$32.55
G0446 addresses cardiovascular risk reduction through healthy diet and physical activity; G0447 is directed to obesity counseling.
On this page
CMS RVU26D · Effective 2026-10-01
G0446 Cardiovascular counseling Medicare reimbursement rates in Kentucky
Report G0446 for an annual, individual face-to-face counseling session focused on healthy diet and physical activity to reduce cardiovascular disease risk. Compare G0446 office and facility rates across CMS payment localities in Kentucky.
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.
What does Medicare pay for G0446 in Kentucky?
Kentucky has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$32.55
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
Facility setting
$25.72
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Preventive counseling
About G0446: Individual cardiovascular risk counseling
Report G0446 for an annual, individual face-to-face counseling session focused on healthy diet and physical activity to reduce cardiovascular disease risk.
G0446 represents an individual, face-to-face preventive counseling session focused on reducing cardiovascular disease risk through healthy eating and physical activity. Primary care physicians and other qualified practitioners typically provide the service in an office or outpatient setting. The counseling should address the patient’s cardiovascular health behaviors and practical steps for improving them, rather than simply recording a screening result or giving brief, incidental advice during another service.
Report the code for the annual 15-minute session. Documentation should identify the face-to-face counseling, its duration, the cardiovascular risk-reduction topics addressed, and the patient’s plan or recommendations. Use G0446 when the service centers on cardiovascular risk; obesity-focused counseling and counseling for other preventive topics have their own codes. CMS physician fee schedule values are assigned to the service; the supplied CMS rules list no additional payment adjustment for this code.
Where the value comes from
- Work RVU0.60 · 59%
- Practice expense (office) RVU0.38 · 37%
- Malpractice RVU0.04 · 4%
366.6K
Medicare services in 2024 · #275 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.
G0446 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$32.84
G0445 is high-intensity counseling for sexually transmitted infection prevention. G0446 addresses cardiovascular disease risk.
$17.30
G0442 is an annual alcohol misuse screening. G0446 is a counseling session focused on cardiovascular risk reduction.
99401
No office ratePrev med cnsl indiv apprx 15
99401 is a preventive medicine counseling code. G0446 specifically represents annual individual counseling for cardiovascular disease risk under HCPCS Level II.
Compare G0446 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Kentucky →
Office / nonfacility
$32.55
Facility
$25.72
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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 G0446 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
15,266
- Code
- G0446
- Physician work
- 0.60
- Practice expense
- 0.38
- Malpractice
- 0.04
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.60 | × 1.000 | 0.6000 |
| Practice expense | 0.38 | × 0.889 | 0.3378 |
| Malpractice | 0.04 | × 0.915 | 0.0366 |
| Total RVUs | 0.9744 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$32.55
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.6 | 1 |
| Practice expense | 0.38 | 0.889 |
| Malpractice | 0.04 | 0.915 |
(0.6 × 1 + 0.38 × 0.889 + 0.04 × 0.915) × $33.4009 = $32.55
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.6 | 1 |
| Practice expense | 0.15 | 0.889 |
| Malpractice | 0.04 | 0.915 |
(0.6 × 1 + 0.15 × 0.889 + 0.04 × 0.915) × $33.4009 = $25.72
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.
G0446 billing questions
How does G0446 differ from G0447?
G0446 focuses on cardiovascular disease risk reduction through healthy diet and physical activity. G0447 is for obesity-focused behavioral counseling.
How much counseling time does G0446 represent?
The code represents an individual face-to-face session of 15 minutes. Document the time and the cardiovascular risk-reduction counseling provided.
Can G0446 be reported for group counseling?
No. G0446 describes individual counseling, so a group session does not match the service represented by this code.
What should the record show?
Document the face-to-face individual session, its duration, the diet and physical activity topics addressed, and the recommendations or plan.
Is G0446 the same as an annual cardiovascular screening?
No. G0446 represents behavioral counseling to reduce cardiovascular risk, not a screening test or screening result.
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.
15,263G0443,,Brief alcohol misuse counsel,A,,0.60,0.39,,0.15,,0.04,1.03,0.79,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,264G0444,,Depression screen annual,A,,0.18,0.37,,0.05,,0.01,0.56,0.24,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,265G0445,,High inten beh couns std 30m,A,,0.60,0.39,,0.16,,0.04,1.03,0.80,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,266G0446,,Intens behave ther cardio dx,A,,0.60,0.38,,0.15,,0.04,1.02,0.79,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,267G0447,,Behavior counsel obesity 15m,A,,0.60,0.38,,0.15,,0.04,1.02,0.79,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,268G0448,,Place perm pacing cardiovert,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
15,269G0451,,Devlopment test interpt&rep,A,,0.00,0.36,,0.36,NA,0.01,0.37,0.37,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,04,0,99,0.00,0.00,0.00
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631