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

Report G0446 for an annual, individual face-to-face counseling session focused on healthy diet and physical activity to reduce cardiovascular disease risk.

CMS RVU26DEffective Oct 1, 2026One payment locality366.6K Medicare services in 2024

In Idaho, Medicare pays $32.35 for G0446 in the office and $25.28 when it’s performed in a hospital or facility.

$32.35Office (non-facility)
$25.28Hospital or facility
−5.0%vs the national office rate ($34.07)

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.

We’ll open G0446 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Idaho
  2. What G0446 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 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 Idaho 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. Idaho pays $32.35. The RVUs are the same everywhere; the geographic indexes change the dollars.

G0446 in Idaho vs other payment areas
  1. Idaho · this page$32.35
  2. Los Angeles, CA · California$36.76+$4.41
  3. Washington, DC area · District of Columbia$37.56+$5.21
  4. Miami, FL · Florida$36.63+$4.28
  5. Chicago, IL · Illinois$36.00+$3.65
  6. Manhattan, NY · New York$38.19+$5.84
  7. Alaska · Alaska$44.31+$11.96

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

Every other payment area

G0446 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$31.90$25.18
ArkansasArkansas$31.63$25.03
ArizonaArizona$33.48$26.04
Bakersfield, CACalifornia$35.15$26.73
Chico, CACalifornia$35.01$26.59
El Centro, CACalifornia$35.01$26.60
Fresno, CACalifornia$35.01$26.59
Hanford, CACalifornia$35.01$26.59

G0446 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.

$31.63

$44.31

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

View every state and territory as a table
G0446 office rate range by state
State / territoryOffice rate rangeLocalities
AK$44.311
AL$31.901
AR$31.631
AZ$33.481
CA$35.01–$41.2629
CO$34.831
CT$35.731
DC$37.561
DE$33.881
FL$34.18–$36.633
GA$32.95–$34.602
GU$35.251
HI$35.251
IA$32.181
ID$32.351
IL$33.72–$36.004
IN$32.461
KS$32.191
KY$32.551
LA$32.55–$33.502
MA$34.79–$37.212
MD$34.31–$37.563
ME$32.55–$33.462
MI$33.14–$34.542
MN$33.501
MO$32.28–$33.463
MS$31.961
MT$34.071
NC$32.741
ND$33.281
NE$32.261
NH$34.421
NJ$36.17–$37.452
NM$33.281
NV$33.861
NY$33.04–$38.905
OH$32.981
OK$32.411
OR$33.62–$35.462
PA$32.95–$35.212
PR$34.191
RI$34.721
SC$32.901
SD$33.181
TN$32.301
TX$32.83–$34.698
UT$33.171
VA$33.46–$37.562
VI$34.191
VT$33.281
WA$34.68–$37.712
WI$32.611
WV$32.981
WY$33.721

See G0446 in every payment locality

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.

How the rate is built · G0446

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.60

0.60 RVUs× 1.000 GPCI

Practice expense0.38

0.38 RVUs× 1.000 GPCI

Malpractice0.04

0.04 RVUs× 1.000 GPCI

Adjusted RVUs

1.0200

Conversion factor

$33.4009

Medicare rate

$34.07

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

The exact Idaho inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

15,266

Code
G0446
Physician work
0.60
Practice expense
0.38
Malpractice
0.04

GPCI2026.csv

47

Locality
Idaho
Physician work
1.000
Practice expense
0.920
Malpractice
0.473
Office calculation for G0446 in Idaho
ComponentRVULocality factorAdjusted
Physician work0.60× 1.0000.6000
Practice expense0.38× 0.9200.3496
Malpractice0.04× 0.4730.0189
Total RVUs0.9685
Conversion factor× 33.4009

Office rate, Idaho$32.35

Office: (0.6 × 1 + 0.38 × 0.92 + 0.04 × 0.473) × $33.4009 = $32.35

Facility: (0.6 × 1 + 0.15 × 0.92 + 0.04 × 0.473) × $33.4009 = $25.28

Open G0446 in the RVU calculator

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.

Place of service · G0446

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

$34.07

Non-facility (office)
$34.07
Facility
$26.39

Higher because the practice carries its own overhead.

How G0446 has changed in Idaho

G0446 · Office / nonfacility

$32.35

Effective 2026-10-01

The base rate is $2.36 higher than on 2025-10-01, moving from $29.99 to $32.35 (7.9%).

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

    $29.99changed to$32.35

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.34 changed to 0.38
    • Practice expense GPCI 0.908 changed to 0.920
    • Malpractice GPCI 0.461 changed to 0.473

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $23.90changed to$29.99

    • Conversion factor 33.2875 changed to 32.3465
    • Work RVU 0.45 changed to 0.60
    • Practice expense RVU 0.28 changed to 0.34
    • Malpractice RVU 0.03 changed to 0.04

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $23.51changed to$23.90

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $24.32changed to$23.51

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice RVU 0.04 changed to 0.03
    • Practice expense GPCI 0.893 changed to 0.908
    • Malpractice GPCI 0.439 changed to 0.461
  5. January 1, 2023

    RVU23A

    $24.65changed to$24.32

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense GPCI 0.877 changed to 0.893
    • Malpractice GPCI 0.416 changed to 0.439

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $24.85changed to$24.65

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $25.09changed to$24.85

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.26 changed to 0.28
    • Malpractice RVU 0.03 changed to 0.04
    • Practice expense GPCI 0.890 changed to 0.877
    • Malpractice GPCI 0.464 changed to 0.416

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $25.22changed to$25.09

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense GPCI 0.902 changed to 0.890
    • Malpractice GPCI 0.512 changed to 0.464

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $24.87changed to$25.22

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.25 changed to 0.26

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $24.77changed to$24.87

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.900 changed to 0.902
    • Malpractice GPCI 0.510 changed to 0.512

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $24.70changed to$24.77

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.898 changed to 0.900
    • Malpractice GPCI 0.508 changed to 0.510

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $24.78changed to$24.70

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $24.66changed to$24.78

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $24.74changed to$24.66

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense GPCI 0.896 changed to 0.898
    • Malpractice GPCI 0.556 changed to 0.508

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $24.14changed to$24.74

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.27 changed to 0.25
    • Practice expense GPCI 0.894 changed to 0.896
    • Malpractice GPCI 0.603 changed to 0.556

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $24.14

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$32.35$25.28RVU26D
2026-07-01$32.35$25.28RVU26C
2026-04-01$32.35$25.28RVU26B
2026-01-01$32.35$25.28RVU26A
2025-10-01$29.99$27.64RVU25D
2025-07-01$29.99$27.64RVU25C
2025-04-01$29.99$27.64RVU25B
2025-01-01$29.99$27.64RVU25A
2024-10-01$23.90$21.48RVU24D
2024-07-01$23.90$21.48RVU24C
2024-04-01$23.90$21.48RVU24B
2024-03-09$23.90$21.48RVU24AR
2024-01-01$23.51$21.13RVU24A
2023-10-01$24.32$21.59RVU23D
2023-07-01$24.32$21.59RVU23C
2023-04-01$24.32$21.59RVU23B
2023-01-01$24.32$21.59RVU23A
2022-10-01$24.65$22.22RVU22D
2022-07-01$24.65$22.22RVU22C
2022-04-01$24.65$22.22RVU22B
2022-01-01$24.65$22.22RVU22A
2021-10-01$24.85$22.40RVU21D
2021-07-01$24.85$22.40RVU21C
2021-04-01$24.85$22.40RVU21B
2021-01-01$24.85$22.40RVU21A
2020-10-01$25.09$22.85RVU20D
2020-07-01$25.09$22.85RVU20C
2020-04-01$25.09$22.85RVU20B
2020-01-01$25.09$22.85RVU20A
2019-10-01$25.22$22.95RVU19D
2019-07-01$25.22$22.95RVU19C
2019-04-01$25.22$22.95RVU19B
2019-01-01$25.22$22.95RVU19A
2018-10-01$24.87$22.92RVU18D
2018-07-01$24.87$22.92RVU18C
2018-04-01$24.87$22.92RVU18B
2018-01-01$24.87$22.92RVU18AR1
2017-10-01$24.77$22.84RVU17D
2017-07-01$24.77$22.84RVU17C
2017-04-01$24.77$22.84RVU17B
2017-01-01$24.77$22.84RVU17A
2016-10-01$24.70$22.77RVU16D
2016-07-01$24.70$22.77RVU16C
2016-04-01$24.70$22.77RVU16B
2016-01-01$24.70$22.77RVU16A
2015-10-01$24.78$22.85RVU15D
2015-07-01$24.78$22.85RVU15C
2015-04-01$24.66$22.73RVU15B
2015-01-01$24.66$22.73RVU15A
2014-10-01$24.74$22.82RVU14D
2014-07-01$24.74$22.82RVU14C
2014-04-01$24.74$22.82RVU14B
2014-01-01$24.74$22.82RVU14A
2013-10-01$24.14$22.01RVU13D
2013-07-01$24.14$22.01RVU13C
2013-04-01$24.14$22.01RVU13B
2013-01-01$24.14$22.01RVU13AR

Price G0446 for an earlier date of service

Where the Idaho rate applies

Idaho is a Medicare payment area, not a city. Our Census mapping connects it to 235 cities and communities in Idaho. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Acequia
  • Albion
  • American Falls
  • Ammon
  • Arbon Valley
  • Arco
  • Arimo

Browse all communities in Idaho

G0446 billing questions

How does G0446 differ from G0447?

G0446 focuses on cardiovascular disease risk reduction through healthy diet and physical activity. G0447 is for obesity-focused behavioral counseling.

How much counseling time does G0446 represent?

The code represents an individual face-to-face session of 15 minutes. Document the time and the cardiovascular risk-reduction counseling provided.

Can G0446 be reported for group counseling?

No. G0446 describes individual counseling, so a group session does not match the service represented by this code.

What should the record show?

Document the face-to-face individual session, its duration, the diet and physical activity topics addressed, and the recommendations or plan.

Is G0446 the same as an annual cardiovascular screening?

No. G0446 represents behavioral counseling to reduce cardiovascular risk, not a screening test or screening result.

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 G0446PPRRVU2026_Oct_nonQPP.csv, line 15,266 (RVU26D)
Geographic factors for IdahoGPCI2026.csv, line 47 (RVU26D)

Open CMS sourceHow we calculate rates

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