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HCPCS G0446 Fee Schedule

Last Verified: December 2025

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes
Key FactDetail
Service Type

Procedures / Professional Services

Counseling, Screening, and Prevention Services

Complexity LevelLow

National average reimbursement for HCPCS G0446 by major payers:

bcbs

$31.54

uhc

$33.82

aetna

$28.47

cigna

$27.42

Preview provider-level rates for...
For billing codeHCPCS G0446
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for HCPCS G0446

United
G0446$30.141073704375 - RUTH ADENE-PETER821942636GAFamily Medicine Physician (207Q00000X)
United
G0446$65.721447754197 - CHARLES BABERE262824776 - (GA) PIEDMONT PROFESSIONAL SERVICES LLCGAFamily Medicine Physician (207Q00000X)
United
G0446$67.161275976607 - BILAL AHMAD582030692 - EMORY UNIVERSITYGAEndocrinology, Diabetes & Metabolism Physician (207RE0101X)
United
G0446$84.441184079212 - JODI-ANN HEATH204700877GAFamily Medicine Physician (207Q00000X)
United
G0446$38.361427084102 - RAM PENMETSA452696517 - (KY) ARH MARY BRECKINRIDGE HEALTH SERVICES INCGACardiovascular Disease Physician (207RC0000X)
United
G0446$57.091972869899 - GEORGIA DAVIS581537752 - EMORY UNIVERSITYGAEndocrinology, Diabetes & Metabolism Physician (207RE0101X)
United
G0446$27.321639153422 - TAMA SYROP743046908 - (GA) NORTHSIDE URGENT CAREGAFamily Medicine Physician (207Q00000X)
United
G0446$34.631013921428 - ROBERT BENSON271198208GAFamily Medicine Physician (207Q00000X)
United
G0446$21.341639182132 - ANTHONY HUMAN921222129 - (GA) ACUTE SPINE JOINT LLCGAFamily Medicine Physician (207Q00000X)
United
G0446$21.341013094184 - DAVID FIELDS760717890 - (GA) DAVID A FIELDS MD FAMILY CARE PCGAFamily Medicine Physician (207Q00000X)
United
G0446$41.271376169185 - RAHEEM LALANI920813243 - (TX) CATALYST PHYSICIAN GROUPGAFamily Medicine Physician (207Q00000X)
United
G0446$26.211821652843 - ETHAN MCBRAYER364847154 - (GA) COLQUITT REGIONAL HOSPITALISTS LLCGAFamily Medicine Physician (207Q00000X)
United
G0446$24.011538226220 - SHERYL VICKERY862410680 - (GA) HEALING OAKS LLCGAFamily Medicine Physician (207Q00000X)
United
G0446$26.681982947610 - DANIELLE DONDIEGO932013924 - (CA) CLOUD HEALTH MEDICAL GROUP PAGAFamily Medicine Physician (207Q00000X)
United
G0446$26.701083606727 - DIPAKKUMAR AMIN341712104 - DIPAKKUMAR P. AMIN, MDGAFamily Medicine Physician (207Q00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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HCPCS G0446 vs. Other Counseling, Screening, and Prevention Services Codes

The HCPCS G0446 code is part of the Procedures / Professional Services services used for Counseling, Screening, and Prevention Services. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The HCPCS G0446 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
G0445-HCPCSLowHigh intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes
G0446-HCPCSLowAnnual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes
G0447-HCPCSLowFace-to-face behavioral counseling for obesity, 15 minutes

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0446. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the G0446 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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