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CMS RVU26D · Effective 2026-10-01

96202 in Redding

Office / nonfacility

$20.64

Base rate per service

Facility setting

$17.71

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.

Behavioral health

About 96202: Multiple-family caregiver behavior training

Face-to-face behavior management training for caregivers from multiple families, reported for the initial 60 minutes when patients are not present.

96202 covers face-to-face behavior management or behavior modification training for a group made up of caregivers from multiple families whose patients have a mental or physical health diagnosis. The patients are not present. A physician or other qualified health care professional leads the session, which may teach caregivers strategies for responding to behaviors, supporting treatment plans, or managing health-related functional challenges. The defining feature is shared training for caregivers from more than one family, rather than a group attended by patients.

Report 96202 for the initial 60 minutes of the qualifying group service. Documentation should identify the diagnosis-related training need, caregiver participants from multiple families, training goals or content, and face-to-face service time. Do not count preparation, charting, or unrelated counseling as group-training time. For additional qualifying time, report 96203. CMS assigns work, practice-expense, and malpractice relative values to this service; practice-expense values are setting-specific.

Where the value comes from

  • Work RVU0.43 · 72%
  • Practice expense (office) RVU0.16 · 27%
  • Malpractice RVU0.01 · 2%

661

Medicare services in 2024 · #3316 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.

96202 compared with similar codes

Office rates for Redding, from the same CMS release.

96203

Family training

Each additional 30 minutes

$5.35

96202 covers the initial 60 minutes of multiple-family caregiver training; 96203 reports qualifying additional time.

96170

Hlth bhv ivntj fam wo pt 1st

No office rate

Choose 96170 for a family health behavior intervention without the patient. Choose 96202 for behavior management training with caregivers from multiple families.

96164

Group intervention

First 30 minutes

$11.99

96164 is a group health behavior intervention with patients participating. 96202 is caregiver training, with the patients absent.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 96202 is $20.70—$0.06 higher than the $20.64 rate in Redding. Both use the same code, release and participation basis.

96202 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $20.64

  2. Bakersfield

    $20.70

    $0.06 higher than Redding

  3. Chico

    $20.64

    The same base rate than Redding

  4. El Centro

    $20.64

    The same base rate than Redding

  5. Fresno

    $20.64

    The same base rate than Redding

  6. Hanford-Corcoran

    $20.64

    The same base rate than Redding

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

    $21.50

    $0.86 higher than Redding

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, 96202 ranges from $19.13 in Arkansas to $27.42 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 · 96202

    Office

    $20.64

    Facility

    $17.71

    The same base rate than Redding for the office setting.

  • Merced

    California · 96202

    Office

    $20.64

    Facility

    $17.71

    The same base rate than Redding for the office setting.

  • Modesto

    California · 96202

    Office

    $20.64

    Facility

    $17.71

    The same base rate than Redding for the office setting.

  • Napa

    California · 96202

    Office

    $22.48

    Facility

    $18.96

    $1.84 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 96202

    Office

    $21.29

    Facility

    $18.13

    $0.65 higher than Redding for the office setting.

  • Rest Of California

    California · 96202

    Office

    $20.64

    Facility

    $17.71

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 96202

    Office

    $20.76

    Facility

    $17.83

    $0.12 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 96202

    Office

    $21.27

    Facility

    $18.17

    $0.63 higher than Redding for the office setting.

  • Salinas

    California · 96202

    Office

    $21.18

    Facility

    $18.08

    $0.54 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 96202

    Office

    $21.37

    Facility

    $18.17

    $0.73 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 96202

    Office

    $23.42

    Facility

    $19.65

    $2.78 higher than Redding for the office setting.

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

    California · 96202

    Office

    $23.40

    Facility

    $19.64

    $2.76 higher than Redding for the office setting.

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

    California · 96202

    Office

    $23.83

    Facility

    $19.97

    $3.19 higher than Redding for the office setting.

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

    California · 96202

    Office

    $23.78

    Facility

    $19.93

    $3.14 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 96202

    Office

    $20.87

    Facility

    $17.83

    $0.23 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 96202

    Office

    $21.34

    Facility

    $18.09

    $0.70 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 96202

    Office

    $21.17

    Facility

    $18.06

    $0.53 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 96202

    Office

    $21.53

    Facility

    $18.25

    $0.89 higher than Redding for the office setting.

  • Stockton

    California · 96202

    Office

    $20.64

    Facility

    $17.71

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 96202

    Office

    $22.46

    Facility

    $18.94

    $1.82 higher than Redding for the office setting.

  • Visalia

    California · 96202

    Office

    $20.64

    Facility

    $17.71

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 96202

    Office

    $20.64

    Facility

    $17.71

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 96202

    Office

    $21.81

    Facility

    $18.66

    $1.17 higher than Redding for the office setting.

  • Miami

    Florida · 96202

    Office

    $20.77

    Facility

    $17.99

    $0.13 higher than Redding for the office setting.

  • Chicago

    Illinois · 96202

    Office

    $20.60

    Facility

    $17.91

    $0.04 lower than Redding for the office setting.

  • Manhattan

    New York · 96202

    Office

    $22.02

    Facility

    $18.92

    $1.38 higher than Redding for the office setting.

  • Alaska*

    Alaska · 96202

    Office

    $27.42

    Facility

    $24.57

    $6.78 higher than Redding for the office setting.

  • Alabama

    Alabama · 96202

    Office

    $19.23

    Facility

    $16.89

    $1.41 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 96202

    Office

    $19.13

    Facility

    $16.83

    $1.51 lower than Redding for the office setting.

  • Arizona

    Arizona · 96202

    Office

    $19.83

    Facility

    $17.24

    $0.81 lower than Redding for the office setting.

  • Colorado

    Colorado · 96202

    Office

    $20.48

    Facility

    $17.64

    $0.16 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 96202

    Office

    $20.81

    Facility

    $17.93

    $0.17 higher than Redding for the office setting.

  • Delaware

    Delaware · 96202

    Office

    $20.01

    Facility

    $17.37

    $0.63 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 96202

    Office

    $20.38

    Facility

    $17.67

    $0.26 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 96202

    Office

    $19.97

    Facility

    $17.42

    $0.67 lower than Redding for the office setting.

  • Atlanta

    Georgia · 96202

    Office

    $20.24

    Facility

    $17.52

    $0.40 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 96202

    Office

    $19.53

    Facility

    $17.14

    $1.11 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 96202

    Office

    $20.63

    Facility

    $17.59

    $0.01 lower than Redding for the office setting.

  • Iowa

    Iowa · 96202

    Office

    $19.38

    Facility

    $16.94

    $1.26 lower than Redding for the office setting.

  • Idaho

    Idaho · 96202

    Office

    $19.44

    Facility

    $16.98

    $1.20 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 96202

    Office

    $19.95

    Facility

    $17.49

    $0.69 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 96202

    Office

    $19.76

    Facility

    $17.32

    $0.88 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 96202

    Office

    $20.54

    Facility

    $17.80

    $0.10 lower than Redding for the office setting.

  • Indiana

    Indiana · 96202

    Office

    $19.48

    Facility

    $17.00

    $1.16 lower than Redding for the office setting.

  • Kansas

    Kansas · 96202

    Office

    $19.36

    Facility

    $16.95

    $1.28 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 96202

    Office

    $19.42

    Facility

    $17.04

    $1.22 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 96202

    Office

    $19.77

    Facility

    $17.26

    $0.87 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 96202

    Office

    $19.41

    Facility

    $17.05

    $1.23 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 96202

    Office

    $21.63

    Facility

    $18.44

    $0.99 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 96202

    Office

    $20.49

    Facility

    $17.67

    $0.15 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 96202

    Office

    $20.74

    Facility

    $17.87

    $0.10 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 96202

    Office

    $20.22

    Facility

    $17.52

    $0.42 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 96202

    Office

    $19.49

    Facility

    $17.03

    $1.15 lower than Redding for the office setting.

  • Southern Maine

    Maine · 96202

    Office

    $19.87

    Facility

    $17.22

    $0.77 lower than Redding for the office setting.

  • Detroit

    Michigan · 96202

    Office

    $20.08

    Facility

    $17.50

    $0.56 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 96202

    Office

    $19.62

    Facility

    $17.18

    $1.02 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 96202

    Office

    $19.96

    Facility

    $17.21

    $0.68 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 96202

    Office

    $19.71

    Facility

    $17.20

    $0.93 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 96202

    Office

    $19.78

    Facility

    $17.24

    $0.86 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 96202

    Office

    $19.29

    Facility

    $16.99

    $1.35 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 96202

    Office

    $19.21

    Facility

    $16.91

    $1.43 lower than Redding for the office setting.

  • Montana**

    Montana · 96202

    Office

    $20.04

    Facility

    $17.37

    $0.60 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 96202

    Office

    $19.56

    Facility

    $17.07

    $1.08 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 96202

    Office

    $19.84

    Facility

    $17.17

    $0.80 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 96202

    Office

    $19.42

    Facility

    $16.95

    $1.22 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 96202

    Office

    $20.22

    Facility

    $17.44

    $0.42 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 96202

    Office

    $21.82

    Facility

    $18.72

    $1.18 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 96202

    Office

    $21.14

    Facility

    $18.22

    $0.50 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 96202

    Office

    $19.66

    Facility

    $17.21

    $0.98 lower than Redding for the office setting.

  • Nevada**

    Nevada · 96202

    Office

    $19.99

    Facility

    $17.32

    $0.65 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 96202

    Office

    $22.26

    Facility

    $19.08

    $1.62 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 96202

    Office

    $21.26

    Facility

    $18.34

    $0.62 higher than Redding for the office setting.

  • Queens

    New York · 96202

    Office

    $22.08

    Facility

    $18.92

    $1.44 higher than Redding for the office setting.

  • Rest Of New York

    New York · 96202

    Office

    $19.67

    Facility

    $17.14

    $0.97 lower than Redding for the office setting.

  • Ohio

    Ohio · 96202

    Office

    $19.58

    Facility

    $17.14

    $1.06 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 96202

    Office

    $19.39

    Facility

    $17.01

    $1.25 lower than Redding for the office setting.

  • Portland

    Oregon · 96202

    Office

    $20.78

    Facility

    $17.81

    $0.14 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 96202

    Office

    $19.92

    Facility

    $17.26

    $0.72 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 96202

    Office

    $20.58

    Facility

    $17.80

    $0.06 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 96202

    Office

    $19.58

    Facility

    $17.13

    $1.06 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 96202

    Office

    $20.09

    Facility

    $17.39

    $0.55 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 96202

    Office

    $20.45

    Facility

    $17.69

    $0.19 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 96202

    Office

    $19.58

    Facility

    $17.12

    $1.06 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 96202

    Office

    $19.82

    Facility

    $17.15

    $0.82 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 96202

    Office

    $19.40

    Facility

    $16.97

    $1.24 lower than Redding for the office setting.

  • Austin

    Texas · 96202

    Office

    $20.34

    Facility

    $17.51

    $0.30 lower than Redding for the office setting.

  • Beaumont

    Texas · 96202

    Office

    $19.54

    Facility

    $17.10

    $1.10 lower than Redding for the office setting.

  • Brazoria

    Texas · 96202

    Office

    $20.03

    Facility

    $17.39

    $0.61 lower than Redding for the office setting.

  • Dallas

    Texas · 96202

    Office

    $20.10

    Facility

    $17.44

    $0.54 lower than Redding for the office setting.

  • Fort Worth

    Texas · 96202

    Office

    $20.05

    Facility

    $17.42

    $0.59 lower than Redding for the office setting.

  • Galveston

    Texas · 96202

    Office

    $20.06

    Facility

    $17.41

    $0.58 lower than Redding for the office setting.

  • Houston

    Texas · 96202

    Office

    $20.24

    Facility

    $17.59

    $0.40 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 96202

    Office

    $19.74

    Facility

    $17.20

    $0.90 lower than Redding for the office setting.

  • Utah

    Utah · 96202

    Office

    $19.69

    Facility

    $17.17

    $0.95 lower than Redding for the office setting.

  • Virginia

    Virginia · 96202

    Office

    $19.85

    Facility

    $17.22

    $0.79 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 96202

    Office

    $20.09

    Facility

    $17.39

    $0.55 lower than Redding for the office setting.

  • Vermont

    Vermont · 96202

    Office

    $19.82

    Facility

    $17.18

    $0.82 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 96202

    Office

    $20.43

    Facility

    $17.62

    $0.21 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 96202

    Office

    $21.91

    Facility

    $18.63

    $1.27 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 96202

    Office

    $19.58

    Facility

    $17.03

    $1.06 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 96202

    Office

    $19.48

    Facility

    $17.16

    $1.16 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 96202

    Office

    $19.95

    Facility

    $17.28

    $0.69 lower than Redding for the office setting.

See how rates vary across the country

96202 · 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.

$19.13

$27.42

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$27.421
AL$19.231
AR$19.131
AZ$19.831
CA$20.64–$23.8329
CO$20.481
CT$20.811
DC$21.811
DE$20.011
FL$19.97–$20.773
GA$19.53–$20.242
GU$20.631
HI$20.631
IA$19.381
ID$19.441
IL$19.76–$20.604
IN$19.481
KS$19.361
KY$19.421
LA$19.41–$19.772
MA$20.49–$21.632
MD$20.22–$21.813
ME$19.49–$19.872
MI$19.62–$20.082
MN$19.961
MO$19.29–$19.783
MS$19.211
MT$20.041
NC$19.561
ND$19.841
NE$19.421
NH$20.221
NJ$21.14–$21.822
NM$19.661
NV$19.991
NY$19.67–$22.265
OH$19.581
OK$19.391
OR$19.92–$20.782
PA$19.58–$20.582
PR$20.091
RI$20.451
SC$19.581
SD$19.821
TN$19.401
TX$19.54–$20.348
UT$19.691
VA$19.85–$21.812
VI$20.091
VT$19.821
WA$20.43–$21.912
WI$19.581
WV$19.481
WY$19.951

Explore 96202 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 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 96202 in Redding, the physician’s office rate is $20.64 and the facility-setting rate is $17.71: a difference of $2.93.

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 96202 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$22.70

$20.64 × 110% = $22.70

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 96202 in Redding.

PPRRVU2026_Oct_nonQPP.csv

12,775

Code
96202
Physician work
0.43
Practice expense
0.16
Malpractice
0.01

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 96202 in Redding
ComponentRVULocality factorAdjusted
Physician work0.43× 1.0170.4373
Practice expense0.16× 1.0960.1754
Malpractice0.01× 0.5360.0054
Total RVUs0.6180
Conversion factor× 33.4009

Office / nonfacility rate, Redding$20.64

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

Open 96202 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.431.017
Practice expense0.161.096
Malpractice0.010.536

(0.43 × 1.017 + 0.16 × 1.096 + 0.01 × 0.536) × $33.4009 = $20.64

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.431.017
Practice expense0.081.096
Malpractice0.010.536

(0.43 × 1.017 + 0.08 × 1.096 + 0.01 × 0.536) × $33.4009 = $17.71

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

96202 · Office / nonfacility

$20.64

Effective 2026-10-01

The base rate is $3.54 lower than on 2025-10-01, moving from $24.18 to $20.64 (14.6%).

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

    $24.18changed to$20.64

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.28 changed to 0.16
    • 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: $24.18

    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$20.64$17.71RVU26D
2026-07-01$20.64$17.71RVU26C
2026-04-01$20.64$17.71RVU26B
2026-01-01$20.64$17.71RVU26A
2025-10-01$24.18$21.36RVU25D
2025-07-01$24.18$21.36RVU25C
2025-04-01$24.18$21.36RVU25B
2025-01-01$24.18$21.36RVU25A

96202 billing questions

Must the patient attend the session?

No. The service is caregiver training, and the patients are not present during the session.

How does 96202 differ from 96170?

96202 is for behavior management training with caregivers from multiple families. 96170 describes a family health behavior intervention without the patient, rather than this multiple-family training group.

Which code reports time beyond the initial 60 minutes?

Use 96203 for qualifying additional group-training time beyond the initial 60-minute service.

What should the note include?

Document the diagnosis-related training need, caregiver participation from multiple families, the training provided, and face-to-face service time.

Can 96202 be used for a group attended by patients?

No. 96202 is caregiver training without patients present; a patient-participating group health behavior intervention is represented by a different service.

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 96202PPRRVU2026_Oct_nonQPP.csv, line 12,775 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet