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CMS RVU26D · Effective 2026-10-01

97802 in Beaumont

Office / nonfacility

$35.03

Base rate per service

Facility setting

$25.61

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Nutrition services

About 97802: Initial individual nutrition therapy assessment

Reports an initial, face-to-face individual nutrition assessment and intervention, provided by a qualified nutrition professional and counted in 15-minute units.

An initial individual MNT service combines nutrition assessment with tailored intervention: the practitioner evaluates relevant dietary patterns and nutrition needs, then develops or begins a plan with the patient. Registered dietitians and other qualified nutrition professionals commonly provide it in outpatient offices, clinics, or other settings where the patient receives face-to-face counseling. Common referrals involve nutrition management for diabetes, kidney disease, or other conditions affected by diet; the diagnosis and practitioner’s scope determine the clinical focus.

Choose 97802 for the initial assessment-and-intervention service, rather than later individual reassessment and intervention (97803) or group counseling (97804). Report the documented face-to-face service in 15-minute units. The note should identify the nutrition assessment, individualized plan or counseling delivered, patient participation, and time. CMS assigns separate office and facility practice-expense values in the Physician Fee Schedule, so use the setting that matches where the service was furnished.

Where the value comes from

  • Work RVU0.53 · 48%
  • Practice expense (office) RVU0.56 · 51%
  • Malpractice RVU0.01 · 1%

197.4K

Medicare services in 2024 · #391 by national volume

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.

97802 compared with similar codes

Office rates for Beaumont, from the same CMS release.

97803

Nutrition therapy

Individual, subsequent visit

$30.23

Use 97802 for initial individual assessment and intervention; use 97803 for subsequent individual reassessment and intervention.

97804

Group nutrition therapy

Two or more patients

$16.26

97804 reports group MNT. Choose 97802 when the patient receives the nutrition assessment and intervention individually.

G0270

Nutrition therapy

Individual, second referral

$30.23

G0270 is a Medicare code for qualifying individual MNT reassessment after a change in condition or treatment; 97802 describes the initial individual service.

The same code, a different location

How does Beaumont compare?

In Austin, the office rate for 97802 is $37.82—$2.79 higher than the $35.03 rate in Beaumont. Both use the same code, release and participation basis.

97802 across payment areas

Same release and payment basis · bars start at $0

  1. Beaumont · This locality

    $35.03

  2. Austin

    $37.82

    $2.79 higher than Beaumont

  3. Brazoria

    $36.64

    $1.61 higher than Beaumont

  4. Dallas

    $36.78

    $1.75 higher than Beaumont

  5. $1.57 higher than Beaumont

  6. Galveston

    $36.69

    $1.66 higher than Beaumont

  7. Houston

    $36.88

    $1.85 higher than Beaumont

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 97802 ranges from $33.94 in Arkansas to $46.80 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas
  • Rest Of Texas

    Texas · 97802

    Office

    $35.75

    Facility

    $25.93

    $0.72 higher than Beaumont for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 97802

    Office

    $40.78

    Facility

    $28.53

    $5.75 higher than Beaumont for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 97802

    Office

    $41.06

    Facility

    $28.87

    $6.03 higher than Beaumont for the office setting.

  • Miami

    Florida · 97802

    Office

    $38.02

    Facility

    $27.24

    $2.99 higher than Beaumont for the office setting.

  • Chicago

    Illinois · 97802

    Office

    $37.39

    Facility

    $26.98

    $2.36 higher than Beaumont for the office setting.

  • Manhattan

    New York · 97802

    Office

    $41.10

    Facility

    $29.07

    $6.07 higher than Beaumont for the office setting.

  • Alaska*

    Alaska · 97802

    Office

    $46.66

    Facility

    $35.63

    $11.63 higher than Beaumont for the office setting.

  • Alabama

    Alabama · 97802

    Office

    $34.26

    Facility

    $25.20

    $0.77 lower than Beaumont for the office setting.

  • Arkansas

    Arkansas · 97802

    Office

    $33.94

    Facility

    $25.05

    $1.09 lower than Beaumont for the office setting.

  • Arizona

    Arizona · 97802

    Office

    $36.11

    Facility

    $26.08

    $1.08 higher than Beaumont for the office setting.

  • Bakersfield

    California · 97802

    Office

    $38.74

    Facility

    $27.39

    $3.71 higher than Beaumont for the office setting.

  • Chico

    California · 97802

    Office

    $38.68

    Facility

    $27.33

    $3.65 higher than Beaumont for the office setting.

  • El Centro

    California · 97802

    Office

    $38.68

    Facility

    $27.34

    $3.65 higher than Beaumont for the office setting.

  • Fresno

    California · 97802

    Office

    $38.68

    Facility

    $27.33

    $3.65 higher than Beaumont for the office setting.

  • Hanford-Corcoran

    California · 97802

    Office

    $38.68

    Facility

    $27.33

    $3.65 higher than Beaumont for the office setting.

  • Madera

    California · 97802

    Office

    $38.68

    Facility

    $27.33

    $3.65 higher than Beaumont for the office setting.

  • Merced

    California · 97802

    Office

    $38.68

    Facility

    $27.33

    $3.65 higher than Beaumont for the office setting.

  • Modesto

    California · 97802

    Office

    $38.68

    Facility

    $27.33

    $3.65 higher than Beaumont for the office setting.

  • Napa

    California · 97802

    Office

    $43.64

    Facility

    $29.99

    $8.61 higher than Beaumont for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 97802

    Office

    $40.51

    Facility

    $28.28

    $5.48 higher than Beaumont for the office setting.

  • Redding

    California · 97802

    Office

    $38.68

    Facility

    $27.33

    $3.65 higher than Beaumont for the office setting.

  • Rest Of California

    California · 97802

    Office

    $38.68

    Facility

    $27.33

    $3.65 higher than Beaumont for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 97802

    Office

    $38.81

    Facility

    $27.46

    $3.78 higher than Beaumont for the office setting.

  • Sacramento-Roseville-Folsom

    California · 97802

    Office

    $40.27

    Facility

    $28.23

    $5.24 higher than Beaumont for the office setting.

  • Salinas

    California · 97802

    Office

    $40.11

    Facility

    $28.11

    $5.08 higher than Beaumont for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 97802

    Office

    $40.79

    Facility

    $28.40

    $5.76 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 97802

    Office

    $45.91

    Facility

    $31.31

    $10.88 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 97802

    Office

    $45.90

    Facility

    $31.30

    $10.87 higher than Beaumont for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 97802

    Office

    $46.80

    Facility

    $31.87

    $11.77 higher than Beaumont for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 97802

    Office

    $46.75

    Facility

    $31.82

    $11.72 higher than Beaumont for the office setting.

  • San Luis Obispo-Paso Robles

    California · 97802

    Office

    $39.49

    Facility

    $27.69

    $4.46 higher than Beaumont for the office setting.

  • Santa Cruz-Watsonville

    California · 97802

    Office

    $40.98

    Facility

    $28.40

    $5.95 higher than Beaumont for the office setting.

  • Santa Maria-Santa Barbara

    California · 97802

    Office

    $40.19

    Facility

    $28.11

    $5.16 higher than Beaumont for the office setting.

  • Santa Rosa-Petaluma

    California · 97802

    Office

    $41.38

    Facility

    $28.67

    $6.35 higher than Beaumont for the office setting.

  • Stockton

    California · 97802

    Office

    $38.68

    Facility

    $27.33

    $3.65 higher than Beaumont for the office setting.

  • Vallejo

    California · 97802

    Office

    $43.62

    Facility

    $29.98

    $8.59 higher than Beaumont for the office setting.

  • Visalia

    California · 97802

    Office

    $38.68

    Facility

    $27.33

    $3.65 higher than Beaumont for the office setting.

  • Yuba City

    California · 97802

    Office

    $38.68

    Facility

    $27.33

    $3.65 higher than Beaumont for the office setting.

  • Colorado

    Colorado · 97802

    Office

    $38.08

    Facility

    $27.06

    $3.05 higher than Beaumont for the office setting.

  • Connecticut

    Connecticut · 97802

    Office

    $38.61

    Facility

    $27.45

    $3.58 higher than Beaumont for the office setting.

  • Delaware

    Delaware · 97802

    Office

    $36.57

    Facility

    $26.34

    $1.54 higher than Beaumont for the office setting.

  • Fort Lauderdale

    Florida · 97802

    Office

    $37.25

    Facility

    $26.77

    $2.22 higher than Beaumont for the office setting.

  • Rest Of Florida

    Florida · 97802

    Office

    $36.09

    Facility

    $26.19

    $1.06 higher than Beaumont for the office setting.

  • Atlanta

    Georgia · 97802

    Office

    $37.16

    Facility

    $26.64

    $2.13 higher than Beaumont for the office setting.

  • Rest Of Georgia

    Georgia · 97802

    Office

    $34.79

    Facility

    $25.55

    $0.24 lower than Beaumont for the office setting.

  • Hawaii, Guam

    Hawaii · 97802

    Office

    $39.16

    Facility

    $27.39

    $4.13 higher than Beaumont for the office setting.

  • Iowa

    Iowa · 97802

    Office

    $34.95

    Facility

    $25.48

    $0.08 lower than Beaumont for the office setting.

  • Idaho

    Idaho · 97802

    Office

    $35.07

    Facility

    $25.54

    $0.04 higher than Beaumont for the office setting.

  • East St. Louis

    Illinois · 97802

    Office

    $35.58

    Facility

    $26.06

    $0.55 higher than Beaumont for the office setting.

  • Rest Of Illinois

    Illinois · 97802

    Office

    $35.30

    Facility

    $25.85

    $0.27 higher than Beaumont for the office setting.

  • Suburban Chicago

    Illinois · 97802

    Office

    $37.63

    Facility

    $26.99

    $2.60 higher than Beaumont for the office setting.

  • Indiana

    Indiana · 97802

    Office

    $35.20

    Facility

    $25.61

    $0.17 higher than Beaumont for the office setting.

  • Kansas

    Kansas · 97802

    Office

    $34.78

    Facility

    $25.42

    $0.25 lower than Beaumont for the office setting.

  • Kentucky

    Kentucky · 97802

    Office

    $34.64

    Facility

    $25.43

    $0.39 lower than Beaumont for the office setting.

  • New Orleans

    Louisiana · 97802

    Office

    $35.68

    Facility

    $25.94

    $0.65 higher than Beaumont for the office setting.

  • Rest Of Louisiana

    Louisiana · 97802

    Office

    $34.58

    Facility

    $25.41

    $0.45 lower than Beaumont for the office setting.

  • Metropolitan Boston

    Massachusetts · 97802

    Office

    $41.06

    Facility

    $28.70

    $6.03 higher than Beaumont for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 97802

    Office

    $37.95

    Facility

    $27.04

    $2.92 higher than Beaumont for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 97802

    Office

    $38.47

    Facility

    $27.36

    $3.44 higher than Beaumont for the office setting.

  • Rest Of Maryland

    Maryland · 97802

    Office

    $37.12

    Facility

    $26.64

    $2.09 higher than Beaumont for the office setting.

  • Rest Of Maine

    Maine · 97802

    Office

    $35.12

    Facility

    $25.59

    $0.09 higher than Beaumont for the office setting.

  • Southern Maine

    Maine · 97802

    Office

    $36.45

    Facility

    $26.19

    $1.42 higher than Beaumont for the office setting.

  • Detroit

    Michigan · 97802

    Office

    $36.32

    Facility

    $26.32

    $1.29 higher than Beaumont for the office setting.

  • Rest Of Michigan

    Michigan · 97802

    Office

    $35.16

    Facility

    $25.70

    $0.13 higher than Beaumont for the office setting.

  • Minnesota

    Minnesota · 97802

    Office

    $37.05

    Facility

    $26.39

    $2.02 higher than Beaumont for the office setting.

  • Metropolitan Kansas City

    Missouri · 97802

    Office

    $35.59

    Facility

    $25.87

    $0.56 higher than Beaumont for the office setting.

  • Metropolitan St. Louis

    Missouri · 97802

    Office

    $35.84

    Facility

    $25.99

    $0.81 higher than Beaumont for the office setting.

  • Rest Of Missouri

    Missouri · 97802

    Office

    $34.15

    Facility

    $25.23

    $0.88 lower than Beaumont for the office setting.

  • Mississippi

    Mississippi · 97802

    Office

    $34.05

    Facility

    $25.14

    $0.98 lower than Beaumont for the office setting.

  • Montana**

    Montana · 97802

    Office

    $36.74

    Facility

    $26.39

    $1.71 higher than Beaumont for the office setting.

  • North Carolina

    North Carolina · 97802

    Office

    $35.37

    Facility

    $25.71

    $0.34 higher than Beaumont for the office setting.

  • North Dakota**

    North Dakota · 97802

    Office

    $36.54

    Facility

    $26.19

    $1.51 higher than Beaumont for the office setting.

  • Nebraska

    Nebraska · 97802

    Office

    $35.09

    Facility

    $25.54

    $0.06 higher than Beaumont for the office setting.

  • New Hampshire

    New Hampshire · 97802

    Office

    $37.47

    Facility

    $26.69

    $2.44 higher than Beaumont for the office setting.

  • Northern Nj

    New Jersey · 97802

    Office

    $40.87

    Facility

    $28.86

    $5.84 higher than Beaumont for the office setting.

  • Rest Of New Jersey

    New Jersey · 97802

    Office

    $39.20

    Facility

    $27.90

    $4.17 higher than Beaumont for the office setting.

  • New Mexico

    New Mexico · 97802

    Office

    $35.26

    Facility

    $25.76

    $0.23 higher than Beaumont for the office setting.

  • Nevada**

    Nevada · 97802

    Office

    $36.70

    Facility

    $26.34

    $1.67 higher than Beaumont for the office setting.

  • Nyc Suburbs/Long Island

    New York · 97802

    Office

    $41.70

    Facility

    $29.38

    $6.67 higher than Beaumont for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 97802

    Office

    $39.38

    Facility

    $28.05

    $4.35 higher than Beaumont for the office setting.

  • Queens

    New York · 97802

    Office

    $41.43

    Facility

    $29.19

    $6.40 higher than Beaumont for the office setting.

  • Rest Of New York

    New York · 97802

    Office

    $35.71

    Facility

    $25.87

    $0.68 higher than Beaumont for the office setting.

  • Ohio

    Ohio · 97802

    Office

    $35.12

    Facility

    $25.66

    $0.09 higher than Beaumont for the office setting.

  • Oklahoma

    Oklahoma · 97802

    Office

    $34.67

    Facility

    $25.42

    $0.36 lower than Beaumont for the office setting.

  • Portland

    Oregon · 97802

    Office

    $39.01

    Facility

    $27.51

    $3.98 higher than Beaumont for the office setting.

  • Rest Of Oregon

    Oregon · 97802

    Office

    $36.57

    Facility

    $26.25

    $1.54 higher than Beaumont for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 97802

    Office

    $37.89

    Facility

    $27.11

    $2.86 higher than Beaumont for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 97802

    Office

    $35.19

    Facility

    $25.68

    $0.16 higher than Beaumont for the office setting.

  • Puerto Rico

    Puerto Rico · 97802

    Office

    $36.94

    Facility

    $26.47

    $1.91 higher than Beaumont for the office setting.

  • Rhode Island

    Rhode Island · 97802

    Office

    $37.66

    Facility

    $26.96

    $2.63 higher than Beaumont for the office setting.

  • South Carolina

    South Carolina · 97802

    Office

    $35.27

    Facility

    $25.70

    $0.24 higher than Beaumont for the office setting.

  • South Dakota**

    South Dakota · 97802

    Office

    $36.52

    Facility

    $26.16

    $1.49 higher than Beaumont for the office setting.

  • Tennessee

    Tennessee · 97802

    Office

    $34.88

    Facility

    $25.47

    $0.15 lower than Beaumont for the office setting.

  • Utah

    Utah · 97802

    Office

    $35.58

    Facility

    $25.85

    $0.55 higher than Beaumont for the office setting.

  • Virginia

    Virginia · 97802

    Office

    $36.32

    Facility

    $26.15

    $1.29 higher than Beaumont for the office setting.

  • Virgin Islands

    United States Virgin Islands · 97802

    Office

    $36.94

    Facility

    $26.47

    $1.91 higher than Beaumont for the office setting.

  • Vermont

    Vermont · 97802

    Office

    $36.39

    Facility

    $26.14

    $1.36 higher than Beaumont for the office setting.

  • Rest Of Washington

    Washington · 97802

    Office

    $37.88

    Facility

    $26.98

    $2.85 higher than Beaumont for the office setting.

  • Seattle (King Cnty)

    Washington · 97802

    Office

    $41.81

    Facility

    $29.11

    $6.78 higher than Beaumont for the office setting.

  • Wisconsin

    Wisconsin · 97802

    Office

    $35.72

    Facility

    $25.80

    $0.69 higher than Beaumont for the office setting.

  • West Virginia

    West Virginia · 97802

    Office

    $34.43

    Facility

    $25.44

    $0.60 lower than Beaumont for the office setting.

  • Wyoming**

    Wyoming · 97802

    Office

    $36.65

    Facility

    $26.30

    $1.62 higher than Beaumont for the office setting.

See how rates vary across the country

97802 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$33.94

$46.66

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$46.661
AL$34.261
AR$33.941
AZ$36.111
CA$38.68–$46.8029
CO$38.081
CT$38.611
DC$41.061
DE$36.571
FL$36.09–$38.023
GA$34.79–$37.162
GU$39.161
HI$39.161
IA$34.951
ID$35.071
IL$35.30–$37.634
IN$35.201
KS$34.781
KY$34.641
LA$34.58–$35.682
MA$37.95–$41.062
MD$37.12–$41.063
ME$35.12–$36.452
MI$35.16–$36.322
MN$37.051
MO$34.15–$35.843
MS$34.051
MT$36.741
NC$35.371
ND$36.541
NE$35.091
NH$37.471
NJ$39.20–$40.872
NM$35.261
NV$36.701
NY$35.71–$41.705
OH$35.121
OK$34.671
OR$36.57–$39.012
PA$35.19–$37.892
PR$36.941
RI$37.661
SC$35.271
SD$36.521
TN$34.881
TX$35.03–$37.828
UT$35.581
VA$36.32–$41.062
VI$36.941
VT$36.391
WA$37.88–$41.812
WI$35.721
WV$34.431
WY$36.651

Explore 97802 on the national rate map →

Where does this rate apply?

Beaumont is a Medicare payment area. Our Census mapping connects it to 13 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Why are the office and facility amounts different?

For 97802 in Beaumont, the physician’s office rate is $35.03 and the facility-setting rate is $25.61: a difference of $9.42.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 97802 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$38.53

$35.03 × 110% = $38.53

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 97802 in Beaumont.

PPRRVU2026_Oct_nonQPP.csv

12,913

Code
97802
Physician work
0.53
Practice expense
0.56
Malpractice
0.01

GPCI2026.csv

97

Locality
Beaumont
Physician work
1.000
Practice expense
0.910
Malpractice
0.929
Office / nonfacility calculation for 97802 in Beaumont
ComponentRVULocality factorAdjusted
Physician work0.53× 1.0000.5300
Practice expense0.56× 0.9100.5096
Malpractice0.01× 0.9290.0093
Total RVUs1.0489
Conversion factor× 33.4009

Office / nonfacility rate, Beaumont$35.03

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 97802 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.531
Practice expense0.560.91
Malpractice0.010.929

(0.53 × 1 + 0.56 × 0.91 + 0.01 × 0.929) × $33.4009 = $35.03

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.531
Practice expense0.250.91
Malpractice0.010.929

(0.53 × 1 + 0.25 × 0.91 + 0.01 × 0.929) × $33.4009 = $25.61

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

97802 · Office / nonfacility

$35.03

Effective 2026-10-01

The base rate is $1.22 higher than on 2025-10-01, moving from $33.81 to $35.03 (3.6%).

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

    $33.81changed to$35.03

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense GPCI 0.903 changed to 0.910
    • Malpractice GPCI 0.947 changed to 0.929

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $33.81

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$35.03$25.61RVU26D
2026-07-01$35.03$25.61RVU26C
2026-04-01$35.03$25.61RVU26B
2026-01-01$35.03$25.61RVU26A
2025-10-01$33.81$30.01RVU25D
2025-07-01$33.81$30.01RVU25C
2025-04-01$33.81$30.01RVU25B
2025-01-01$33.81$30.01RVU25A

97802 billing questions

How is 97802 different from 97803?

97802 is for the initial individual nutrition assessment and intervention. Use 97803 for subsequent individual reassessment and intervention.

When should 97804 be used instead?

97804 is the group MNT code. Use 97802 when the nutrition assessment and intervention are provided individually to the patient.

How are units reported?

The service is reported in 15-minute units. Document the face-to-face time and the nutrition assessment and intervention provided.

What documentation supports 97802?

Document the nutrition needs assessed, the individualized counseling or plan delivered, the patient's participation, and the face-to-face time.

Can 97802 be reported with an office E/M service?

The MNT service represents individualized nutrition assessment and intervention. A separate E/M service must reflect distinct, separately documented evaluation and management work.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 97802PPRRVU2026_Oct_nonQPP.csv, line 12,913 (RVU26D)
Geographic factors for BeaumontGPCI2026.csv, line 97 (RVU26D)