FeeBase
Log inGet started
Menu

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

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 Washington, DC area, Medicare pays $37.95 for G0445 in the office and $28.91 when it’s performed in a hospital or facility.

$37.95Office (non-facility)
$28.91Hospital or facility
+10.3%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 Washington, DC area
  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 Washington, DC area 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. Washington, DC area pays $37.95. The RVUs are the same everywhere; the geographic indexes change the dollars.

G0445 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$37.95
  2. Los Angeles, CA · California$37.16−$0.79
  3. Miami, FL · Florida$36.98−$0.97
  4. Chicago, IL · Illinois$36.34−$1.61
  5. Manhattan, NY · New York$38.58+$0.63
  6. Alaska · Alaska$44.67+$6.72
  7. Alabama · Alabama$32.19−$5.76

Other areas in District of Columbia 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 Washington, DC area 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

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for G0445 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work0.60× 1.0540.6324
Practice expense0.39× 1.1780.4594
Malpractice0.04× 1.1130.0445
Total RVUs1.1363
Conversion factor× 33.4009

Office rate, Washington, DC area$37.95

Office: (0.6 × 1.054 + 0.39 × 1.178 + 0.04 × 1.113) × $33.4009 = $37.95

Facility: (0.6 × 1.054 + 0.16 × 1.178 + 0.04 × 1.113) × $33.4009 = $28.91

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, Washington, DC area
Often billed with
G0442Alcohol screening, annual 15-minute preventive screenAlcohol misuse screening may be separately performed and documented during a preventive visit.$21.27
G0443Alcohol counseling, brief behavioral serviceAlcohol misuse counseling addresses a separate clinical topic when performed and documented.$37.95
G0446Cardiovascular counseling, annual, individual, 15 minutesCardiovascular risk counseling may address a distinct preventive need during the same encounter.$37.56

How G0445 has changed in Washington, DC area

G0445 · Office / nonfacility

$37.95

Effective 2026-10-01

The base rate is $3.20 higher than on 2025-10-01, moving from $34.75 to $37.95 (9.2%).

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

    $34.75changed to$37.95

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.33 changed to 0.39
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $29.30changed to$34.75

    • 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

    $28.82changed to$29.30

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $30.11changed to$28.82

    • 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
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $31.46changed to$30.11

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.31 changed to 0.30
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $32.16changed to$31.46

    • 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

    $31.64changed to$32.16

    • 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
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $31.34changed to$31.64

    • Conversion factor 36.0391 changed to 36.0896
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $30.87changed to$31.34

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

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $30.40changed to$30.87

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.28 changed to 0.29
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $30.39changed to$30.40

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $29.61changed to$30.39

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.27 changed to 0.28
    • Malpractice RVU 0.02 changed to 0.03

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $29.46changed to$29.61

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $30.28changed to$29.46

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.28 changed to 0.27
    • Malpractice RVU 0.03 changed to 0.02
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $29.03changed to$30.28

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.29 changed to 0.28
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $29.03

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$37.95$28.91RVU26D
2026-07-01$37.95$28.91RVU26C
2026-04-01$37.95$28.91RVU26B
2026-01-01$37.95$28.91RVU26A
2025-10-01$34.75$31.66RVU25D
2025-07-01$34.75$31.66RVU25C
2025-04-01$34.75$31.66RVU25B
2025-01-01$34.75$31.66RVU25A
2024-10-01$29.30$24.54RVU24D
2024-07-01$29.30$24.54RVU24C
2024-04-01$29.30$24.54RVU24B
2024-03-09$29.30$24.54RVU24AR
2024-01-01$28.82$24.14RVU24A
2023-10-01$30.11$25.18RVU23D
2023-07-01$30.11$25.18RVU23C
2023-04-01$30.11$25.18RVU23B
2023-01-01$30.11$25.18RVU23A
2022-10-01$31.46$25.90RVU22D
2022-07-01$31.46$25.90RVU22C
2022-04-01$31.46$25.90RVU22B
2022-01-01$31.46$25.90RVU22A
2021-10-01$32.16$26.55RVU21D
2021-07-01$32.16$26.55RVU21C
2021-04-01$32.16$26.55RVU21B
2021-01-01$32.16$26.55RVU21A
2020-10-01$31.64$26.79RVU20D
2020-07-01$31.64$26.79RVU20C
2020-04-01$31.64$26.79RVU20B
2020-01-01$31.64$26.79RVU20A
2019-10-01$31.34$26.56RVU19D
2019-07-01$31.34$26.56RVU19C
2019-04-01$31.34$26.56RVU19B
2019-01-01$31.34$26.56RVU19A
2018-10-01$30.87$26.53RVU18D
2018-07-01$30.87$26.53RVU18C
2018-04-01$30.87$26.53RVU18B
2018-01-01$30.87$26.53RVU18AR1
2017-10-01$30.40$26.51RVU17D
2017-07-01$30.40$26.51RVU17C
2017-04-01$30.40$26.51RVU17B
2017-01-01$30.40$26.51RVU17A
2016-10-01$30.39$26.51RVU16D
2016-07-01$30.39$26.51RVU16C
2016-04-01$30.39$26.51RVU16B
2016-01-01$30.39$26.51RVU16A
2015-10-01$29.61$25.71RVU15D
2015-07-01$29.61$25.71RVU15C
2015-04-01$29.46$25.58RVU15B
2015-01-01$29.46$25.58RVU15A
2014-10-01$30.28$26.40RVU14D
2014-07-01$30.28$26.40RVU14C
2014-04-01$30.28$26.40RVU14B
2014-01-01$30.28$26.40RVU14A
2013-10-01$29.03$24.96RVU13D
2013-07-01$29.03$24.96RVU13C
2013-04-01$29.03$24.96RVU13B
2013-01-01$29.03$24.96RVU13AR

Price G0445 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

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 Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what G0445 pays in Washington, DC area?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put G0445 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist