Screening / Counsel · CMS status A

G0447

Behavior counsel obesity 15m

Face-to-face behavioral counseling for obesity, 15 minutes. Medicare preventive benefit covering intensive behavioral therapy (IBT) for obesity, up to 22 sessions in a 12-month period. Requires patient BMI 30 or greater documented in the chart on the date of service.

Published by RVUDoc. Numeric data: CMS RVU26C, effective 2026-07-01. Page updated 2026-09-23. Calculation limits and editorial policy.

Work RVU
0.60
National non-QP estimate
$34.07
National GPCI · non-facility · CF $33.4009

Fee-schedule estimate before claim adjustments. Coverage, setting and payer rules still apply.

RVU anatomyWork 0.60 + Practice 0.38 + Malpractice 0.04 = 1.02 total
Work (your effort)Practice expenseMalpractice
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Common modifiers
25 (on a same-day problem-oriented E/M)
Common ICD-10 pairings
E66.9E66.01Z71.3Z68.30

Payer notes

Medicare covers G0447 with no patient cost share for up to 22 sessions per 12-month period. Medicare Advantage plans typically follow. Commercial payer coverage varies; many do not specifically recognize G0447 and instead cover obesity counseling under 99401 to 99404 (preventive medicine counseling individual) or via 99214 with appropriate diagnosis. The 22-session structure is unique to Medicare; commercial plans usually have a different annual cap.

Related codes

These include alternative services and possible add-ons. Listing codes together does not establish that they can be billed together; check the applicable edits and payer policy.

See what G0447 adds to your year

Add it to the wRVU calculator with your own volume, or paste a note and let the chart audit check your coding.

Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.