HCPCS code G0271: Group nutrition therapy, second referral, 30 minutes2026 Medicare rate & RVUs

Medicare pays $17.03 for G0271 nationally in the office and $12.36 in a hospital or facility. Local office rates run $15.70–$21.60.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What G0271 covers

G0271 represents medical nutrition therapy reassessment and follow-up intervention delivered to a group of at least two individuals, in 30-minute units. A registered dietitian or other Medicare-qualified nutrition professional may use it for beneficiaries referred again in the same year because their diagnosis, medical condition, or treatment regimen changed. The code also covers additional renal-disease MNT hours when they follow that second referral. Examples of relevant care include nutrition counseling after a change in diabetes management or a change in a renal patient’s treatment plan.

Select G0271 for the qualifying group reassessment, rather than the code for initial group MNT. The record should support the second referral and its reason, the nutrition reassessment and interventions provided, the group format, and the time attributable to the service. Report units according to the documented 30-minute service increments. CMS assigns physician fee schedule relative values to the 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 G0271 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

G0271 rates by state

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

How the G0271 rate is calculated

Each of G0271’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 G0271

G0271 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.

G0271 compared with similar codes

How to choose

G0270Nutrition therapyIndividual, second referral

G0270 reports the individual version of qualifying MNT reassessment after a second referral in the same year; G0271 is for a group of two or more.

97804Group nutrition therapyTwo or more patients

97804 is for initial group MNT. G0271 is for group reassessment and intervention following a second referral prompted by a qualifying change.

97803Nutrition therapyIndividual, subsequent visit

97803 reports individual MNT reassessment and intervention. G0271 reports the qualifying group service in 30-minute units.

Codes related to G0271

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

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