HCPCS code G0271: Group nutrition therapy, second referral, 30 minutes2026 Medicare rate & RVUs in Texas
Reports 30-minute group medical nutrition therapy reassessment after a second referral in the same year for a changed diagnosis, condition, or treatment regimen.
Medicare pays $16.26–$17.50 for G0271 in the office in Texas, from Beaumont, TX to Austin, TX. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$16.26 to $17.50
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | $17.50 | $12.55 |
| Beaumont, TX | $16.26 | $12.00 |
| Brazoria, TX | $16.95 | $12.32 |
| Dallas, TX | $17.03 | $12.37 |
| Fort Worth, TX | $16.95 | $12.34 |
| Galveston, TX | $16.99 | $12.34 |
| Houston, TX | $17.17 | $12.53 |
| Rest of Texas | $16.58 | $12.14 |
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
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.
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.
G0271 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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