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CMS RVU26D · Effective 2026-10-01

G0473 Group counseling Medicare reimbursement rates in Minnesota

Report G0473 for a 30-minute group obesity counseling session with 2-10 participants when Medicare coverage requirements for obesity counseling are met. Compare G0473 office and facility rates across CMS payment localities in Minnesota.

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 G0473 in Minnesota?

Minnesota 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

$12.59

1 of 1 localities have a supported rate.

Payment area: Minnesota

One mapped payment locality.

Facility setting

$9.84

1 of 1 localities have a supported rate.

Payment area: Minnesota

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.

Find G0473 in your payment locality →

Preventive counseling

About G0473: Group obesity behavior counseling

Report G0473 for a 30-minute group obesity counseling session with 2-10 participants when Medicare coverage requirements for obesity counseling are met.

G0473 represents a face-to-face group session focused on behavioral strategies for weight management, including nutrition choices, physical activity, and sustained behavior change. It is used for a group of 2-10 participants and represents a 30-minute service. Primary care clinicians commonly furnish this counseling in an office or outpatient setting; qualified staff may also participate when permitted under the applicable supervision and coverage requirements.

Select G0473 for the group format rather than individual obesity counseling. Medicare obesity counseling generally requires the beneficiary to meet the BMI eligibility threshold and the service to be furnished in an eligible primary care setting. Document the counseling content, the beneficiary’s attendance, the group size, and the service duration. CMS assigns work and practice-expense RVUs to the code; report the service for each beneficiary who attended, not a separate unit for each other participant.

Where the value comes from

  • Work RVU0.23 · 61%
  • Practice expense (office) RVU0.14 · 37%
  • Malpractice RVU0.01 · 3%

1.6K

Medicare services in 2024 · #2628 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.

G0473 compared with similar codes

Office rates for Minnesota, from the same CMS release.

G0447

Obesity counseling

Face-to-face, 15 minutes

$33.50

G0447 is for individual obesity counseling. G0473 is for a 30-minute group session with 2-10 participants.

99401

Prev med cnsl indiv apprx 15

No office rate

99401 represents individual preventive counseling and is not specific to group obesity counseling. G0473 identifies the group format and obesity focus.

G0446

Cardiovascular counseling

Annual, individual, 15 minutes

$33.50

G0446 addresses cardiovascular risk reduction counseling, while G0473 concerns group behavioral counseling for obesity.

Compare G0473 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

Office and facility base rates · shared scale starting at $0

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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 G0473 in Minnesota.

PPRRVU2026_Oct_nonQPP.csv

15,288

Code
G0473
Physician work
0.23
Practice expense
0.14
Malpractice
0.01

GPCI2026.csv

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Office / nonfacility calculation for G0473 in Minnesota
ComponentRVULocality factorAdjusted
Physician work0.23× 1.0000.2300
Practice expense0.14× 1.0290.1441
Malpractice0.01× 0.2960.0030
Total RVUs0.3770
Conversion factor× 33.4009

Office / nonfacility rate, Minnesota$12.59

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.231
Practice expense0.141.029
Malpractice0.010.296

(0.23 × 1 + 0.14 × 1.029 + 0.01 × 0.296) × $33.4009 = $12.59

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.231
Practice expense0.061.029
Malpractice0.010.296

(0.23 × 1 + 0.06 × 1.029 + 0.01 × 0.296) × $33.4009 = $9.84

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.

G0473 billing questions

When should G0473 be used instead of G0447?

Use G0473 for a 30-minute group session with 2-10 participants. G0447 is the individual obesity counseling code.

What should the note include?

Document the beneficiary’s attendance, group size, counseling duration, and weight-management topics or behavioral interventions addressed.

Is G0473 billed once for the whole group?

No. Report the service for each beneficiary who attended; the group’s total number of attendees does not determine units for an individual claim.

Can a practice bill G0473 for a session shorter than 30 minutes?

G0473 represents a 30-minute group service. The record should support that duration and the beneficiary’s participation.

Does Medicare eligibility affect use of this code?

Yes. Medicare obesity counseling coverage includes beneficiary and setting requirements, including the applicable BMI threshold and an eligible primary care setting.

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 G0473PPRRVU2026_Oct_nonQPP.csv, line 15,288 (RVU26D)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)