HCPCS code G0446: Cardiovascular counseling, annual, individual, 15 minutes2026 Medicare rate & RVUs in Madera, CA

In Madera, CA, Medicare pays $35.01 for G0446 in the office and $26.59 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · G0446 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What G0446 covers

G0446 represents an individual, face-to-face preventive counseling session focused on reducing cardiovascular disease risk through healthy eating and physical activity. Primary care physicians and other qualified practitioners typically provide the service in an office or outpatient setting. The counseling should address the patient’s cardiovascular health behaviors and practical steps for improving them, rather than simply recording a screening result or giving brief, incidental advice during another service.

Report the code for the annual 15-minute session. Documentation should identify the face-to-face counseling, its duration, the cardiovascular risk-reduction topics addressed, and the patient’s plan or recommendations. Use G0446 when the service centers on cardiovascular risk; obesity-focused counseling and counseling for other preventive topics have their own codes. CMS physician fee schedule values are assigned 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 Madera, CA compares for G0446

Across 109 of 109 payment localities, the office rate for G0446 runs from $31.63 in Arkansas to $44.31 in Alaska. Madera, CA pays $35.01. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

G0446 rates by state

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

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How the G0446 rate is calculated

Each of G0446’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.

Payment rules and modifiers for G0446

G0446 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.

Codes related to G0446

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

How G0446 has changed in Madera, CA

Price G0446 for an earlier date of service

Where the Madera, CA rate applies

Madera, CA is a Medicare payment area, not a city. Our Census mapping connects it to 17 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

• Madera
• Ahwahnee
• Bass Lake
• Bonadelle Ranchos
• Chowchilla
• Coarsegold
• Fairmead
• La Vina

Browse all communities in California

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

Open CMS sourceHow we calculate rates