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HCPCS G0271 · Level II · G code

G0271: Medical nutrition therapy, HCPCS Level II G code

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: HCPCS Level II file: October 2026 (effective October 1, 2026); PFS relative value file: RVU26D, released August 26, 2026 (effective October 1, 2026); NCCI MUE tables: 2026 Q4 (effective October 1, 2026); NCCI PTP edits: v323r0 (2026 Q4) (effective October 1, 2026); OPPS Addendum B: October 2026 (effective October 1, 2026). Next CMS release: January 1, 2027 (quarterly update) for the HCPCS Level II file and NCCI MUE tables and NCCI PTP edits and OPPS Addendum B; RVU27A with the CY2027 PFS final rule, effective January 1, 2027 for the PFS relative value file.

Key facts for G0271

Medicare payment
$17.03
PFS non-facility, national; facility $12.36
Coverage code
C
carrier judgment, so the Medicare contractor decides coverage
Practitioner MUE
4
MAI 3
OPPS status
SI A
Services not paid under OPPS; paid under fee schedule or other payment system
NCCI PTP pairs
168
157 hospital outpatient
LCDs and articles
0 / 0

TL;DR

CMS describes HCPCS G0271, added in 2003, as "Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes". National PFS payment for G0271 is $17.03 in an office and $12.36 in a facility (October 2026), built from 0.25 work, 0.25 practice-expense and 0.01 malpractice RVUs at $33.4009 per RVU. Qualifying APM participants get $17.12 at $33.5675. CMS caps G0271 at practitioner 4 (MAI 3, Clinical: Data); hospital outpatient 4 (MAI 3, Clinical: Data) units per day in the 2026 Q4 MUE tables. In the NCCI PTP files v323r0 G0271 appears in 162 practitioner pairs as column 2 and 6 as column 1 (most often with 0591T, 0592T, 0593T), and in 154 hospital outpatient pairs as column 2 and 3 as column 1. G0271 appears in no active LCD or billing and coding article, so coverage follows HCPCS coverage code C (carrier judgment, so the Medicare contractor decides coverage) and any NCD. OPPS status indicator A: Services not paid under OPPS; paid under fee schedule or other payment system. HCPCS record: BETOS M5D (specialist - other); pricing indicator 11; type of service 1 (medical care). 1 other active code opens with "Medical nutrition therapy"; related codes: G0270, G0269, G0268, G0277.

G0271 descriptor and code status

The October 2026 HCPCS Level II file describes G0271 as “Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes”. It sits in the G section (procedures and professional services, temporary), listed with the other G codes.

HCPCS file attributes of G0271
FieldValue
Short descriptorGroup mnt 2 or more 30 mins
Added to HCPCS2003-01-01
Last actionN (no maintenance), effective 2003-01-01
Coverage codeC: carrier judgment, so the Medicare contractor decides coverage
Pricing indicator11: physician fee schedule, priced with national RVUs
BETOS categoryM5D: specialist - other
Type of service1: medical care

Medicare payment for G0271

National PFS payment for G0271 is $17.03 in an office and $12.36 in a facility (October 2026), built from 0.25 work, 0.25 practice-expense and 0.01 malpractice RVUs at $33.4009 per RVU. Qualifying APM participants get $17.12 at $33.5675. The amounts below are national figures from the October 2026 CMS files; the contractor applies the locality, rural or state adjustment and the beneficiary's cost sharing.

Physician fee schedule (RVU26D)

Status A: active: paid separately under the physician fee schedule when covered. Global period XXX (global surgery concept does not apply); PC/TC indicator 0 (physician service; the professional/technical split does not apply).

PFS relative values and national payment for G0271
ComponentNon-facilityFacility
Work RVU0.250.25
Practice expense RVU0.250.11
Malpractice RVU0.010.01
Total RVUs0.510.37
National payment (CF $33.4009)$17.03$12.36
Qualifying APM participant (CF $33.5675)$17.12$12.42
  • Multiple procedures (modifier 51): no multiple-procedure reduction
  • Bilateral (modifier 50): 150% bilateral adjustment does not apply
  • Assistant at surgery: assistant at surgery paid only with documentation; co-surgeons: co-surgeons not permitted; team surgery: team surgeons not permitted
  • Physician supervision of diagnostic procedures: supervision concept does not apply

Hospital outpatient (OPPS Addendum B)

Status indicator A (Services not paid under OPPS; paid under fee schedule or other payment system), with no separate OPPS payment rate.

Medically Unlikely Edits for G0271

CMS caps G0271 at practitioner 4 (MAI 3, Clinical: Data); hospital outpatient 4 (MAI 3, Clinical: Data) units per day in the 2026 Q4 MUE tables. The practitioner MUE is a date-of-service clinical edit: units above the limit deny but can be paid on appeal with documentation.

MUE values for G0271 by setting
SettingMUE (units/DOS)MAICMS rationale
Practitioner services43 Date of Service Edit: ClinicalClinical: Data
Facility outpatient hospital43 Date of Service Edit: ClinicalClinical: Data

The MUE lookup for G0271 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

In the practitioner PTP file v323r0, G0271 is the column-2 (bundled) code in 162 active pairs, 9% of which allow a modifier and the column-1 code in 6 (0% modifier-allowed); 257 earlier pairs have been deleted. CMS's most frequent rationale for the bundled pairs: Misuse of Column Two code with Column One code.

Column-1 codes most often paired with G0271 (practitioner)
Column-1 codePairs
0591T (CPT; descriptor licensed by AMA)1
0592T (CPT; descriptor licensed by AMA)1
0593T (CPT; descriptor licensed by AMA)1
77427 (CPT; descriptor licensed by AMA)1
77431 (CPT; descriptor licensed by AMA)1
77432 (CPT; descriptor licensed by AMA)1
77435 (CPT; descriptor licensed by AMA)1
77469 (CPT; descriptor licensed by AMA)1
Column-2 codes bundled into G0271 (practitioner)
Column-2 codePairs
36591 (CPT; descriptor licensed by AMA)1
36592 (CPT; descriptor licensed by AMA)1
96523 (CPT; descriptor licensed by AMA)1
97802 (CPT; descriptor licensed by AMA)1
97803 (CPT; descriptor licensed by AMA)1
97804 (CPT; descriptor licensed by AMA)1

In the hospital outpatient PTP file v323r0, G0271 is the column-2 (bundled) code in 154 active pairs, 65% of which allow a modifier and the column-1 code in 3 (0% modifier-allowed); 217 earlier pairs have been deleted. CMS's most frequent rationale for the bundled pairs: Misuse of Column Two code with Column One code.

Column-1 codes most often paired with G0271 (hospital outpatient)
Column-1 codePairs
0591T (CPT; descriptor licensed by AMA)1
0592T (CPT; descriptor licensed by AMA)1
0593T (CPT; descriptor licensed by AMA)1
77427 (CPT; descriptor licensed by AMA)1
77431 (CPT; descriptor licensed by AMA)1
77432 (CPT; descriptor licensed by AMA)1
77435 (CPT; descriptor licensed by AMA)1
77469 (CPT; descriptor licensed by AMA)1
Column-2 codes bundled into G0271 (hospital outpatient)
Column-2 codePairs
97802 (CPT; descriptor licensed by AMA)1
97803 (CPT; descriptor licensed by AMA)1
97804 (CPT; descriptor licensed by AMA)1

G0271 is neither an add-on code nor a designated primary code in the 2026 Q4 NCCI add-on edit file.

Pair counts show exposure, not the answer for one claim. Check G0271 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for G0271

No current LCD or billing and coding article lists G0271. The HCPCS coverage code C means carrier judgment, so the Medicare contractor decides coverage, and any National Coverage Determination for the service still applies.

Denials to expect on G0271

CARC 50 · N115

the service is not reasonable and necessary for the diagnosis on the claim

CARC 151 · N362

units of G0271 exceed the practitioner MUE of 4 per date of service

CARC 4

the modifier reported is inconsistent with the code

CARC 16

the claim lacks information needed to adjudicate the line, such as an order, NPI or required modifier

Where QuickIntell fits for G0271 claims

QuickCode supports qualified coder review of units, modifiers and NCCI pairs for G0271 before the claim leaves, and QuickRCM carries claim readiness and the denial follow-up when an edit or coverage policy is missed.

See QuickCode for coder reviewSee QuickRCM for denial follow-upBook a meeting

Frequently asked questions: HCPCS G0271

What does HCPCS code G0271 describe?

"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes" (short descriptor "Group mnt 2 or more 30 mins"), in the G section (procedures and professional services, temporary). Added 2003-01-01.

Is G0271 a CPT code?

It is not. G0271 belongs to the G section (procedures and professional services, temporary) of HCPCS Level II, the CMS code set, not to AMA CPT.

What does Medicare pay for G0271?

National PFS payment for G0271 is $17.03 in an office and $12.36 in a facility (October 2026), built from 0.25 work, 0.25 practice-expense and 0.01 malpractice RVUs at $33.4009 per RVU. Qualifying APM participants get $17.12 at $33.5675.

How many units of G0271 can be billed per day?

CMS caps G0271 at practitioner 4 (MAI 3, Clinical: Data); hospital outpatient 4 (MAI 3, Clinical: Data) units per day in the 2026 Q4 MUE tables. For the practitioner MUE (MAI 3), units above 4 deny for the day but can be paid on appeal with documentation; denials arrive as CARC 151.

Does Medicare cover G0271?

G0271 appears in no active LCD or billing and coding article, so coverage follows HCPCS coverage code C (carrier judgment, so the Medicare contractor decides coverage) and any NCD.

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

This page is an operational reference compiled from CMS publications: the HCPCS Level II file, the physician, DMEPOS and clinical laboratory fee schedules, OPPS and ASC addenda, NCCI MUE, PTP and add-on edit tables and the Medicare Coverage Database. Amounts are Medicare national figures before locality and state adjustment; Medicaid and commercial payers set their own. CPT codes are shown as numbers only; CPT descriptors are copyright AMA. Nothing here is legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.