$135.93
71271 reports the screening CT acquisition; G0296 reports the preceding eligibility and shared decision-making visit.
On this page
CMS RVU26D · Effective 2026-10-01
G0296 LDCT counseling Medicare reimbursement rates in Nevada
Report G0296 for the face-to-face visit that assesses Medicare lung cancer screening eligibility and supports a shared decision about low-dose CT screening. Compare G0296 office and facility rates across CMS payment localities in Nevada.
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 G0296 in Nevada?
Nevada 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
$28.57
1 of 1 localities have a supported rate.
Payment area: Nevada**
One mapped payment locality.
Facility setting
$22.22
1 of 1 localities have a supported rate.
Payment area: Nevada**
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 G0296: Lung cancer screening eligibility counseling
Report G0296 for the face-to-face visit that assesses Medicare lung cancer screening eligibility and supports a shared decision about low-dose CT screening.
G0296 represents a face-to-face counseling and shared decision-making visit to determine whether a patient should undergo lung cancer screening with low-dose CT (LDCT). A physician or qualified nonphysician practitioner typically conducts the visit in an office or outpatient setting. The patient must be asymptomatic and meet Medicare screening criteria, including age 50 through 77, at least a 20 pack-year smoking history, and current smoking or quitting within the past 15 years. The discussion addresses screening benefits and harms, the importance of annual adherence, the effect of comorbidities, and willingness to pursue evaluation and treatment if needed.
Report G0296 for the eligibility and decision visit, not for image acquisition; report 71271 for the screening CT. Documentation should support the patient’s age and smoking history, absence of lung cancer symptoms, eligibility assessment, use of a decision aid, and shared decision-making discussion. Include documentation of smoking cessation or abstinence counseling as appropriate. The code is associated with the initial screening decision visit before the first LDCT; it does not describe the scan itself.
Where the value comes from
- Work RVU0.52 · 60%
- Practice expense (office) RVU0.31 · 36%
- Malpractice RVU0.03 · 3%
69.1K
Medicare services in 2024 · #678 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.
G0296 compared with similar codes
Office rates for Nevada, from the same CMS release.
$15.26
99406 is for smoking and tobacco-use cessation counseling. It does not capture the LDCT eligibility assessment and shared decision-making service.
$28.85
99407 reports a longer smoking and tobacco-use cessation counseling service, not the Medicare LDCT eligibility visit represented by G0296.
Compare G0296 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
Nevada** →
Office / nonfacility
$28.57
Facility
$22.22
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 G0296 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
15,178
- Code
- G0296
- Physician work
- 0.52
- Practice expense
- 0.31
- Malpractice
- 0.03
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.52 | × 1.000 | 0.5200 |
| Practice expense | 0.31 | × 1.001 | 0.3103 |
| Malpractice | 0.03 | × 0.833 | 0.0250 |
| Total RVUs | 0.8553 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nevada**$28.57
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.52 | 1 |
| Practice expense | 0.31 | 1.001 |
| Malpractice | 0.03 | 0.833 |
(0.52 × 1 + 0.31 × 1.001 + 0.03 × 0.833) × $33.4009 = $28.57
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.52 | 1 |
| Practice expense | 0.12 | 1.001 |
| Malpractice | 0.03 | 0.833 |
(0.52 × 1 + 0.12 × 1.001 + 0.03 × 0.833) × $33.4009 = $22.22
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.
G0296 billing questions
Does G0296 include the low-dose CT scan?
No. G0296 describes the eligibility and shared decision-making visit. The screening CT is reported separately with 71271.
Which patients meet the Medicare screening criteria?
The patient must be asymptomatic, age 50 through 77, have at least a 20 pack-year smoking history, and currently smoke or have quit within the past 15 years.
What documentation supports G0296?
Record the patient’s age, smoking and quit history, lack of symptoms, eligibility assessment, decision-aid use, and discussion of screening benefits, harms, adherence, comorbidities, and willingness to pursue treatment.
Is G0296 reported for every annual screening CT?
G0296 describes the initial eligibility and shared decision-making visit before the first screening LDCT. It is not the code for subsequent annual scans.
Can smoking cessation counseling codes replace G0296?
No. Codes 99406 and 99407 describe smoking and tobacco-use cessation counseling; they do not represent the full LDCT eligibility assessment and shared decision-making 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.
15,175G0293,,"Non-cov surg proc,clin trial",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
15,176G0294,,"Non-cov proc, clinical trial",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
15,177G0295,,Electromagnetic therapy onc,N,,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
15,178G0296,,Visit to determ ldct elig,A,,0.52,0.31,,0.12,,0.03,0.86,0.67,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,179G0299,,Hhs/hospice of rn ea 15 min,X,,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
15,180G0300,,Hhs/hospice of lpn ea 15 min,X,,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
15,181G0302,,Pre-op service lvrs complete,X,,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
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097