$36.39
Use 97802 for an initial one-to-one nutrition therapy service. Use 97804 when two or more patients receive counseling together.
On this page
CMS RVU26D · Effective 2026-10-01
97804 Group nutrition therapy Medicare reimbursement rates in Vermont
Report group medical nutrition therapy when a qualified nutrition professional provides structured nutrition counseling to multiple patients in a shared session. Compare 97804 office and facility rates across CMS payment localities in Vermont.
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 97804 in Vermont?
Vermont 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
$16.79
1 of 1 localities have a supported rate.
Payment area: Vermont
One mapped payment locality.
Facility setting
$12.16
1 of 1 localities have a supported rate.
Payment area: Vermont
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 97804: Group medical nutrition therapy
Report group medical nutrition therapy when a qualified nutrition professional provides structured nutrition counseling to multiple patients in a shared session.
This service covers nutrition counseling delivered to two or more patients together by a registered dietitian or other qualified nutrition professional. The session may address topics such as meal planning, nutrition-related health goals, and strategies for managing a condition through diet. It is distinct from a one-to-one nutrition assessment or follow-up, even when the subject matter is similar.
Report the service in 30-minute units for each patient who participates in the group session. Documentation should support the session duration, group format, nutrition topics addressed, and each patient’s attendance and participation. Choose the individual nutrition therapy codes when the professional provides one-to-one care rather than a shared session. Under the Medicare Physician Fee Schedule, this code has work, practice expense, and malpractice RVUs; the practice expense RVU differs between office and facility settings.
Where the value comes from
- Work RVU0.25 · 49%
- Practice expense (office) RVU0.25 · 49%
- Malpractice RVU0.01 · 2%
2.6K
Medicare services in 2024 · #2261 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.
97804 compared with similar codes
Office rates for Vermont, from the same CMS release.
$31.40
Use 97803 for subsequent individual nutrition therapy. A shared group session is reported with 97804 instead.
$16.79
G0271 describes group nutrition therapy for qualifying additional services following a change in condition, diagnosis, or treatment regimen; 97804 is the general group service code.
Compare 97804 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
Vermont →
Office / nonfacility
$16.79
Facility
$12.16
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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 97804 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
12,915
- Code
- 97804
- Physician work
- 0.25
- Practice expense
- 0.25
- Malpractice
- 0.01
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.25 | × 1.000 | 0.2500 |
| Practice expense | 0.25 | × 0.990 | 0.2475 |
| Malpractice | 0.01 | × 0.506 | 0.0051 |
| Total RVUs | 0.5026 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$16.79
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.25 | 1 |
| Practice expense | 0.25 | 0.99 |
| Malpractice | 0.01 | 0.506 |
(0.25 × 1 + 0.25 × 0.99 + 0.01 × 0.506) × $33.4009 = $16.79
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.25 | 1 |
| Practice expense | 0.11 | 0.99 |
| Malpractice | 0.01 | 0.506 |
(0.25 × 1 + 0.11 × 0.99 + 0.01 × 0.506) × $33.4009 = $12.16
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.
97804 billing questions
How does 97804 differ from 97802 or 97803?
97804 is for nutrition therapy provided in a group of two or more patients. Use 97802 for an initial individual service and 97803 for a subsequent individual service.
How many patients are needed for a group session?
The service is group therapy for two or more patients. A one-to-one session belongs under an individual nutrition therapy code.
How should units be reported?
The service is measured in 30-minute units for each participating patient. Document the session duration and each patient’s attendance.
What documentation supports 97804?
Record the group format, date and duration, nutrition topics or counseling provided, and the individual patient’s participation.
Can a modifier turn an individual session into group therapy?
No. The code selection follows how the service was delivered: shared counseling for multiple patients versus one-to-one nutrition therapy.
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.
12,91297799,,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
12,91897813,,Acup 1/> w/estim 1st 15 min,A,,0.74,0.90,,0.21,,0.05,1.69,1.00,0,XXX,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817