving from $39.51 to $40.16 (1.6%).

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

    $39.51changed to$40.16

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.50 changed to 0.49
    • Practice expense GPCI 1.081 changed to 1.065
    • Malpractice GPCI 0.592 changed to 0.551

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $40.30changed to$39.51

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.49 changed to 0.50

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $39.64changed to$40.30

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $41.34changed to$39.64

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 1.100 changed to 1.081
    • Malpractice GPCI 0.603 changed to 0.592
  5. January 1, 2023

    RVU23A

    $41.97changed to$41.34

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.47 changed to 0.49
    • Malpractice RVU 0.02 changed to 0.01
    • Practice expense GPCI 1.118 changed to 1.100
    • Malpractice GPCI 0.614 changed to 0.603

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $41.93changed to$41.97

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.46 changed to 0.47

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $42.99changed to$41.93

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.45 changed to 0.46
    • Malpractice GPCI 0.661 changed to 0.614

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $42.55changed to$42.99

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.44 changed to 0.45
    • Practice expense GPCI 1.117 changed to 1.118
    • Malpractice GPCI 0.708 changed to 0.661

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $40.09changed to$42.55

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.38 changed to 0.44

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $39.90changed to$40.09

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 1.112 changed to 1.117
    • Malpractice GPCI 0.710 changed to 0.708

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $39.74changed to$39.90

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 1.107 changed to 1.112
    • Malpractice GPCI 0.712 changed to 0.710

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $39.63changed to$39.74

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.01 changed to 0.02

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $39.43changed to$39.63

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $39.72changed to$39.43

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.03 changed to 0.01
    • Practice expense GPCI 1.087 changed to 1.107
    • Malpractice GPCI 0.687 changed to 0.712

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $38.89changed to$39.72

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.42 changed to 0.38
    • Practice expense GPCI 1.067 changed to 1.087
    • Malpractice GPCI 0.661 changed to 0.687

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $38.89

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$40.16$29.84RVU26D
2026-07-01$40.16$29.84RVU26C
2026-04-01$40.16$29.84RVU26B
2026-01-01$40.16$29.84RVU26A
2025-10-01$39.51$34.61RVU25D
2025-07-01$39.51$34.61RVU25C
2025-04-01$39.51$34.61RVU25B
2025-01-01$39.51$34.61RVU25A
2024-10-01$40.30$35.26RVU24D
2024-07-01$40.30$35.26RVU24C
2024-04-01$40.30$35.26RVU24B
2024-03-09$40.30$35.26RVU24AR
2024-01-01$39.64$34.68RVU24A
2023-10-01$41.34$36.12RVU23D
2023-07-01$41.34$36.12RVU23C
2023-04-01$41.34$36.12RVU23B
2023-01-01$41.34$36.12RVU23A
2022-10-01$41.97$36.94RVU22D
2022-07-01$41.97$36.94RVU22C
2022-04-01$41.97$36.94RVU22B
2022-01-01$41.97$36.94RVU22A
2021-10-01$41.93$37.24RVU21D
2021-07-01$41.93$37.24RVU21C
2021-04-01$41.93$37.24RVU21B
2021-01-01$41.93$37.24RVU21A
2020-10-01$42.99$38.56RVU20D
2020-07-01$42.99$38.56RVU20C
2020-04-01$42.99$38.56RVU20B
2020-01-01$42.99$38.56RVU20A
2019-10-01$42.55$38.93RVU19D
2019-07-01$42.55$38.93RVU19C
2019-04-01$42.55$38.93RVU19B
2019-01-01$42.55$38.93RVU19A
2018-10-01$40.09$37.28RVU18D
2018-07-01$40.09$37.28RVU18C
2018-04-01$40.09$37.28RVU18B
2018-01-01$40.09$37.28RVU18AR1
2017-10-01$39.90$37.11RVU17D
2017-07-01$39.90$37.11RVU17C
2017-04-01$39.90$37.11RVU17B
2017-01-01$39.90$37.11RVU17A
2016-10-01$39.74$36.96RVU16D
2016-07-01$39.74$36.96RVU16C
2016-04-01$39.74$36.96RVU16B
2016-01-01$39.74$36.96RVU16A
2015-10-01$39.63$36.84RVU15D
2015-07-01$39.63$36.84RVU15C
2015-04-01$39.43$36.66RVU15B
2015-01-01$39.43$36.66RVU15A
2014-10-01$39.72$37.38RVU14D
2014-07-01$39.72$37.38RVU14C
2014-04-01$39.72$37.38RVU14B
2014-01-01$39.72$37.38RVU14A
2013-10-01$38.89$35.98RVU13D
2013-07-01$38.89$35.98RVU13C
2013-04-01$38.89$35.98RVU13B
2013-01-01$38.89$35.98RVU13AR

Price G0270 for an earlier date of service

Where the Alaska rate applies

Alaska is a Medicare payment area, not a city. Our Census mapping connects it to 355 cities and communities in Alaska. Some span more than one payment area; confirm with the service ZIP.

  • Adak
  • Akhiok
  • Akiachak
  • Akiak
  • Akutan
  • Alakanuk
  • Alatna
  • Alcan Border

Browse all communities in Alaska

G0270 billing questions

When should G0270 be used instead of 97803?

Use G0270 for additional individual MNT after a second referral in the same year prompted by a change in diagnosis, medical condition, or treatment regimen. Use 97803 for individual reassessment and intervention that does not meet that second-referral circumstance.

How is G0270 different from G0271?

G0270 is for individual MNT, counted in 15-minute units. G0271 is the corresponding group MNT service, counted in 30-minute units.

What documentation supports reporting G0270?

Document the second referral, the qualifying clinical change, the nutrition assessment and intervention, and the individual service time. The record should make clear why additional MNT was needed.

Can G0270 be reported for routine follow-up counseling?

Not solely for a routine follow-up under the existing referral. G0270 describes additional MNT following a second referral caused by a change in diagnosis, medical condition, or treatment regimen.

Is G0270 reported per visit or per unit?

It is reported in 15-minute units for individual MNT. Document the service time and apply the relevant time-unit reporting convention.

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 G0270PPRRVU2026_Oct_nonQPP.csv, line 15,162 (RVU26D)
Geographic factors for AlaskaGPCI2026.csv, line 5 (RVU26D)

Open CMS sourceHow we calculate rates

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