$33.14–$34.54
G0446 is behavioral therapy focused on cardiovascular risk reduction. Use G0447 for face-to-face counseling directed at weight loss in a patient with obesity.
On this page
CMS RVU26D · Effective 2026-10-01
G0447 Obesity counseling Medicare reimbursement rates in Michigan
Report G0447 for 15 minutes of individual, face-to-face behavioral counseling to support weight loss for a Medicare patient with obesity. Compare G0447 office and facility rates across CMS payment localities in Michigan.
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 G0447 in Michigan?
Michigan has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$33.14–$34.54
2 of 2 localities have a supported rate.
Facility setting
$26.12–$27.13
2 of 2 localities have a supported rate.
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 G0447: Obesity behavioral counseling, face-to-face
Report G0447 for 15 minutes of individual, face-to-face behavioral counseling to support weight loss for a Medicare patient with obesity.
G0447 represents individual, face-to-face behavioral counseling focused on weight loss for a patient with a body mass index of 30 or higher. In primary care, a physician or other qualified practitioner typically assesses eating and activity habits, discusses practical changes to nutrition and physical activity, sets weight-loss goals, and monitors progress. The service is distinct from simply recording a patient’s weight or giving brief advice during another visit.
Report the code when the documented encounter includes the obesity-focused counseling, not just routine evaluation of weight or obesity-related conditions. Record the face-to-face counseling time, relevant behavior assessment, goals, and plan. CMS assigns work, practice-expense, and malpractice relative value units to G0447, with different practice-expense inputs for office and facility settings.
Where the value comes from
- Work RVU0.60 · 59%
- Practice expense (office) RVU0.38 · 37%
- Malpractice RVU0.04 · 4%
304.1K
Medicare services in 2024 · #307 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.
G0447 compared with similar codes
Office rates for Michigan, from the same CMS release.
$33.44–$34.86
G0443 covers brief counseling for alcohol misuse. G0447 addresses obesity-related behavior change and weight loss.
$17.67–$18.50
G0444 is an annual depression screening service, not weight-loss counseling. G0447 requires an obesity-focused counseling encounter.
Compare G0447 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.
2 of 2 payment localities
Detroit →
Office / nonfacility
$34.54
Facility
$27.13
Rest Of Michigan →
Office / nonfacility
$33.14
Facility
$26.12
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G0447 billing questions
Which patients qualify for G0447?
The Medicare obesity-counseling benefit is for patients with a BMI of 30 or higher. The record should support the patient’s obesity status and the counseling provided.
How is G0447 different from cardiovascular counseling G0446?
G0447 addresses weight loss and obesity-related behavior change. G0446 focuses on behavioral therapy to reduce cardiovascular risk.
What documentation supports G0447?
Document face-to-face counseling time, relevant eating and activity habits, weight-loss goals, and the behavior-change plan. A weight measurement alone does not describe the counseling service.
How much time does G0447 represent?
G0447 represents 15 minutes of face-to-face obesity counseling. Record the time spent on that counseling rather than unrelated work performed during the visit.
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.
15,264G0444,,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
15,270G0452,,Molecular pathology interpr,A,,0.91,0.47,,0.47,NA,0.02,1.40,1.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00