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CMS RVU26D · Effective 2026-10-01

G0445 in Modesto

Office / nonfacility

$35.37

Base rate per service

Facility setting

$26.95

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.

Preventive counseling

About G0445: High-intensity STI prevention counseling

Report G0445 for an individual, face-to-face behavioral counseling session focused on reducing sexually transmitted infection risk in a sexually active person at increased risk.

G0445 describes an individual, face-to-face counseling session focused on preventing sexually transmitted infections. A primary care physician or other qualified primary care practitioner may counsel a sexually active adolescent or adult who is at increased risk. The discussion can address practical risk-reduction strategies, such as safer-sex practices, condom use, testing, and communication with partners. The service is preventive counseling, not an STI diagnostic test or treatment visit.

Report the code when the documented service meets the individual counseling format and 30-minute service description. Record the patient’s increased-risk basis, the prevention topics addressed, and the face-to-face counseling time. The note should distinguish this STI-focused counseling from screening or counseling for alcohol misuse, cardiovascular risk, or obesity if those services are also documented. The CMS facts supplied for this code list no add-on, global-period, component, or reduction rule to explain.

Where the value comes from

  • Work RVU0.60 · 58%
  • Practice expense (office) RVU0.39 · 38%
  • Malpractice RVU0.04 · 4%

645

Medicare services in 2024 · #3337 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.

G0445 compared with similar codes

Office rates for Modesto, from the same CMS release.

G0442

Alcohol screening

Annual 15-minute preventive screen

$19.84

G0442 is an alcohol misuse screening service. Choose G0445 for individual counseling focused on reducing STI risk.

G0443

Alcohol counseling

Brief behavioral service

$35.37

G0443 is brief counseling for alcohol misuse; G0445 addresses STI prevention in a sexually active person at increased risk.

G0446

Cardiovascular counseling

Annual, individual, 15 minutes

$35.01

G0446 focuses on behavioral counseling to reduce cardiovascular disease risk. G0445 focuses on preventing sexually transmitted infections.

G0447

Obesity counseling

Face-to-face, 15 minutes

$35.01

G0447 is behavioral counseling for obesity, whereas G0445 is individual counseling focused on STI risk reduction.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for G0445 is $35.51—$0.14 higher than the $35.37 rate in Modesto. Both use the same code, release and participation basis.

G0445 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $35.37

  2. Bakersfield

    $35.51

    $0.14 higher than Modesto

  3. Chico

    $35.37

    The same base rate than Modesto

  4. El Centro

    $35.38

    $0.01 higher than Modesto

  5. Fresno

    $35.37

    The same base rate than Modesto

  6. Hanford-Corcoran

    $35.37

    The same base rate than Modesto

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $37.16

    $1.79 higher than Modesto

Other payment areas listed in California 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, G0445 ranges from $31.92 in Arkansas to $44.67 in Alaska*. 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

  • Madera

    California · G0445

    Office

    $35.37

    Facility

    $26.95

    The same base rate than Modesto for the office setting.

  • Merced

    California · G0445

    Office

    $35.37

    Facility

    $26.95

    The same base rate than Modesto for the office setting.

  • Napa

    California · G0445

    Office

    $39.15

    Facility

    $29.03

    $3.78 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · G0445

    Office

    $36.83

    Facility

    $27.75

    $1.46 higher than Modesto for the office setting.

  • Redding

    California · G0445

    Office

    $35.37

    Facility

    $26.95

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · G0445

    Office

    $35.37

    Facility

    $26.95

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · G0445

    Office

    $35.82

    Facility

    $27.40

    $0.45 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · G0445

    Office

    $36.63

    Facility

    $27.69

    $1.26 higher than Modesto for the office setting.

  • Salinas

    California · G0445

    Office

    $36.48

    Facility

    $27.57

    $1.11 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · G0445

    Office

    $36.95

    Facility

    $27.76

    $1.58 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · G0445

    Office

    $40.92

    Facility

    $30.09

    $5.55 higher than Modesto for the office setting.

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

    California · G0445

    Office

    $40.88

    Facility

    $30.05

    $5.51 higher than Modesto for the office setting.

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

    California · G0445

    Office

    $41.75

    Facility

    $30.67

    $6.38 higher than Modesto for the office setting.

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

    California · G0445

    Office

    $41.56

    Facility

    $30.48

    $6.19 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · G0445

    Office

    $35.93

    Facility

    $27.18

    $0.56 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · G0445

    Office

    $37.00

    Facility

    $27.67

    $1.63 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · G0445

    Office

    $36.51

    Facility

    $27.55

    $1.14 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · G0445

    Office

    $37.35

    Facility

    $27.92

    $1.98 higher than Modesto for the office setting.

  • Stockton

    California · G0445

    Office

    $35.37

    Facility

    $26.95

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · G0445

    Office

    $39.09

    Facility

    $28.96

    $3.72 higher than Modesto for the office setting.

  • Visalia

    California · G0445

    Office

    $35.37

    Facility

    $26.95

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · G0445

    Office

    $35.37

    Facility

    $26.95

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · G0445

    Office

    $37.95

    Facility

    $28.91

    $2.58 higher than Modesto for the office setting.

  • Miami

    Florida · G0445

    Office

    $36.98

    Facility

    $28.98

    $1.61 higher than Modesto for the office setting.

  • Chicago

    Illinois · G0445

    Office

    $36.34

    Facility

    $28.62

    $0.97 higher than Modesto for the office setting.

  • Manhattan

    New York · G0445

    Office

    $38.58

    Facility

    $29.65

    $3.21 higher than Modesto for the office setting.

  • Alaska*

    Alaska · G0445

    Office

    $44.67

    Facility

    $36.49

    $9.30 higher than Modesto for the office setting.

  • Alabama

    Alabama · G0445

    Office

    $32.19

    Facility

    $25.47

    $3.18 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · G0445

    Office

    $31.92

    Facility

    $25.32

    $3.45 lower than Modesto for the office setting.

  • Arizona

    Arizona · G0445

    Office

    $33.81

    Facility

    $26.36

    $1.56 lower than Modesto for the office setting.

  • Colorado

    Colorado · G0445

    Office

    $35.18

    Facility

    $27.01

    $0.19 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · G0445

    Office

    $36.09

    Facility

    $27.81

    $0.72 higher than Modesto for the office setting.

  • Delaware

    Delaware · G0445

    Office

    $34.21

    Facility

    $26.62

    $1.16 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · G0445

    Office

    $35.65

    Facility

    $27.87

    $0.28 higher than Modesto for the office setting.

  • Rest Of Florida

    Florida · G0445

    Office

    $34.50

    Facility

    $27.16

    $0.87 lower than Modesto for the office setting.

  • Atlanta

    Georgia · G0445

    Office

    $34.94

    Facility

    $27.13

    $0.43 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · G0445

    Office

    $33.25

    Facility

    $26.40

    $2.12 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · G0445

    Office

    $35.63

    Facility

    $26.89

    $0.26 higher than Modesto for the office setting.

  • Iowa

    Iowa · G0445

    Office

    $32.49

    Facility

    $25.46

    $2.88 lower than Modesto for the office setting.

  • Idaho

    Idaho · G0445

    Office

    $32.66

    Facility

    $25.59

    $2.71 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · G0445

    Office

    $34.72

    Facility

    $27.65

    $0.65 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · G0445

    Office

    $34.02

    Facility

    $27.01

    $1.35 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · G0445

    Office

    $35.93

    Facility

    $28.04

    $0.56 higher than Modesto for the office setting.

  • Indiana

    Indiana · G0445

    Office

    $32.77

    Facility

    $25.64

    $2.60 lower than Modesto for the office setting.

  • Kansas

    Kansas · G0445

    Office

    $32.49

    Facility

    $25.55

    $2.88 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · G0445

    Office

    $32.84

    Facility

    $26.01

    $2.53 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · G0445

    Office

    $33.82

    Facility

    $26.59

    $1.55 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · G0445

    Office

    $32.85

    Facility

    $26.05

    $2.52 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · G0445

    Office

    $37.60

    Facility

    $28.43

    $2.23 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · G0445

    Office

    $35.14

    Facility

    $27.05

    $0.23 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · G0445

    Office

    $35.99

    Facility

    $27.75

    $0.62 higher than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · G0445

    Office

    $34.65

    Facility

    $26.88

    $0.72 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · G0445

    Office

    $32.86

    Facility

    $25.79

    $2.51 lower than Modesto for the office setting.

  • Southern Maine

    Maine · G0445

    Office

    $33.79

    Facility

    $26.18

    $1.58 lower than Modesto for the office setting.

  • Detroit

    Michigan · G0445

    Office

    $34.86

    Facility

    $27.45

    $0.51 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · G0445

    Office

    $33.44

    Facility

    $26.43

    $1.93 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · G0445

    Office

    $33.84

    Facility

    $25.94

    $1.53 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · G0445

    Office

    $33.58

    Facility

    $26.36

    $1.79 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · G0445

    Office

    $33.78

    Facility

    $26.47

    $1.59 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · G0445

    Office

    $32.57

    Facility

    $25.95

    $2.80 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · G0445

    Office

    $32.24

    Facility

    $25.63

    $3.13 lower than Modesto for the office setting.

  • Montana**

    Montana · G0445

    Office

    $34.40

    Facility

    $26.72

    $0.97 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · G0445

    Office

    $33.05

    Facility

    $25.88

    $2.32 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · G0445

    Office

    $33.61

    Facility

    $25.93

    $1.76 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · G0445

    Office

    $32.57

    Facility

    $25.48

    $2.80 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · G0445

    Office

    $34.77

    Facility

    $26.77

    $0.60 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · G0445

    Office

    $37.84

    Facility

    $28.93

    $2.47 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · G0445

    Office

    $36.53

    Facility

    $28.14

    $1.16 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · G0445

    Office

    $33.59

    Facility

    $26.55

    $1.78 lower than Modesto for the office setting.

  • Nevada**

    Nevada · G0445

    Office

    $34.19

    Facility

    $26.50

    $1.18 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · G0445

    Office

    $39.29

    Facility

    $30.16

    $3.92 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · G0445

    Office

    $36.82

    Facility

    $28.41

    $1.45 higher than Modesto for the office setting.

  • Queens

    New York · G0445

    Office

    $38.65

    Facility

    $29.57

    $3.28 higher than Modesto for the office setting.

  • Rest Of New York

    New York · G0445

    Office

    $33.35

    Facility

    $26.06

    $2.02 lower than Modesto for the office setting.

  • Ohio

    Ohio · G0445

    Office

    $33.28

    Facility

    $26.27

    $2.09 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · G0445

    Office

    $32.71

    Facility

    $25.85

    $2.66 lower than Modesto for the office setting.

  • Portland

    Oregon · G0445

    Office

    $35.83

    Facility

    $27.29

    $0.46 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · G0445

    Office

    $33.95

    Facility

    $26.30

    $1.42 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · G0445

    Office

    $35.56

    Facility

    $27.56

    $0.19 higher than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · G0445

    Office

    $33.26

    Facility

    $26.21

    $2.11 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · G0445

    Office

    $34.53

    Facility

    $26.76

    $0.84 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · G0445

    Office

    $35.07

    Facility

    $27.13

    $0.30 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · G0445

    Office

    $33.21

    Facility

    $26.11

    $2.16 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · G0445

    Office

    $33.52

    Facility

    $25.83

    $1.85 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · G0445

    Office

    $32.60

    Facility

    $25.62

    $2.77 lower than Modesto for the office setting.

  • Austin

    Texas · G0445

    Office

    $35.05

    Facility

    $26.92

    $0.32 lower than Modesto for the office setting.

  • Beaumont

    Texas · G0445

    Office

    $33.14

    Facility

    $26.14

    $2.23 lower than Modesto for the office setting.

  • Brazoria

    Texas · G0445

    Office

    $34.15

    Facility

    $26.54

    $1.22 lower than Modesto for the office setting.

  • Dallas

    Texas · G0445

    Office

    $34.34

    Facility

    $26.69

    $1.03 lower than Modesto for the office setting.

  • Fort Worth

    Texas · G0445

    Office

    $34.23

    Facility

    $26.65

    $1.14 lower than Modesto for the office setting.

  • Galveston

    Texas · G0445

    Office

    $34.24

    Facility

    $26.61

    $1.13 lower than Modesto for the office setting.

  • Houston

    Texas · G0445

    Office

    $34.97

    Facility

    $27.35

    $0.40 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · G0445

    Office

    $33.61

    Facility

    $26.32

    $1.76 lower than Modesto for the office setting.

  • Utah

    Utah · G0445

    Office

    $33.49

    Facility

    $26.26

    $1.88 lower than Modesto for the office setting.

  • Virginia

    Virginia · G0445

    Office

    $33.79

    Facility

    $26.24

    $1.58 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · G0445

    Office

    $34.53

    Facility

    $26.76

    $0.84 lower than Modesto for the office setting.

  • Vermont

    Vermont · G0445

    Office

    $33.61

    Facility

    $26.01

    $1.76 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · G0445

    Office

    $35.03

    Facility

    $26.95

    $0.34 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · G0445

    Office

    $38.12

    Facility

    $28.69

    $2.75 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · G0445

    Office

    $32.93

    Facility

    $25.57

    $2.44 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · G0445

    Office

    $33.27

    Facility

    $26.60

    $2.10 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · G0445

    Office

    $34.06

    Facility

    $26.37

    $1.31 lower than Modesto for the office setting.

See how rates vary across the country

G0445 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$31.92

$44.67

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$44.671
AL$32.191
AR$31.921
AZ$33.811
CA$35.37–$41.7529
CO$35.181
CT$36.091
DC$37.951
DE$34.211
FL$34.50–$36.983
GA$33.25–$34.942
GU$35.631
HI$35.631
IA$32.491
ID$32.661
IL$34.02–$36.344
IN$32.771
KS$32.491
KY$32.841
LA$32.85–$33.822
MA$35.14–$37.602
MD$34.65–$37.953
ME$32.86–$33.792
MI$33.44–$34.862
MN$33.841
MO$32.57–$33.783
MS$32.241
MT$34.401
NC$33.051
ND$33.611
NE$32.571
NH$34.771
NJ$36.53–$37.842
NM$33.591
NV$34.191
NY$33.35–$39.295
OH$33.281
OK$32.711
OR$33.95–$35.832
PA$33.26–$35.562
PR$34.531
RI$35.071
SC$33.211
SD$33.521
TN$32.601
TX$33.14–$35.058
UT$33.491
VA$33.79–$37.952
VI$34.531
VT$33.611
WA$35.03–$38.122
WI$32.931
WV$33.271
WY$34.061

Explore G0445 on the national rate map →

Where does this rate apply?

Modesto is a Medicare payment area. Our Census mapping connects it to 33 cities and communities in California, 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.

Browse all communities in California →

Why are the office and facility amounts different?

For G0445 in Modesto, the physician’s office rate is $35.37 and the facility-setting rate is $26.95: a difference of $8.42.

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 G0445 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$38.91

$35.37 × 110% = $38.91

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.

Compare your contract offer →

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 G0445 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

15,265

Code
G0445
Physician work
0.60
Practice expense
0.39
Malpractice
0.04

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for G0445 in Modesto
ComponentRVULocality factorAdjusted
Physician work0.60× 1.0170.6102
Practice expense0.39× 1.0960.4274
Malpractice0.04× 0.5360.0214
Total RVUs1.0591
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$35.37

Open G0445 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.61.017
Practice expense0.391.096
Malpractice0.040.536

(0.6 × 1.017 + 0.39 × 1.096 + 0.04 × 0.536) × $33.4009 = $35.37

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.61.017
Practice expense0.161.096
Malpractice0.040.536

(0.6 × 1.017 + 0.16 × 1.096 + 0.04 × 0.536) × $33.4009 = $26.95

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

G0445 · Office / nonfacility

$35.37

Effective 2026-10-01

The base rate is $3.30 higher than on 2025-10-01, moving from $32.07 to $35.37 (10.3%).

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

    $32.07changed to$35.37

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.33 changed to 0.39
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $32.07

    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$35.37$26.95RVU26D
2026-07-01$35.37$26.95RVU26C
2026-04-01$35.37$26.95RVU26B
2026-01-01$35.37$26.95RVU26A
2025-10-01$32.07$29.24RVU25D
2025-07-01$32.07$29.24RVU25C
2025-04-01$32.07$29.24RVU25B
2025-01-01$32.07$29.24RVU25A

G0445 billing questions

Who is the counseling intended for?

It is for a sexually active adolescent or adult at increased risk for sexually transmitted infections. Document the basis for the increased-risk assessment and the prevention counseling provided.

How is G0445 different from G0442 or G0443?

G0445 addresses prevention of sexually transmitted infections. G0442 is alcohol misuse screening, while G0443 is counseling for alcohol misuse.

Can G0445 be reported for group counseling?

No. The service described by G0445 is individual, face-to-face counseling.

What time should the documentation support?

Document the face-to-face time for the 30-minute counseling service, along with the STI prevention topics discussed.

Does a positive STI test qualify the patient for this counseling code?

A positive test alone does not establish the code’s increased-risk counseling criteria. G0445 represents preventive risk-reduction counseling, rather than STI testing or treatment.

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 G0445PPRRVU2026_Oct_nonQPP.csv, line 15,265 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet