HCPCS G0270: Nutrition therapyMedicare rate & RVUs

Medicare pays $31.73 for G0270 nationally in the office and $22.04 in a hospital or facility. Local office rates run $29.26–$40.46.

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

What G0270 covers

G0270 represents individual medical nutrition therapy (MNT) reassessment and follow-up intervention after a second referral in the same year prompted by a change in diagnosis, medical condition, or treatment regimen. A registered dietitian nutritionist or other qualified nutrition professional typically provides the counseling in an outpatient setting. The service is reported in 15-minute units for one patient; group counseling belongs to a different code.

Select G0270 when the record supports both the additional referral and the clinical change that calls for more MNT, rather than for an ordinary follow-up under the initial referral. Documentation should identify the referring provider, the changed diagnosis or clinical circumstance, the nutrition assessment and intervention, and the individual face-to-face service time. CMS prices the service through the physician fee schedule. The supplied CMS facts list no additional code-specific payment rules for G0270.

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.

Where G0270 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

G0270 rates by state

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

How the G0270 rate is calculated

Each of G0270’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 G0270

G0270 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.

G0270 compared with similar codes

How to choose

97803Nutrition therapy

97803 describes individual MNT reassessment and intervention under the usual course of care. G0270 is for additional MNT following a second referral in the same year because clinical needs changed.

G0271Group nutrition therapy

Both address additional MNT after a second referral prompted by a clinical change, but G0270 is individual service in 15-minute units and G0271 is group service in 30-minute units.

97802Medical nutrition therapy

97802 is for an initial individual MNT assessment and intervention. G0270 is for later additional individual MNT after a qualifying change and second referral.

97804Group nutrition therapy

97804 is group MNT; G0270 is individual MNT tied to the second-referral circumstance. Choose by service format and referral context.

Codes related to G0270

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

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