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

Reports 30-minute group medical nutrition therapy reassessment after a second referral in the same year for a changed diagnosis, condition, or treatment regimen.

CMS RVU26DEffective Oct 1, 2026One payment locality752 Medicare services in 2024

In North Dakota, Medicare pays $16.84 for G0271 in the office and $12.16 when it’s performed in a hospital or facility.

$16.84Office (non-facility)
$12.16Hospital or facility
−1.1%vs the national office rate ($17.03)

Check a contract rate as a % of Medicare · G0271 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 G0271 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Dakota
  2. What G0271 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 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.

How North Dakota compares for G0271

Across 109 of 109 payment localities, the office rate for G0271 runs from $15.70 in Arkansas to $21.60 in Alaska. North Dakota pays $16.84. The RVUs are the same everywhere; the geographic indexes change the dollars.

G0271 in North Dakota vs other payment areas
  1. North Dakota · this page$16.84
  2. Los Angeles, CA · California$18.79+$1.95
  3. Washington, DC area · District of Columbia$19.01+$2.17
  4. Miami, FL · Florida$17.89+$1.05
  5. Chicago, IL · Illinois$17.57+$0.73
  6. Manhattan, NY · New York$19.12+$2.28
  7. Alaska · Alaska$21.60+$4.76

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

Every other payment area

G0271 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$15.85$11.75
ArkansasArkansas$15.70$11.68
ArizonaArizona$16.73$12.20
Bakersfield, CACalifornia$17.86$12.74
Chico, CACalifornia$17.82$12.70
El Centro, CACalifornia$17.82$12.70
Fresno, CACalifornia$17.82$12.70
Hanford, CACalifornia$17.82$12.70

G0271 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.

$15.70

$21.60

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

View every state and territory as a table
G0271 office rate range by state
State / territoryOffice rate rangeLocalities
AK$21.601
AL$15.851
AR$15.701
AZ$16.731
CA$17.82–$21.4929
CO$17.601
CT$17.911
DC$19.011
DE$16.941
FL$16.84–$17.893
GA$16.20–$17.262
GU$18.041
HI$18.041
IA$16.121
ID$16.191
IL$16.50–$17.584
IN$16.251
KS$16.071
KY$16.081
LA$16.06–$16.592
MA$17.54–$18.962
MD$17.19–$19.013
ME$16.24–$16.842
MI$16.35–$16.972
MN$17.041
MO$15.87–$16.633
MS$15.791
MT$17.031
NC$16.351
ND$16.841
NE$16.181
NH$17.341
NJ$18.17–$18.922
NM$16.411
NV$16.991
NY$16.52–$19.435
OH$16.311
OK$16.071
OR$16.90–$18.012
PA$16.33–$17.592
PR$17.121
RI$17.431
SC$16.351
SD$16.811
TN$16.121
TX$16.26–$17.508
UT$16.501
VA$16.79–$19.012
VI$17.121
VT$16.791
WA$17.51–$19.292
WI$16.451
WV$16.081
WY$16.951

See G0271 in every payment locality

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.

How the rate is built · G0271

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.25

0.25 RVUs× 1.000 GPCI

Practice expense0.25

0.25 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.5100

Conversion factor

$33.4009

Medicare rate

$17.03

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

The exact North Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

15,163

Code
G0271
Physician work
0.25
Practice expense
0.25
Malpractice
0.01

GPCI2026.csv

84

Locality
North Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.406
Office calculation for G0271 in North Dakota
ComponentRVULocality factorAdjusted
Physician work0.25× 1.0000.2500
Practice expense0.25× 1.0000.2500
Malpractice0.01× 0.4060.0041
Total RVUs0.5041
Conversion factor× 33.4009

Office rate, North Dakota$16.84

Office: (0.25 × 1 + 0.25 × 1 + 0.01 × 0.406) × $33.4009 = $16.84

Facility: (0.25 × 1 + 0.11 × 1 + 0.01 × 0.406) × $33.4009 = $12.16

Open G0271 in the RVU calculator

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.

Place of service · G0271

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

$17.03

Non-facility (office)
$17.03
Facility
$12.36

Higher because the practice carries its own overhead.

How G0271 has changed in North Dakota

G0271 · Office / nonfacility

$16.84

Effective 2026-10-01

The base rate is $0.50 higher than on 2025-10-01, moving from $16.34 to $16.84 (3.1%).

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

    $16.34changed to$16.84

    • Conversion factor 32.3465 changed to 33.4009
    • Malpractice GPCI 0.517 changed to 0.406

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $16.48changed to$16.34

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.24 changed to 0.25

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $16.21changed to$16.48

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $16.77changed to$16.21

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice GPCI 0.474 changed to 0.517
  5. January 1, 2023

    RVU23A

    $17.11changed to$16.77

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice GPCI 0.431 changed to 0.474

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $16.90changed to$17.11

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.23 changed to 0.24

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $17.14changed to$16.90

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.22 changed to 0.23
    • Malpractice GPCI 0.485 changed to 0.431

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $17.13changed to$17.14

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice GPCI 0.540 changed to 0.485

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $16.03changed to$17.13

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.19 changed to 0.22

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $15.99changed to$16.03

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice GPCI 0.547 changed to 0.540

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $15.95changed to$15.99

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice GPCI 0.554 changed to 0.547

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $16.01changed to$15.95

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $15.93changed to$16.01

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $15.95changed to$15.93

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice GPCI 0.536 changed to 0.554

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $15.49changed to$15.95

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.20 changed to 0.19
    • Malpractice GPCI 0.517 changed to 0.536

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $15.49

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$16.84$12.16RVU26D
2026-07-01$16.84$12.16RVU26C
2026-04-01$16.84$12.16RVU26B
2026-01-01$16.84$12.16RVU26A
2025-10-01$16.34$14.72RVU25D
2025-07-01$16.34$14.72RVU25C
2025-04-01$16.34$14.72RVU25B
2025-01-01$16.34$14.72RVU25A
2024-10-01$16.48$15.15RVU24D
2024-07-01$16.48$15.15RVU24C
2024-04-01$16.48$15.15RVU24B
2024-03-09$16.48$15.15RVU24AR
2024-01-01$16.21$14.90RVU24A
2023-10-01$16.77$15.41RVU23D
2023-07-01$16.77$15.41RVU23C
2023-04-01$16.77$15.41RVU23B
2023-01-01$16.77$15.41RVU23A
2022-10-01$17.11$15.38RVU22D
2022-07-01$17.11$15.38RVU22C
2022-04-01$17.11$15.38RVU22B
2022-01-01$17.11$15.38RVU22A
2021-10-01$16.90$15.50RVU21D
2021-07-01$16.90$15.50RVU21C
2021-04-01$16.90$15.50RVU21B
2021-01-01$16.90$15.50RVU21A
2020-10-01$17.14$16.05RVU20D
2020-07-01$17.14$16.05RVU20C
2020-04-01$17.14$16.05RVU20B
2020-01-01$17.14$16.05RVU20A
2019-10-01$17.13$16.05RVU19D
2019-07-01$17.13$16.05RVU19C
2019-04-01$17.13$16.05RVU19B
2019-01-01$17.13$16.05RVU19A
2018-10-01$16.03$15.31RVU18D
2018-07-01$16.03$15.31RVU18C
2018-04-01$16.03$15.31RVU18B
2018-01-01$16.03$15.31RVU18AR1
2017-10-01$15.99$15.27RVU17D
2017-07-01$15.99$15.27RVU17C
2017-04-01$15.99$15.27RVU17B
2017-01-01$15.99$15.27RVU17A
2016-10-01$15.95$15.24RVU16D
2016-07-01$15.95$15.24RVU16C
2016-04-01$15.95$15.24RVU16B
2016-01-01$15.95$15.24RVU16A
2015-10-01$16.01$15.29RVU15D
2015-07-01$16.01$15.29RVU15C
2015-04-01$15.93$15.22RVU15B
2015-01-01$15.93$15.22RVU15A
2014-10-01$15.95$15.24RVU14D
2014-07-01$15.95$15.24RVU14C
2014-04-01$15.95$15.24RVU14B
2014-01-01$15.95$15.24RVU14A
2013-10-01$15.49$15.15RVU13D
2013-07-01$15.49$15.15RVU13C
2013-04-01$15.49$15.15RVU13B
2013-01-01$15.49$15.15RVU13AR

Price G0271 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Abercrombie
  • Adams
  • Alamo
  • Alexander
  • Alice
  • Almont
  • Alsen
  • Ambrose

Browse all communities in North Dakota

G0271 billing questions

When should a claim use G0271 instead of 97804?

Use G0271 for group reassessment and intervention following a second referral in the same year because of a qualifying change. 97804 describes initial group MNT.

What supports reporting G0271?

Document the second referral and the change in diagnosis, condition, or treatment regimen, along with the reassessment, interventions, group format, and service time.

How many people must be in the group?

The service is for two or more individuals. Report the service for each beneficiary who received the MNT.

How are units determined?

G0271 represents each 30 minutes of group MNT. Documentation should support the time reported.

Who typically provides this service?

A registered dietitian or another Medicare-qualified nutrition professional typically provides the MNT reassessment and intervention.

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 G0271PPRRVU2026_Oct_nonQPP.csv, line 15,163 (RVU26D)
Geographic factors for North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

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