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

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 Tennessee, Medicare pays $30.09 for G0270 in the office and $21.28 when it’s performed in a hospital or facility.

$30.09Office (non-facility)
$21.28Hospital or facility
−5.2%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 Tennessee
  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 Tennessee 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. Tennessee pays $30.09. The RVUs are the same everywhere; the geographic indexes change the dollars.

G0270 in Tennessee vs other payment areas
  1. Tennessee · this page$30.09
  2. Los Angeles, CA · California$35.23+$5.14
  3. Washington, DC area · District of Columbia$35.49+$5.40
  4. Miami, FL · Florida$32.91+$2.82
  5. Chicago, IL · Illinois$32.35+$2.26
  6. Manhattan, NY · New York$35.54+$5.45
  7. Alaska · Alaska$40.16+$10.07

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

Every other payment area

G0270 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$29.54$21.06
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

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 Tennessee 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

95

Locality
Tennessee
Physician work
1.000
Practice expense
0.909
Malpractice
0.537
Office calculation for G0270 in Tennessee
ComponentRVULocality factorAdjusted
Physician work0.45× 1.0000.4500
Practice expense0.49× 0.9090.4454
Malpractice0.01× 0.5370.0054
Total RVUs0.9008
Conversion factor× 33.4009

Office rate, Tennessee$30.09

Office: (0.45 × 1 + 0.49 × 0.909 + 0.01 × 0.537) × $33.4009 = $30.09

Facility: (0.45 × 1 + 0.2 × 0.909 + 0.01 × 0.537) × $33.4009 = $21.28

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 Tennessee

G0270 · Office / nonfacility

$30.09

Effective 2026-10-01

The base rate is $0.87 higher than on 2025-10-01, moving from $29.22 to $30.09 (3.0%).

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

    $29.22changed to$30.09

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.50 changed to 0.49
    • Practice expense GPCI 0.896 changed to 0.909
    • Malpractice GPCI 0.544 changed to 0.537

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $29.78changed to$29.22

    • 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

    $29.29changed to$29.78

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $30.27changed to$29.29

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 0.894 changed to 0.896
    • Malpractice GPCI 0.518 changed to 0.544
  5. January 1, 2023

    RVU23A

    $30.42changed to$30.27

    • 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 0.892 changed to 0.894
    • Malpractice GPCI 0.492 changed to 0.518

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $30.36changed to$30.42

    • 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

    $31.18changed to$30.36

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.45 changed to 0.46
    • Practice expense GPCI 0.897 changed to 0.892
    • Malpractice GPCI 0.509 changed to 0.492

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $30.88changed to$31.18

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.44 changed to 0.45
    • Practice expense GPCI 0.901 changed to 0.897
    • Malpractice GPCI 0.526 changed to 0.509

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $28.90changed to$30.88

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

    Held through RVU19B, RVU19C, RVU19D.

  10. April 1, 2018

    RVU18B

    No ratechanged to$28.90

    Held through RVU18C, RVU18D.

  11. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$30.09$21.28RVU26D
2026-07-01$30.09$21.28RVU26C
2026-04-01$30.09$21.28RVU26B
2026-01-01$30.09$21.28RVU26A
2025-10-01$29.22$25.17RVU25D
2025-07-01$29.22$25.17RVU25C
2025-04-01$29.22$25.17RVU25B
2025-01-01$29.22$25.17RVU25A
2024-10-01$29.78$25.60RVU24D
2024-07-01$29.78$25.60RVU24C
2024-04-01$29.78$25.60RVU24B
2024-03-09$29.78$25.60RVU24AR
2024-01-01$29.29$25.18RVU24A
2023-10-01$30.27$26.03RVU23D
2023-07-01$30.27$26.03RVU23C
2023-04-01$30.27$26.03RVU23B
2023-01-01$30.27$26.03RVU23A
2022-10-01$30.42$26.41RVU22D
2022-07-01$30.42$26.41RVU22C
2022-04-01$30.42$26.41RVU22B
2022-01-01$30.42$26.41RVU22A
2021-10-01$30.36$26.63RVU21D
2021-07-01$30.36$26.63RVU21C
2021-04-01$30.36$26.63RVU21B
2021-01-01$30.36$26.63RVU21A
2020-10-01$31.18$27.61RVU20D
2020-07-01$31.18$27.61RVU20C
2020-04-01$31.18$27.61RVU20B
2020-01-01$31.18$27.61RVU20A
2019-10-01$30.88$27.96RVU19D
2019-07-01$30.88$27.96RVU19C
2019-04-01$30.88$27.96RVU19B
2019-01-01$30.88$27.96RVU19A
2018-10-01$28.90$26.63RVU18D
2018-07-01$28.90$26.63RVU18C
2018-04-01$28.90$26.63RVU18B
2018-01-01Rate data unavailableRate data unavailableRVU18AR1
2017-10-01Rate data unavailableRate data unavailableRVU17D
2017-07-01Rate data unavailableRate data unavailableRVU17C
2017-04-01Rate data unavailableRate data unavailableRVU17B
2017-01-01Rate data unavailableRate data unavailableRVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price G0270 for an earlier date of service

Where the Tennessee rate applies

Tennessee is a Medicare payment area, not a city. Our Census mapping connects it to 504 cities and communities in Tennessee. Some span more than one payment area; confirm with the service ZIP.

  • Adams
  • Adamsville
  • Alamo
  • Alcoa
  • Alexandria
  • Algood
  • Allardt
  • Altamont

Browse all communities in Tennessee

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 TennesseeGPCI2026.csv, line 95 (RVU26D)

Open CMS sourceHow we calculate rates

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