HCPCS code G0446: Cardiovascular counseling, annual, individual, 15 minutes2026 Medicare rate & RVUs in Brazoria, TX
Report G0446 for an annual, individual face-to-face counseling session focused on healthy diet and physical activity to reduce cardiovascular disease risk.
In Brazoria, TX, Medicare pays $33.82 for G0446 in the office and $26.21 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.
On this page 11 sections
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 Brazoria, TX 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. Brazoria, TX pays $33.82. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Brazoria, TX · this page$33.82
- Austin, TX · Texas$34.69+$0.87
- Beaumont, TX · Texas$32.83−$0.99
- Dallas, TX · Texas$34.01+$0.19
- Fort Worth, TX · Texas$33.90+$0.08
- Galveston, TX · Texas$33.91+$0.09
- Houston, TX · Texas$34.64+$0.82
Other areas in Texas first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Rest of TexasTexas | $33.29 | $26.00 |
| Los Angeles, CACalifornia | $36.76 | $27.68 |
| Washington, DC areaDistrict of Columbia | $37.56 | $28.51 |
| Miami, FLFlorida | $36.63 | $28.63 |
| Chicago, ILIllinois | $36.00 | $28.28 |
| Manhattan, NYNew York | $38.19 | $29.26 |
| AlaskaAlaska | $44.31 | $36.13 |
| 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 |
| Madera, CACalifornia | $35.01 | $26.59 |
| Merced, CACalifornia | $35.01 | $26.59 |
| Modesto, CACalifornia | $35.01 | $26.59 |
| Napa, CACalifornia | $38.71 | $28.59 |
| Oxnard, CACalifornia | $36.44 | $27.36 |
| Redding, CACalifornia | $35.01 | $26.59 |
| Rest of CaliforniaCalifornia | $35.01 | $26.59 |
| Riverside, CACalifornia | $35.45 | $27.03 |
| Sacramento, CACalifornia | $36.24 | $27.30 |
| Salinas, CACalifornia | $36.09 | $27.18 |
| San Diego, CACalifornia | $36.55 | $27.36 |
| Marin County, CACalifornia | $40.45 | $29.62 |
| San Francisco, CACalifornia | $40.41 | $29.58 |
| San Benito County, CACalifornia | $41.26 | $30.19 |
| Santa Clara County, CACalifornia | $41.08 | $30.00 |
| San Luis Obispo, CACalifornia | $35.55 | $26.80 |
| Santa Cruz, CACalifornia | $36.60 | $27.26 |
| Santa Maria, CACalifornia | $36.12 | $27.16 |
| Santa Rosa, CACalifornia | $36.94 | $27.51 |
| Stockton, CACalifornia | $35.01 | $26.59 |
| Vallejo, CACalifornia | $38.64 | $28.52 |
| Visalia, CACalifornia | $35.01 | $26.59 |
| Yuba City, CACalifornia | $35.01 | $26.59 |
| ColoradoColorado | $34.83 | $26.66 |
| ConnecticutConnecticut | $35.73 | $27.45 |
| DelawareDelaware | $33.88 | $26.29 |
| Fort Lauderdale, FLFlorida | $35.31 | $27.53 |
| Rest of FloridaFlorida | $34.18 | $26.84 |
| Atlanta, GAGeorgia | $34.60 | $26.80 |
| Rest of GeorgiaGeorgia | $32.95 | $26.10 |
| Hawaii, Guam, HIHawaii | $35.25 | $26.51 |
| IowaIowa | $32.18 | $25.16 |
| IdahoIdaho | $32.35 | $25.28 |
| East St. Louis, ILIllinois | $34.41 | $27.34 |
| Rest of IllinoisIllinois | $33.72 | $26.70 |
| Suburban Chicago, ILIllinois | $35.58 | $27.69 |
| IndianaIndiana | $32.46 | $25.33 |
| KansasKansas | $32.19 | $25.24 |
| KentuckyKentucky | $32.55 | $25.72 |
| New Orleans, LALouisiana | $33.50 | $26.27 |
| Rest of LouisianaLouisiana | $32.55 | $25.75 |
| Metropolitan Boston, MAMassachusetts | $37.21 | $28.03 |
| Rest of MassachusettsMassachusetts | $34.79 | $26.70 |
| Baltimore area, MDMaryland | $35.63 | $27.39 |
| Rest of MarylandMaryland | $34.31 | $26.54 |
| Rest of MaineMaine | $32.55 | $25.48 |
| Southern Maine, MEMaine | $33.46 | $25.85 |
| Detroit, MIMichigan | $34.54 | $27.13 |
| Rest of MichiganMichigan | $33.14 | $26.12 |
| MinnesotaMinnesota | $33.50 | $25.59 |
| Metropolitan Kansas City, MOMissouri | $33.26 | $26.05 |
| Metropolitan St. Louis, MOMissouri | $33.46 | $26.15 |
| Rest of MissouriMissouri | $32.28 | $25.66 |
| MississippiMississippi | $31.96 | $25.34 |
| MontanaMontana | $34.07 | $26.38 |
| North CarolinaNorth Carolina | $32.74 | $25.57 |
| North DakotaNorth Dakota | $33.28 | $25.59 |
| NebraskaNebraska | $32.26 | $25.17 |
| New HampshireNew Hampshire | $34.42 | $26.43 |
| Northern New JerseyNew Jersey | $37.45 | $28.54 |
| Rest of New JerseyNew Jersey | $36.17 | $27.78 |
| New MexicoNew Mexico | $33.28 | $26.24 |
| NevadaNevada | $33.86 | $26.17 |
| NYC suburbs and Long Island, NYNew York | $38.90 | $29.76 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $36.46 | $28.05 |
| Queens, NYNew York | $38.25 | $29.17 |
| Rest of New YorkNew York | $33.04 | $25.74 |
| OhioOhio | $32.98 | $25.96 |
| OklahomaOklahoma | $32.41 | $25.55 |
| Portland, OROregon | $35.46 | $26.92 |
| Rest of OregonOregon | $33.62 | $25.97 |
| Metropolitan Philadelphia, PAPennsylvania | $35.21 | $27.21 |
| Rest of PennsylvaniaPennsylvania | $32.95 | $25.90 |
| Puerto RicoPuerto Rico | $34.19 | $26.42 |
| Rhode IslandRhode Island | $34.72 | $26.79 |
| South CarolinaSouth Carolina | $32.90 | $25.81 |
| South DakotaSouth Dakota | $33.18 | $25.50 |
| TennesseeTennessee | $32.30 | $25.31 |
| UtahUtah | $33.17 | $25.95 |
| VirginiaVirginia | $33.46 | $25.91 |
| Virgin Islands, VIUnited States Virgin Islands | $34.19 | $26.42 |
| VermontVermont | $33.28 | $25.68 |
| Rest of WashingtonWashington | $34.68 | $26.59 |
| King County, WAWashington | $37.71 | $28.28 |
| WisconsinWisconsin | $32.61 | $25.25 |
| West VirginiaWest Virginia | $32.98 | $26.31 |
| WyomingWyoming | $33.72 | $26.04 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $44.31 | 1 |
| AL | $31.90 | 1 |
| AR | $31.63 | 1 |
| AZ | $33.48 | 1 |
| CA | $35.01–$41.26 | 29 |
| CO | $34.83 | 1 |
| CT | $35.73 | 1 |
| DC | $37.56 | 1 |
| DE | $33.88 | 1 |
| FL | $34.18–$36.63 | 3 |
| GA | $32.95–$34.60 | 2 |
| GU | $35.25 | 1 |
| HI | $35.25 | 1 |
| IA | $32.18 | 1 |
| ID | $32.35 | 1 |
| IL | $33.72–$36.00 | 4 |
| IN | $32.46 | 1 |
| KS | $32.19 | 1 |
| KY | $32.55 | 1 |
| LA | $32.55–$33.50 | 2 |
| MA | $34.79–$37.21 | 2 |
| MD | $34.31–$37.56 | 3 |
| ME | $32.55–$33.46 | 2 |
| MI | $33.14–$34.54 | 2 |
| MN | $33.50 | 1 |
| MO | $32.28–$33.46 | 3 |
| MS | $31.96 | 1 |
| MT | $34.07 | 1 |
| NC | $32.74 | 1 |
| ND | $33.28 | 1 |
| NE | $32.26 | 1 |
| NH | $34.42 | 1 |
| NJ | $36.17–$37.45 | 2 |
| NM | $33.28 | 1 |
| NV | $33.86 | 1 |
| NY | $33.04–$38.90 | 5 |
| OH | $32.98 | 1 |
| OK | $32.41 | 1 |
| OR | $33.62–$35.46 | 2 |
| PA | $32.95–$35.21 | 2 |
| PR | $34.19 | 1 |
| RI | $34.72 | 1 |
| SC | $32.90 | 1 |
| SD | $33.18 | 1 |
| TN | $32.30 | 1 |
| TX | $32.83–$34.69 | 8 |
| UT | $33.17 | 1 |
| VA | $33.46–$37.56 | 2 |
| VI | $34.19 | 1 |
| VT | $33.28 | 1 |
| WA | $34.68–$37.71 | 2 |
| WI | $32.61 | 1 |
| WV | $32.98 | 1 |
| WY | $33.72 | 1 |
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
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 Brazoria, TX 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
98
- Locality
- Brazoria, TX
- Physician work
- 1.008
- Practice expense
- 0.991
- Malpractice
- 0.780
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.60 | × 1.008 | 0.6048 |
| Practice expense | 0.38 | × 0.991 | 0.3766 |
| Malpractice | 0.04 | × 0.780 | 0.0312 |
| Total RVUs | 1.0126 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Brazoria, TX$33.82
Office: (0.6 × 1.008 + 0.38 × 0.991 + 0.04 × 0.78) × $33.4009 = $33.82
Facility: (0.6 × 1.008 + 0.15 × 0.991 + 0.04 × 0.78) × $33.4009 = $26.21
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 Brazoria, TX
G0446 · Office / nonfacility
$33.82
Effective 2026-10-01
The base rate is $2.05 higher than on 2025-10-01, moving from $31.77 to $33.82 (6.5%).
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
$31.77changed to$33.82
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.34 changed to 0.38
- Work GPCI 1.014 changed to 1.008
- Practice expense GPCI 1.006 changed to 0.991
- Malpractice GPCI 0.795 changed to 0.780
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$25.36changed to$31.77
- 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.
March 9, 2024
RVU24AR
$24.95changed to$25.36
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$26.13changed to$24.95
- Conversion factor 33.8872 changed to 32.7442
- Malpractice RVU 0.04 changed to 0.03
- Work GPCI 1.023 changed to 1.014
- Practice expense GPCI 1.014 changed to 1.006
- Malpractice GPCI 0.673 changed to 0.795
January 1, 2023
RVU23A
$26.75changed to$26.13
- Conversion factor 34.6062 changed to 33.8872
- Work GPCI 1.032 changed to 1.023
- Practice expense GPCI 1.023 changed to 1.014
- Malpractice GPCI 0.550 changed to 0.673
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$26.97changed to$26.75
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$26.89changed to$26.97
- 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
- Work GPCI 1.026 changed to 1.032
- Practice expense GPCI 1.010 changed to 1.023
- Malpractice GPCI 0.695 changed to 0.550
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$26.79changed to$26.89
- Conversion factor 36.0391 changed to 36.0896
- Work GPCI 1.020 changed to 1.026
- Practice expense GPCI 0.997 changed to 1.010
- Malpractice GPCI 0.839 changed to 0.695
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$26.40changed to$26.79
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.25 changed to 0.26
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$26.36changed to$26.40
- Conversion factor 35.8887 changed to 35.9996
- Practice expense GPCI 0.994 changed to 0.997
- Malpractice GPCI 0.897 changed to 0.839
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$26.31changed to$26.36
- Conversion factor 35.8043 changed to 35.8887
- Work GPCI 1.019 changed to 1.020
- Practice expense GPCI 0.990 changed to 0.994
- Malpractice GPCI 0.955 changed to 0.897
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$26.40changed to$26.31
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$26.27changed to$26.40
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$26.21changed to$26.27
- Conversion factor 35.8228 changed to 35.7547
- Work GPCI 1.014 changed to 1.019
- Practice expense GPCI 0.989 changed to 0.990
- Malpractice GPCI 0.939 changed to 0.955
Held through RVU15B.
January 1, 2014
RVU14A
$25.46changed to$26.21
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.27 changed to 0.25
- Work GPCI 1.009 changed to 1.014
- Practice expense GPCI 0.987 changed to 0.989
- Malpractice GPCI 0.923 changed to 0.939
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $25.46
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $33.82 | $26.21 | RVU26D |
| 2026-07-01 | $33.82 | $26.21 | RVU26C |
| 2026-04-01 | $33.82 | $26.21 | RVU26B |
| 2026-01-01 | $33.82 | $26.21 | RVU26A |
| 2025-10-01 | $31.77 | $29.17 | RVU25D |
| 2025-07-01 | $31.77 | $29.17 | RVU25C |
| 2025-04-01 | $31.77 | $29.17 | RVU25B |
| 2025-01-01 | $31.77 | $29.17 | RVU25A |
| 2024-10-01 | $25.36 | $22.68 | RVU24D |
| 2024-07-01 | $25.36 | $22.68 | RVU24C |
| 2024-04-01 | $25.36 | $22.68 | RVU24B |
| 2024-03-09 | $25.36 | $22.68 | RVU24AR |
| 2024-01-01 | $24.95 | $22.31 | RVU24A |
| 2023-10-01 | $26.13 | $23.04 | RVU23D |
| 2023-07-01 | $26.13 | $23.04 | RVU23C |
| 2023-04-01 | $26.13 | $23.04 | RVU23B |
| 2023-01-01 | $26.13 | $23.04 | RVU23A |
| 2022-10-01 | $26.75 | $23.91 | RVU22D |
| 2022-07-01 | $26.75 | $23.91 | RVU22C |
| 2022-04-01 | $26.75 | $23.91 | RVU22B |
| 2022-01-01 | $26.75 | $23.91 | RVU22A |
| 2021-10-01 | $26.97 | $24.11 | RVU21D |
| 2021-07-01 | $26.97 | $24.11 | RVU21C |
| 2021-04-01 | $26.97 | $24.11 | RVU21B |
| 2021-01-01 | $26.97 | $24.11 | RVU21A |
| 2020-10-01 | $26.89 | $24.34 | RVU20D |
| 2020-07-01 | $26.89 | $24.34 | RVU20C |
| 2020-04-01 | $26.89 | $24.34 | RVU20B |
| 2020-01-01 | $26.89 | $24.34 | RVU20A |
| 2019-10-01 | $26.79 | $24.28 | RVU19D |
| 2019-07-01 | $26.79 | $24.28 | RVU19C |
| 2019-04-01 | $26.79 | $24.28 | RVU19B |
| 2019-01-01 | $26.79 | $24.28 | RVU19A |
| 2018-10-01 | $26.40 | $24.25 | RVU18D |
| 2018-07-01 | $26.40 | $24.25 | RVU18C |
| 2018-04-01 | $26.40 | $24.25 | RVU18B |
| 2018-01-01 | $26.40 | $24.25 | RVU18AR1 |
| 2017-10-01 | $26.36 | $24.22 | RVU17D |
| 2017-07-01 | $26.36 | $24.22 | RVU17C |
| 2017-04-01 | $26.36 | $24.22 | RVU17B |
| 2017-01-01 | $26.36 | $24.22 | RVU17A |
| 2016-10-01 | $26.31 | $24.18 | RVU16D |
| 2016-07-01 | $26.31 | $24.18 | RVU16C |
| 2016-04-01 | $26.31 | $24.18 | RVU16B |
| 2016-01-01 | $26.31 | $24.18 | RVU16A |
| 2015-10-01 | $26.40 | $24.27 | RVU15D |
| 2015-07-01 | $26.40 | $24.27 | RVU15C |
| 2015-04-01 | $26.27 | $24.15 | RVU15B |
| 2015-01-01 | $26.27 | $24.15 | RVU15A |
| 2014-10-01 | $26.21 | $24.09 | RVU14D |
| 2014-07-01 | $26.21 | $24.09 | RVU14C |
| 2014-04-01 | $26.21 | $24.09 | RVU14B |
| 2014-01-01 | $26.21 | $24.09 | RVU14A |
| 2013-10-01 | $25.46 | $23.11 | RVU13D |
| 2013-07-01 | $25.46 | $23.11 | RVU13C |
| 2013-04-01 | $25.46 | $23.11 | RVU13B |
| 2013-01-01 | $25.46 | $23.11 | RVU13AR |
Where the Brazoria, TX rate applies
Brazoria, TX is a Medicare payment area, not a city. Our Census mapping connects it to 28 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.
- Brazoria
- Alvin
- Angleton
- Bailey's Prairie
- Bonney
- Brookside Village
- Clute
- Damon
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
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