HCPCS G0270: Nutrition therapyMedicare rate & RVUs in Florida

Reports individual medical nutrition therapy reassessment and intervention when a second referral in the same year follows a qualifying change in clinical needs.

CMS RVU26DEffective Oct 1, 20263 payment localities78.7K Medicare services in 2024

Medicare pays $31.18–$32.91 for G0270 in the office in Florida, from Rest Of Florida to Miami. Which amount applies depends on the service address.

$31.18–$32.91Office (non-facility)
$21.92–$22.83Hospital or facility

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

We’ll open G0270 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Florida
  2. What G0270 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

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 in Florida

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

3 payment localities

$31.18 to $32.91

$31.18$32.05$32.91
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.
G0270 office and facility rates by payment locality
Payment localityOfficeFacility
Fort Lauderdale$32.21$22.40
Miami$32.91$22.83
Rest Of Florida$31.18$21.92

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.

How the rate is built · G0270

RVUs × geographic indexes × conversion factor

Work0.45

0.45 RVUs× 1.000 GPCI

Practice expense0.49

0.49 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.9500

Conversion factor

$33.4009

Medicare rate

$31.73

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

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.

Place of service · G0270

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$31.73

Non-facility (office)
$31.73
Facility
$22.04

Higher because the practice carries its own overhead.

G0270 compared with similar codes

Compare codes · National

5 codes, side by side

  • G0270

    Nutrition therapy0.45 wRVU

    $31.73

  • 97803

    Nutrition therapy0.45 wRVU

    $31.73+$0.00

  • G0271

    Group nutrition therapy0.25 wRVU

    $17.03−$14.70

  • 97802

    Medical nutrition therapy0.53 wRVU

    $36.74+$5.01

  • 97804

    Group nutrition therapy0.25 wRVU

    $17.03−$14.70

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.

G0270 billing questions

When should G0270 be used instead of 97803?

Use G0270 for additional individual MNT after a second referral in the same year prompted by a change in diagnosis, medical condition, or treatment regimen. Use 97803 for individual reassessment and intervention that does not meet that second-referral circumstance.

How is G0270 different from G0271?

G0270 is for individual MNT, counted in 15-minute units. G0271 is the corresponding group MNT service, counted in 30-minute units.

What documentation supports reporting G0270?

Document the second referral, the qualifying clinical change, the nutrition assessment and intervention, and the individual service time. The record should make clear why additional MNT was needed.

Can G0270 be reported for routine follow-up counseling?

Not solely for a routine follow-up under the existing referral. G0270 describes additional MNT following a second referral caused by a change in diagnosis, medical condition, or treatment regimen.

Is G0270 reported per visit or per unit?

It is reported in 15-minute units for individual MNT. Document the service time and apply the relevant time-unit reporting convention.

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
RVUs for G0270PPRRVU2026_Oct_nonQPP.csv, line 15,162 (RVU26D)

Open CMS sourceHow we calculate rates

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