$17.63
G0442 is an alcohol misuse screening service. Choose G0445 for individual counseling focused on reducing STI risk.
On this page
CMS RVU26D · Effective 2026-10-01
G0445 STI prevention counseling Medicare reimbursement rates in Ohio
Report G0445 for an individual, face-to-face behavioral counseling session focused on reducing sexually transmitted infection risk in a sexually active person at increased risk. Compare G0445 office and facility rates across CMS payment localities in Ohio.
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 G0445 in Ohio?
Ohio 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
$33.28
1 of 1 localities have a supported rate.
Payment area: Ohio
One mapped payment locality.
Facility setting
$26.27
1 of 1 localities have a supported rate.
Payment area: Ohio
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 G0445: High-intensity STI prevention counseling
Report G0445 for an individual, face-to-face behavioral counseling session focused on reducing sexually transmitted infection risk in a sexually active person at increased risk.
G0445 describes an individual, face-to-face counseling session focused on preventing sexually transmitted infections. A primary care physician or other qualified primary care practitioner may counsel a sexually active adolescent or adult who is at increased risk. The discussion can address practical risk-reduction strategies, such as safer-sex practices, condom use, testing, and communication with partners. The service is preventive counseling, not an STI diagnostic test or treatment visit.
Report the code when the documented service meets the individual counseling format and 30-minute service description. Record the patient’s increased-risk basis, the prevention topics addressed, and the face-to-face counseling time. The note should distinguish this STI-focused counseling from screening or counseling for alcohol misuse, cardiovascular risk, or obesity if those services are also documented. The CMS facts supplied for this code list no add-on, global-period, component, or reduction rule to explain.
Where the value comes from
- Work RVU0.60 · 58%
- Practice expense (office) RVU0.39 · 38%
- Malpractice RVU0.04 · 4%
645
Medicare services in 2024 · #3337 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.
G0445 compared with similar codes
Office rates for Ohio, from the same CMS release.
$33.28
G0443 is brief counseling for alcohol misuse; G0445 addresses STI prevention in a sexually active person at increased risk.
$32.98
G0446 focuses on behavioral counseling to reduce cardiovascular disease risk. G0445 focuses on preventing sexually transmitted infections.
$32.98
G0447 is behavioral counseling for obesity, whereas G0445 is individual counseling focused on STI risk reduction.
Compare G0445 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
Ohio →
Office / nonfacility
$33.28
Facility
$26.27
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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 G0445 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
15,265
- Code
- G0445
- Physician work
- 0.60
- Practice expense
- 0.39
- Malpractice
- 0.04
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.60 | × 1.000 | 0.6000 |
| Practice expense | 0.39 | × 0.913 | 0.3561 |
| Malpractice | 0.04 | × 1.008 | 0.0403 |
| Total RVUs | 0.9964 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Ohio$33.28
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.6 | 1 |
| Practice expense | 0.39 | 0.913 |
| Malpractice | 0.04 | 1.008 |
(0.6 × 1 + 0.39 × 0.913 + 0.04 × 1.008) × $33.4009 = $33.28
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.6 | 1 |
| Practice expense | 0.16 | 0.913 |
| Malpractice | 0.04 | 1.008 |
(0.6 × 1 + 0.16 × 0.913 + 0.04 × 1.008) × $33.4009 = $26.27
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.
G0445 billing questions
Who is the counseling intended for?
It is for a sexually active adolescent or adult at increased risk for sexually transmitted infections. Document the basis for the increased-risk assessment and the prevention counseling provided.
How is G0445 different from G0442 or G0443?
G0445 addresses prevention of sexually transmitted infections. G0442 is alcohol misuse screening, while G0443 is counseling for alcohol misuse.
Can G0445 be reported for group counseling?
No. The service described by G0445 is individual, face-to-face counseling.
What time should the documentation support?
Document the face-to-face time for the 30-minute counseling service, along with the STI prevention topics discussed.
Does a positive STI test qualify the patient for this counseling code?
A positive test alone does not establish the code’s increased-risk counseling criteria. G0445 represents preventive risk-reduction counseling, rather than STI testing or treatment.
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.
15,262G0442,,Annual alcohol screen 15 min,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
15,263G0443,,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
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703