HCPCS code G0445: STI prevention counseling, individual, 30 minutes2026 Medicare rate & RVUs in Iowa
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.
In Iowa, Medicare pays $32.49 for G0445 in the office and $25.46 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 Iowa 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. Iowa pays $32.49. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Iowa · this page$32.49
- Los Angeles, CA · California$37.16+$4.67
- Washington, DC area · District of Columbia$37.95+$5.46
- Miami, FL · Florida$36.98+$4.49
- Chicago, IL · Illinois$36.34+$3.85
- Manhattan, NY · New York$38.58+$6.09
- Alaska · Alaska$44.67+$12.18
Other areas in Iowa first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $32.19 | $25.47 |
| 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 |
| Merced, CACalifornia | $35.37 | $26.95 |
| Modesto, CACalifornia | $35.37 | $26.95 |
| Napa, CACalifornia | $39.15 | $29.03 |
| Oxnard, CACalifornia | $36.83 | $27.75 |
| Redding, CACalifornia | $35.37 | $26.95 |
| Rest of CaliforniaCalifornia | $35.37 | $26.95 |
| Riverside, CACalifornia | $35.82 | $27.40 |
| Sacramento, CACalifornia | $36.63 | $27.69 |
| Salinas, CACalifornia | $36.48 | $27.57 |
| San Diego, CACalifornia | $36.95 | $27.76 |
| Marin County, CACalifornia | $40.92 | $30.09 |
| San Francisco, CACalifornia | $40.88 | $30.05 |
| San Benito County, CACalifornia | $41.75 | $30.67 |
| Santa Clara County, CACalifornia | $41.56 | $30.48 |
| San Luis Obispo, CACalifornia | $35.93 | $27.18 |
| Santa Cruz, CACalifornia | $37.00 | $27.67 |
| Santa Maria, CACalifornia | $36.51 | $27.55 |
| Santa Rosa, CACalifornia | $37.35 | $27.92 |
| Stockton, CACalifornia | $35.37 | $26.95 |
| Vallejo, CACalifornia | $39.09 | $28.96 |
| Visalia, CACalifornia | $35.37 | $26.95 |
| Yuba City, CACalifornia | $35.37 | $26.95 |
| ColoradoColorado | $35.18 | $27.01 |
| ConnecticutConnecticut | $36.09 | $27.81 |
| DelawareDelaware | $34.21 | $26.62 |
| Fort Lauderdale, FLFlorida | $35.65 | $27.87 |
| Rest of FloridaFlorida | $34.50 | $27.16 |
| Atlanta, GAGeorgia | $34.94 | $27.13 |
| Rest of GeorgiaGeorgia | $33.25 | $26.40 |
| Hawaii, Guam, HIHawaii | $35.63 | $26.89 |
| IdahoIdaho | $32.66 | $25.59 |
| East St. Louis, ILIllinois | $34.72 | $27.65 |
| Rest of IllinoisIllinois | $34.02 | $27.01 |
| Suburban Chicago, ILIllinois | $35.93 | $28.04 |
| IndianaIndiana | $32.77 | $25.64 |
| KansasKansas | $32.49 | $25.55 |
| KentuckyKentucky | $32.84 | $26.01 |
| New Orleans, LALouisiana | $33.82 | $26.59 |
| Rest of LouisianaLouisiana | $32.85 | $26.05 |
| Metropolitan Boston, MAMassachusetts | $37.60 | $28.43 |
| Rest of MassachusettsMassachusetts | $35.14 | $27.05 |
| Baltimore area, MDMaryland | $35.99 | $27.75 |
| Rest of MarylandMaryland | $34.65 | $26.88 |
| Rest of MaineMaine | $32.86 | $25.79 |
| Southern Maine, MEMaine | $33.79 | $26.18 |
| Detroit, MIMichigan | $34.86 | $27.45 |
| Rest of MichiganMichigan | $33.44 | $26.43 |
| MinnesotaMinnesota | $33.84 | $25.94 |
| Metropolitan Kansas City, MOMissouri | $33.58 | $26.36 |
| Metropolitan St. Louis, MOMissouri | $33.78 | $26.47 |
| Rest of MissouriMissouri | $32.57 | $25.95 |
| MississippiMississippi | $32.24 | $25.63 |
| MontanaMontana | $34.40 | $26.72 |
| North CarolinaNorth Carolina | $33.05 | $25.88 |
| North DakotaNorth Dakota | $33.61 | $25.93 |
| NebraskaNebraska | $32.57 | $25.48 |
| New HampshireNew Hampshire | $34.77 | $26.77 |
| Northern New JerseyNew Jersey | $37.84 | $28.93 |
| Rest of New JerseyNew Jersey | $36.53 | $28.14 |
| New MexicoNew Mexico | $33.59 | $26.55 |
| NevadaNevada | $34.19 | $26.50 |
| NYC suburbs and Long Island, NYNew York | $39.29 | $30.16 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $36.82 | $28.41 |
| Queens, NYNew York | $38.65 | $29.57 |
| Rest of New YorkNew York | $33.35 | $26.06 |
| OhioOhio | $33.28 | $26.27 |
| OklahomaOklahoma | $32.71 | $25.85 |
| Portland, OROregon | $35.83 | $27.29 |
| Rest of OregonOregon | $33.95 | $26.30 |
| Metropolitan Philadelphia, PAPennsylvania | $35.56 | $27.56 |
| Rest of PennsylvaniaPennsylvania | $33.26 | $26.21 |
| Puerto RicoPuerto Rico | $34.53 | $26.76 |
| Rhode IslandRhode Island | $35.07 | $27.13 |
| South CarolinaSouth Carolina | $33.21 | $26.11 |
| South DakotaSouth Dakota | $33.52 | $25.83 |
| TennesseeTennessee | $32.60 | $25.62 |
| Austin, TXTexas | $35.05 | $26.92 |
| Beaumont, TXTexas | $33.14 | $26.14 |
| Brazoria, TXTexas | $34.15 | $26.54 |
| Dallas, TXTexas | $34.34 | $26.69 |
| Fort Worth, TXTexas | $34.23 | $26.65 |
| Galveston, TXTexas | $34.24 | $26.61 |
| Houston, TXTexas | $34.97 | $27.35 |
| Rest of TexasTexas | $33.61 | $26.32 |
| UtahUtah | $33.49 | $26.26 |
| VirginiaVirginia | $33.79 | $26.24 |
| Virgin Islands, VIUnited States Virgin Islands | $34.53 | $26.76 |
| VermontVermont | $33.61 | $26.01 |
| Rest of WashingtonWashington | $35.03 | $26.95 |
| King County, WAWashington | $38.12 | $28.69 |
| WisconsinWisconsin | $32.93 | $25.57 |
| West VirginiaWest Virginia | $33.27 | $26.60 |
| WyomingWyoming | $34.06 | $26.37 |
G0445 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.
$31.92
$44.67
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $44.67 | 1 |
| AL | $32.19 | 1 |
| AR | $31.92 | 1 |
| AZ | $33.81 | 1 |
| CA | $35.37–$41.75 | 29 |
| CO | $35.18 | 1 |
| CT | $36.09 | 1 |
| DC | $37.95 | 1 |
| DE | $34.21 | 1 |
| FL | $34.50–$36.98 | 3 |
| GA | $33.25–$34.94 | 2 |
| GU | $35.63 | 1 |
| HI | $35.63 | 1 |
| IA | $32.49 | 1 |
| ID | $32.66 | 1 |
| IL | $34.02–$36.34 | 4 |
| IN | $32.77 | 1 |
| KS | $32.49 | 1 |
| KY | $32.84 | 1 |
| LA | $32.85–$33.82 | 2 |
| MA | $35.14–$37.60 | 2 |
| MD | $34.65–$37.95 | 3 |
| ME | $32.86–$33.79 | 2 |
| MI | $33.44–$34.86 | 2 |
| MN | $33.84 | 1 |
| MO | $32.57–$33.78 | 3 |
| MS | $32.24 | 1 |
| MT | $34.40 | 1 |
| NC | $33.05 | 1 |
| ND | $33.61 | 1 |
| NE | $32.57 | 1 |
| NH | $34.77 | 1 |
| NJ | $36.53–$37.84 | 2 |
| NM | $33.59 | 1 |
| NV | $34.19 | 1 |
| NY | $33.35–$39.29 | 5 |
| OH | $33.28 | 1 |
| OK | $32.71 | 1 |
| OR | $33.95–$35.83 | 2 |
| PA | $33.26–$35.56 | 2 |
| PR | $34.53 | 1 |
| RI | $35.07 | 1 |
| SC | $33.21 | 1 |
| SD | $33.52 | 1 |
| TN | $32.60 | 1 |
| TX | $33.14–$35.05 | 8 |
| UT | $33.49 | 1 |
| VA | $33.79–$37.95 | 2 |
| VI | $34.53 | 1 |
| VT | $33.61 | 1 |
| WA | $35.03–$38.12 | 2 |
| WI | $32.93 | 1 |
| WV | $33.27 | 1 |
| WY | $34.06 | 1 |
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
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 Iowa 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
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.60 | × 1.000 | 0.6000 |
| Practice expense | 0.39 | × 0.915 | 0.3569 |
| Malpractice | 0.04 | × 0.397 | 0.0159 |
| Total RVUs | 0.9727 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Iowa$32.49
Office: (0.6 × 1 + 0.39 × 0.915 + 0.04 × 0.397) × $33.4009 = $32.49
Facility: (0.6 × 1 + 0.16 × 0.915 + 0.04 × 0.397) × $33.4009 = $25.46
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.
How G0445 has changed in Iowa
G0445 · Office / nonfacility
$32.49
Effective 2026-10-01
The base rate is $2.75 higher than on 2025-10-01, moving from $29.74 to $32.49 (9.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$29.74changed to$32.49
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.33 changed to 0.39
- Practice expense GPCI 0.913 changed to 0.915
- Malpractice GPCI 0.457 changed to 0.397
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$24.86changed to$29.74
- 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.
March 9, 2024
RVU24AR
$24.45changed to$24.86
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$25.10changed to$24.45
- 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 0.910 changed to 0.913
- Malpractice GPCI 0.441 changed to 0.457
January 1, 2023
RVU23A
$25.89changed to$25.10
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.31 changed to 0.30
- Practice expense GPCI 0.907 changed to 0.910
- Malpractice GPCI 0.425 changed to 0.441
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$26.42changed to$25.89
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.32 changed to 0.31
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$26.52changed to$26.42
- 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
- Malpractice GPCI 0.424 changed to 0.425
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$26.48changed to$26.52
- Conversion factor 36.0391 changed to 36.0896
- Malpractice GPCI 0.423 changed to 0.424
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$26.13changed to$26.48
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.29 changed to 0.30
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$25.71changed to$26.13
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.28 changed to 0.29
- Practice expense GPCI 0.902 changed to 0.907
- Malpractice GPCI 0.458 changed to 0.423
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$25.62changed to$25.71
- Conversion factor 35.8043 changed to 35.8887
- Practice expense GPCI 0.896 changed to 0.902
- Malpractice GPCI 0.493 changed to 0.458
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$25.22changed to$25.62
- 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.
July 1, 2015
RVU15C
$25.09changed to$25.22
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$25.58changed to$25.09
- 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
- Practice expense GPCI 0.892 changed to 0.896
- Malpractice GPCI 0.475 changed to 0.493
Held through RVU15B.
January 1, 2014
RVU14A
$24.53changed to$25.58
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.29 changed to 0.28
- Practice expense GPCI 0.887 changed to 0.892
- Malpractice GPCI 0.456 changed to 0.475
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $24.53
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $32.49 | $25.46 | RVU26D |
| 2026-07-01 | $32.49 | $25.46 | RVU26C |
| 2026-04-01 | $32.49 | $25.46 | RVU26B |
| 2026-01-01 | $32.49 | $25.46 | RVU26A |
| 2025-10-01 | $29.74 | $27.38 | RVU25D |
| 2025-07-01 | $29.74 | $27.38 | RVU25C |
| 2025-04-01 | $29.74 | $27.38 | RVU25B |
| 2025-01-01 | $29.74 | $27.38 | RVU25A |
| 2024-10-01 | $24.86 | $21.21 | RVU24D |
| 2024-07-01 | $24.86 | $21.21 | RVU24C |
| 2024-04-01 | $24.86 | $21.21 | RVU24B |
| 2024-03-09 | $24.86 | $21.21 | RVU24AR |
| 2024-01-01 | $24.45 | $20.86 | RVU24A |
| 2023-10-01 | $25.10 | $21.40 | RVU23D |
| 2023-07-01 | $25.10 | $21.40 | RVU23C |
| 2023-04-01 | $25.10 | $21.40 | RVU23B |
| 2023-01-01 | $25.10 | $21.40 | RVU23A |
| 2022-10-01 | $25.89 | $21.81 | RVU22D |
| 2022-07-01 | $25.89 | $21.81 | RVU22C |
| 2022-04-01 | $25.89 | $21.81 | RVU22B |
| 2022-01-01 | $25.89 | $21.81 | RVU22A |
| 2021-10-01 | $26.42 | $22.31 | RVU21D |
| 2021-07-01 | $26.42 | $22.31 | RVU21C |
| 2021-04-01 | $26.42 | $22.31 | RVU21B |
| 2021-01-01 | $26.42 | $22.31 | RVU21A |
| 2020-10-01 | $26.52 | $22.92 | RVU20D |
| 2020-07-01 | $26.52 | $22.92 | RVU20C |
| 2020-04-01 | $26.52 | $22.92 | RVU20B |
| 2020-01-01 | $26.52 | $22.92 | RVU20A |
| 2019-10-01 | $26.48 | $22.89 | RVU19D |
| 2019-07-01 | $26.48 | $22.89 | RVU19C |
| 2019-04-01 | $26.48 | $22.89 | RVU19B |
| 2019-01-01 | $26.48 | $22.89 | RVU19A |
| 2018-10-01 | $26.13 | $22.86 | RVU18D |
| 2018-07-01 | $26.13 | $22.86 | RVU18C |
| 2018-04-01 | $26.13 | $22.86 | RVU18B |
| 2018-01-01 | $26.13 | $22.86 | RVU18AR1 |
| 2017-10-01 | $25.71 | $22.79 | RVU17D |
| 2017-07-01 | $25.71 | $22.79 | RVU17C |
| 2017-04-01 | $25.71 | $22.79 | RVU17B |
| 2017-01-01 | $25.71 | $22.79 | RVU17A |
| 2016-10-01 | $25.62 | $22.74 | RVU16D |
| 2016-07-01 | $25.62 | $22.74 | RVU16C |
| 2016-04-01 | $25.62 | $22.74 | RVU16B |
| 2016-01-01 | $25.62 | $22.74 | RVU16A |
| 2015-10-01 | $25.22 | $22.32 | RVU15D |
| 2015-07-01 | $25.22 | $22.32 | RVU15C |
| 2015-04-01 | $25.09 | $22.21 | RVU15B |
| 2015-01-01 | $25.09 | $22.21 | RVU15A |
| 2014-10-01 | $25.58 | $22.70 | RVU14D |
| 2014-07-01 | $25.58 | $22.70 | RVU14C |
| 2014-04-01 | $25.58 | $22.70 | RVU14B |
| 2014-01-01 | $25.58 | $22.70 | RVU14A |
| 2013-10-01 | $24.53 | $21.51 | RVU13D |
| 2013-07-01 | $24.53 | $21.51 | RVU13C |
| 2013-04-01 | $24.53 | $21.51 | RVU13B |
| 2013-01-01 | $24.53 | $21.51 | RVU13AR |
Where the Iowa rate applies
Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.
- Ackley
- Ackworth
- Adair
- Adel
- Afton
- Agency
- Ainsworth
- Akron
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
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