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

In Virginia, Medicare pays $31.35 for G0270 in the office and $21.83 when it’s performed in a hospital or facility.

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.

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 Virginia 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. Virginia pays $31.35. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

G0270 rates by state

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

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.

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.

Codes related to G0270

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

How G0270 has changed in Virginia

Price G0270 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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