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HCPCS G0447 · Level II · G code

G0447: Face-to-face behavioral counseling for obesity, 15 minutes, 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 G0447

Medicare payment
$34.07
PFS non-facility, national; facility $26.39
Coverage code
C
carrier judgment, so the Medicare contractor decides coverage
Practitioner MUE
1
MAI 3
OPPS status
SI S
Procedure or service, not discounted when multiple
NCCI PTP pairs
90
86 hospital outpatient
LCDs and articles
0 / 0
on the Medicare telehealth list

TL;DR

HCPCS Level II G0447 reads "Face-to-face behavioral counseling for obesity, 15 minutes" in the October 2026 file; it dates from 2011. Medicare's October 2026 physician fee schedule pays G0447 $34.07 non-facility and $26.39 facility nationally, from 0.60 work, 0.38 practice-expense and 0.04 malpractice RVUs at the $33.4009 conversion factor. Qualifying APM participants get $34.24 at $33.5675. MUE limits for G0447: practitioner 1 (MAI 3, CMS Policy); hospital outpatient 1 (MAI 3, CMS Policy). In the NCCI PTP files v323r0 G0447 appears in 86 practitioner pairs as column 2 and 4 as column 1 (most often with 0889T, 0890T, 0891T), and in 85 hospital outpatient pairs as column 2 and 1 as column 1. No current LCD or billing article lists G0447; its HCPCS coverage code is C (carrier judgment, so the Medicare contractor decides coverage). It is on the CY2026 Medicare telehealth list (CMS action: Maintain). HCPCS record: BETOS Y1 (other - Medicare fee schedule); pricing indicator 13; type of service 1 (medical care). 1 other active code opens with "Face-to-face behavioral counseling for obesity"; related codes: G0473, G0446, G0448, G0445.

G0447 descriptor and code status

The October 2026 HCPCS Level II file describes G0447 as “Face-to-face behavioral counseling for obesity, 15 minutes”. It sits in the G section (procedures and professional services, temporary), listed with the other G codes. Although searches often call it the "G0447 CPT code", G0447 is a HCPCS Level II code maintained by CMS, not an AMA CPT code; both go in the same procedure-code field on the claim.

HCPCS file attributes of G0447
FieldValue
Short descriptorBehavior counsel obesity 15m
Added to HCPCS2011-11-29
Last actionN (no maintenance), effective 2011-11-29
Coverage codeC: carrier judgment, so the Medicare contractor decides coverage
Pricing indicator13: physician fee schedule, priced by the contractor
BETOS categoryY1: other - Medicare fee schedule
Type of service1: medical care

Medicare payment for G0447

Medicare's October 2026 physician fee schedule pays G0447 $34.07 non-facility and $26.39 facility nationally, from 0.60 work, 0.38 practice-expense and 0.04 malpractice RVUs at the $33.4009 conversion factor. Qualifying APM participants get $34.24 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 G0447
ComponentNon-facilityFacility
Work RVU0.600.60
Practice expense RVU0.380.15
Malpractice RVU0.040.04
Total RVUs1.020.79
National payment (CF $33.4009)$34.07$26.39
Qualifying APM participant (CF $33.5675)$34.24$26.52
  • 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 S (Procedure or service, not discounted when multiple), APC 5822 (Level 2 Health and Behavior Services), national unadjusted payment $103.79 with a minimum unadjusted copayment of $0.00.

Medically Unlikely Edits for G0447

MUE limits for G0447: practitioner 1 (MAI 3, CMS Policy); hospital outpatient 1 (MAI 3, CMS Policy). 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 G0447 by setting
SettingMUE (units/DOS)MAICMS rationale
Practitioner services13 Date of Service Edit: ClinicalCMS Policy
Facility outpatient hospital13 Date of Service Edit: ClinicalCMS Policy

The MUE lookup for G0447 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

In the practitioner PTP file v323r0, G0447 is the column-2 (bundled) code in 86 active pairs, 99% of which allow a modifier and the column-1 code in 4 (25% modifier-allowed); 164 earlier pairs have been deleted. CMS's most frequent rationale for the bundled pairs: More extensive procedure.

Column-1 codes most often paired with G0447 (practitioner)
Column-1 codePairs
0889T (CPT; descriptor licensed by AMA)1
0890T (CPT; descriptor licensed by AMA)1
0891T (CPT; descriptor licensed by AMA)1
0892T (CPT; descriptor licensed by AMA)1
90791 (CPT; descriptor licensed by AMA)1
90792 (CPT; descriptor licensed by AMA)1
90832 (CPT; descriptor licensed by AMA)1
90833 (CPT; descriptor licensed by AMA)1
Column-2 codes bundled into G0447 (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
G0473 Group behave couns 2-101

In the hospital outpatient PTP file v323r0, G0447 is the column-2 (bundled) code in 85 active pairs, 99% of which allow a modifier and the column-1 code in 1 (100% modifier-allowed); 162 earlier pairs have been deleted. CMS's most frequent rationale for the bundled pairs: More extensive procedure.

Column-1 codes most often paired with G0447 (hospital outpatient)
Column-1 codePairs
0889T (CPT; descriptor licensed by AMA)1
0890T (CPT; descriptor licensed by AMA)1
0891T (CPT; descriptor licensed by AMA)1
0892T (CPT; descriptor licensed by AMA)1
90791 (CPT; descriptor licensed by AMA)1
90792 (CPT; descriptor licensed by AMA)1
90832 (CPT; descriptor licensed by AMA)1
90833 (CPT; descriptor licensed by AMA)1
Column-2 codes bundled into G0447 (hospital outpatient)
Column-2 codePairs
G0473 Group behave couns 2-101

G0447 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 G0447 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for G0447

No current LCD or billing and coding article lists G0447. The HCPCS coverage code C means carrier judgment, so the Medicare contractor decides coverage, and any National Coverage Determination for the service still applies.

Telehealth status

G0447 is on the CY2026 Medicare telehealth services list (CMS action: Maintain). Bill it with the place-of-service code and modifiers that match where the patient and the practitioner are on the date of service.

Denials to expect on G0447

CARC 50 · N115

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

CARC 151 · N362

units of G0447 exceed the practitioner MUE of 1 per date of service

CARC 4

the modifier reported is inconsistent with the code

CARC 16

the claim lacks the description, invoice or pricing detail a contractor-priced code needs

Where QuickIntell fits for G0447 claims

QuickCode supports qualified coder review of units, modifiers and NCCI pairs for G0447 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 G0447

What does HCPCS code G0447 describe?

"Face-to-face behavioral counseling for obesity, 15 minutes" (short descriptor "Behavior counsel obesity 15m"), in the G section (procedures and professional services, temporary). Added 2011-11-29.

Is G0447 a CPT code?

No: CMS maintains G0447 in HCPCS Level II, while the AMA maintains CPT. People do search "G0447 CPT code", and it goes in the same procedure-code field.

What does Medicare pay for G0447?

Medicare's October 2026 physician fee schedule pays G0447 $34.07 non-facility and $26.39 facility nationally, from 0.60 work, 0.38 practice-expense and 0.04 malpractice RVUs at the $33.4009 conversion factor. Qualifying APM participants get $34.24 at $33.5675.

How many units of G0447 can be billed per day?

MUE limits for G0447: practitioner 1 (MAI 3, CMS Policy); hospital outpatient 1 (MAI 3, CMS Policy). For the practitioner MUE (MAI 3), units above 1 deny for the day but can be paid on appeal with documentation; denials arrive as CARC 151.

Does Medicare cover G0447?

No current LCD or billing article lists G0447; its HCPCS coverage code is C (carrier judgment, so the Medicare contractor decides coverage).

Can G0447 be billed as telehealth?

Yes. G0447 is on the CY2026 Medicare telehealth list (Maintain); the place-of-service and modifier rules on the date of service still apply.

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.