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HCPCS code G0445: STI prevention counseling, individual, 30 minutes2026 Medicare rate & RVUs in Alabama

Report G0445 for an individual, face-to-face behavioral counseling session focused on reducing sexually transmitted infection risk in a sexually active person at increased risk.

CMS RVU26DEffective Oct 1, 2026One payment locality645 Medicare services in 2024

In Alabama, Medicare pays $32.19 for G0445 in the office and $25.47 when it’s performed in a hospital or facility.

$32.19Office (non-facility)
$25.47Hospital or facility
−6.4%vs the national office rate ($34.40)

Check a contract rate as a % of Medicare · G0445 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 G0445 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Alabama
  2. What G0445 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 G0445 covers

G0445 describes an individual, face-to-face counseling session focused on preventing sexually transmitted infections. A primary care physician or other qualified primary care practitioner may counsel a sexually active adolescent or adult who is at increased risk. The discussion can address practical risk-reduction strategies, such as safer-sex practices, condom use, testing, and communication with partners. The service is preventive counseling, not an STI diagnostic test or treatment visit.

Report the code when the documented service meets the individual counseling format and 30-minute service description. Record the patient’s increased-risk basis, the prevention topics addressed, and the face-to-face counseling time. The note should distinguish this STI-focused counseling from screening or counseling for alcohol misuse, cardiovascular risk, or obesity if those services are also documented.

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 Alabama compares for G0445

Across 109 of 109 payment localities, the office rate for G0445 runs from $31.92 in Arkansas to $44.67 in Alaska. Alabama pays $32.19. The RVUs are the same everywhere; the geographic indexes change the dollars.

G0445 in Alabama vs other payment areas
  1. Alabama · this page$32.19
  2. Los Angeles, CA · California$37.16+$4.97
  3. Washington, DC area · District of Columbia$37.95+$5.76
  4. Miami, FL · Florida$36.98+$4.79
  5. Chicago, IL · Illinois$36.34+$4.15
  6. Manhattan, NY · New York$38.58+$6.39
  7. Alaska · Alaska$44.67+$12.48

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

Every other payment area

G0445 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$31.92$25.32
ArizonaArizona$33.81$26.36
Bakersfield, CACalifornia$35.51$27.09
Chico, CACalifornia$35.37$26.95
El Centro, CACalifornia$35.38$26.96
Fresno, CACalifornia$35.37$26.95
Hanford, CACalifornia$35.37$26.95
Madera, CACalifornia$35.37$26.95

G0445 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$31.92

$44.67

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

View every state and territory as a table
G0445 office rate range by state
State / territoryOffice rate rangeLocalities
AK$44.671
AL$32.191
AR$31.921
AZ$33.811
CA$35.37–$41.7529
CO$35.181
CT$36.091
DC$37.951
DE$34.211
FL$34.50–$36.983
GA$33.25–$34.942
GU$35.631
HI$35.631
IA$32.491
ID$32.661
IL$34.02–$36.344
IN$32.771
KS$32.491
KY$32.841
LA$32.85–$33.822
MA$35.14–$37.602
MD$34.65–$37.953
ME$32.86–$33.792
MI$33.44–$34.862
MN$33.841
MO$32.57–$33.783
MS$32.241
MT$34.401
NC$33.051
ND$33.611
NE$32.571
NH$34.771
NJ$36.53–$37.842
NM$33.591
NV$34.191
NY$33.35–$39.295
OH$33.281
OK$32.711
OR$33.95–$35.832
PA$33.26–$35.562
PR$34.531
RI$35.071
SC$33.211
SD$33.521
TN$32.601
TX$33.14–$35.058
UT$33.491
VA$33.79–$37.952
VI$34.531
VT$33.611
WA$35.03–$38.122
WI$32.931
WV$33.271
WY$34.061

See G0445 in every payment locality

How the G0445 rate is calculated

Each of G0445’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 · G0445

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.60

0.60 RVUs× 1.000 GPCI

Practice expense0.39

0.39 RVUs× 1.000 GPCI

Malpractice0.04

0.04 RVUs× 1.000 GPCI

Adjusted RVUs

1.0300

Conversion factor

$33.4009

Medicare rate

$34.40

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

The exact Alabama inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

15,265

Code
G0445
Physician work
0.60
Practice expense
0.39
Malpractice
0.04

GPCI2026.csv

4

Locality
Alabama
Physician work
1.000
Practice expense
0.875
Malpractice
0.566
Office calculation for G0445 in Alabama
ComponentRVULocality factorAdjusted
Physician work0.60× 1.0000.6000
Practice expense0.39× 0.8750.3412
Malpractice0.04× 0.5660.0226
Total RVUs0.9639
Conversion factor× 33.4009

Office rate, Alabama$32.19

Office: (0.6 × 1 + 0.39 × 0.875 + 0.04 × 0.566) × $33.4009 = $32.19

Facility: (0.6 × 1 + 0.16 × 0.875 + 0.04 × 0.566) × $33.4009 = $25.47

Open G0445 in the RVU calculator

Payment rules and modifiers for G0445

G0445 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 · G0445

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

$34.40

Non-facility (office)
$34.40
Facility
$26.72

Higher because the practice carries its own overhead.

Codes related to G0445

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

Codes related to G0445
CodeHow it relatesOffice range, Alabama
Often billed with
G0442Alcohol screening, annual 15-minute preventive screenAlcohol misuse screening may be separately performed and documented during a preventive visit.$17.01
G0443Alcohol counseling, brief behavioral serviceAlcohol misuse counseling addresses a separate clinical topic when performed and documented.$32.19
G0446Cardiovascular counseling, annual, individual, 15 minutesCardiovascular risk counseling may address a distinct preventive need during the same encounter.$31.90

How G0445 has changed in Alabama

G0445 · Office / nonfacility

$32.19

Effective 2026-10-01

The base rate is $2.76 higher than on 2025-10-01, moving from $29.43 to $32.19 (9.4%).

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

    $29.43changed to$32.19

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.33 changed to 0.39
    • Practice expense GPCI 0.869 changed to 0.875
    • Malpractice GPCI 0.575 changed to 0.566

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $24.52changed to$29.43

    • Conversion factor 33.2875 changed to 32.3465
    • Work RVU 0.45 changed to 0.60
    • Practice expense RVU 0.31 changed to 0.33
    • Malpractice RVU 0.03 changed to 0.04

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $24.12changed to$24.52

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $25.19changed to$24.12

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.30 changed to 0.31
    • Malpractice RVU 0.04 changed to 0.03
    • Practice expense GPCI 0.878 changed to 0.869
    • Malpractice GPCI 0.748 changed to 0.575

  5. January 1, 2023

    RVU23A

    $26.37changed to$25.19

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.31 changed to 0.30
    • Practice expense GPCI 0.888 changed to 0.878
    • Malpractice GPCI 0.921 changed to 0.748

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $26.90changed to$26.37

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.32 changed to 0.31

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $26.63changed to$26.90

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.30 changed to 0.32
    • Malpractice RVU 0.03 changed to 0.04
    • Practice expense GPCI 0.889 changed to 0.888
    • Malpractice GPCI 0.707 changed to 0.921

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $26.37changed to$26.63

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense GPCI 0.890 changed to 0.889
    • Malpractice GPCI 0.492 changed to 0.707

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $26.02changed to$26.37

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.29 changed to 0.30

    Held through RVU19B, RVU19C, RVU19D.

  10. April 1, 2018

    RVU18B

    No ratechanged to$26.02

    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$32.19$25.47RVU26D
2026-07-01$32.19$25.47RVU26C
2026-04-01$32.19$25.47RVU26B
2026-01-01$32.19$25.47RVU26A
2025-10-01$29.43$27.18RVU25D
2025-07-01$29.43$27.18RVU25C
2025-04-01$29.43$27.18RVU25B
2025-01-01$29.43$27.18RVU25A
2024-10-01$24.52$21.05RVU24D
2024-07-01$24.52$21.05RVU24C
2024-04-01$24.52$21.05RVU24B
2024-03-09$24.52$21.05RVU24AR
2024-01-01$24.12$20.71RVU24A
2023-10-01$25.19$21.62RVU23D
2023-07-01$25.19$21.62RVU23C
2023-04-01$25.19$21.62RVU23B
2023-01-01$25.19$21.62RVU23A
2022-10-01$26.37$22.38RVU22D
2022-07-01$26.37$22.38RVU22C
2022-04-01$26.37$22.38RVU22B
2022-01-01$26.37$22.38RVU22A
2021-10-01$26.90$22.87RVU21D
2021-07-01$26.90$22.87RVU21C
2021-04-01$26.90$22.87RVU21B
2021-01-01$26.90$22.87RVU21A
2020-10-01$26.63$23.10RVU20D
2020-07-01$26.63$23.10RVU20C
2020-04-01$26.63$23.10RVU20B
2020-01-01$26.63$23.10RVU20A
2019-10-01$26.37$22.84RVU19D
2019-07-01$26.37$22.84RVU19C
2019-04-01$26.37$22.84RVU19B
2019-01-01$26.37$22.84RVU19A
2018-10-01$26.02$22.82RVU18D
2018-07-01$26.02$22.82RVU18C
2018-04-01$26.02$22.82RVU18B
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 G0445 for an earlier date of service

Where the Alabama rate applies

Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.

  • Abanda
  • Abbeville
  • Adamsville
  • Addison
  • Akron
  • Alabaster
  • Albertville
  • Alexander City

Browse all communities in Alabama

G0445 billing questions

Who is the counseling intended for?

It is for a sexually active adolescent or adult at increased risk for sexually transmitted infections. Document the basis for the increased-risk assessment and the prevention counseling provided.

How is G0445 different from G0442 or G0443?

G0445 addresses prevention of sexually transmitted infections. G0442 is alcohol misuse screening, while G0443 is counseling for alcohol misuse.

Can G0445 be reported for group counseling?

No. The service described by G0445 is individual, face-to-face counseling.

What time should the documentation support?

Document the face-to-face time for the 30-minute counseling service, along with the STI prevention topics discussed.

Does a positive STI test qualify the patient for this counseling code?

A positive test alone does not establish the code’s increased-risk counseling criteria. G0445 represents preventive risk-reduction counseling, rather than STI testing or treatment.

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 G0445PPRRVU2026_Oct_nonQPP.csv, line 15,265 (RVU26D)
Geographic factors for AlabamaGPCI2026.csv, line 4 (RVU26D)

Open CMS sourceHow we calculate rates

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