$37.66
Choose 97802 for the initial individual nutrition assessment and intervention; 97803 is for a subsequent individual visit.
On this page
CMS RVU26D · Effective 2026-10-01
97803 Nutrition therapy Medicare reimbursement rates in Rhode Island
Report individual medical nutrition therapy for a follow-up reassessment and nutrition intervention, counted in 15-minute units of patient-facing service. Compare 97803 office and facility rates across CMS payment localities in Rhode Island.
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 97803 in Rhode Island?
Rhode Island 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
$32.52
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
Facility setting
$22.51
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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.
Medical nutrition therapy
About 97803: Individual follow-up nutrition therapy
Report individual medical nutrition therapy for a follow-up reassessment and nutrition intervention, counted in 15-minute units of patient-facing service.
A registered dietitian or other qualified nutrition professional uses this service for an individual follow-up after the initial nutrition assessment. The visit may reassess dietary intake, progress toward nutrition goals, or changes in a condition affecting nutrition, then provide tailored counseling or revise the nutrition plan. It is commonly furnished in an outpatient office, although the code identifies the service rather than a particular setting.
Report 97803 for subsequent individual medical nutrition therapy, counting each 15 minutes of service with the patient. The record should support the follow-up nature of the visit, the nutrition issues reassessed, the intervention provided, and the time spent. Do not use it for the initial individual assessment or for nutrition therapy delivered to a group. CMS assigns work, practice-expense, and malpractice relative value units; the practice-expense values differ between office and facility settings.
Where the value comes from
- Work RVU0.45 · 47%
- Practice expense (office) RVU0.49 · 52%
- Malpractice RVU0.01 · 1%
185.7K
Medicare services in 2024 · #401 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.
97803 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$17.43
Use 97804 when medical nutrition therapy is provided to a group. 97803 is for an individual patient.
98960
No office rateEdu&trn pt self-mgmt nqhp 1
98960 describes individual self-management education and training. 97803 is for follow-up medical nutrition therapy, including reassessment and nutrition intervention.
Compare 97803 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
Rhode Island →
Office / nonfacility
$32.52
Facility
$22.51
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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 97803 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
12,914
- Code
- 97803
- Physician work
- 0.45
- Practice expense
- 0.49
- Malpractice
- 0.01
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.45 | × 1.019 | 0.4585 |
| Practice expense | 0.49 | × 1.033 | 0.5062 |
| Malpractice | 0.01 | × 0.892 | 0.0089 |
| Total RVUs | 0.9736 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$32.52
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.45 | 1.019 |
| Practice expense | 0.49 | 1.033 |
| Malpractice | 0.01 | 0.892 |
(0.45 × 1.019 + 0.49 × 1.033 + 0.01 × 0.892) × $33.4009 = $32.52
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.45 | 1.019 |
| Practice expense | 0.2 | 1.033 |
| Malpractice | 0.01 | 0.892 |
(0.45 × 1.019 + 0.2 × 1.033 + 0.01 × 0.892) × $33.4009 = $22.51
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.
97803 billing questions
How does 97803 differ from 97802?
97803 is for an individual follow-up reassessment and intervention. Use 97802 for the initial individual nutrition assessment and intervention.
Can 97803 be reported for a group session?
No. 97803 describes individual service; 97804 is the group medical nutrition therapy code.
How should units be counted?
The service is counted in 15-minute units. Document the time spent with the patient and the follow-up nutrition work performed.
What should the note support?
Document the nutrition concerns reassessed, the patient's progress or relevant changes, and the counseling or plan adjustment provided during the follow-up.
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.
12,91197763,,Orthc/prostc mgmt sbsq enc,A,,0.48,1.01,,1.01,NA,0.01,1.50,1.50,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,91297799,,Unlisted physcl med/rehab px,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,7,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,91397802,,Medical nutrition indiv in,A,,0.53,0.56,,0.25,,0.01,1.10,0.79,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,91497803,,Med nutrition indiv subseq,A,,0.45,0.49,,0.20,,0.01,0.95,0.66,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,91597804,,Medical nutrition group,A,,0.25,0.25,,0.11,,0.01,0.51,0.37,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,91697810,,Acup 1/> wo estim 1st 15 min,A,,0.61,0.79,,0.17,,0.04,1.44,0.82,0,XXX,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,91797811,,Acup 1/> w/o estim ea add 15,A,,0.46,0.36,,0.13,,0.03,0.85,0.62,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537