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See a sample rate comparisonHCPCS G0446 Fee Schedule
Medicare rates as of October 2026
HCPCS G0446 is classified under Procedures / Professional Services, in the Counseling, Screening, and Prevention Services subgroup.
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Counseling, Screening, and Prevention Services |
| Hospital Outpatient Group (APC) | APC 5821 - Level 1 Health and Behavior Services |
| Common Revenue Codes | 05100521 |
| Medicare Fee Schedule | $34.07 national non-facility rate (2026)View Medicare rates for G0446 |
| Medicaid Fee Schedule | $27.28 median of the 7 states in the free previewView Medicaid rates for G0446 |
National average reimbursement for HCPCS G0446 by major payers:
$31.54
BCBS / Anthem
$33.82
UnitedHealthcare
$28.47
Aetna
$27.42
Cigna
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HCPCS G0446
5 of 25 sample ratesHigher to lower in this preview
Harriet Crockett-Woods
Childrens Healthcare Of Atlanta Inc
$92.84Published rateEduardo Safille
St Vincents Ambulatory Care Inc
$60.18Published rateSalil Patel
Cardiovascular Clinic Of North Georgia PC
$37.34Published rateRuth Adene-Peter
$30.14Published rateCharles Finch
Four Corners Primary Care Centers Inc
$21.34Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0446 vs. Other Counseling, Screening, and Prevention Services Codes
The table lists codes related to G0446. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0445-HCPCS | High 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-HCPCS | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
| G0447-HCPCS | Face-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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Frequently Asked Questions
What APC is HCPCS G0446 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns HCPCS G0446 to APC 5821 (Level 1 Health and Behavior Services). An APC groups outpatient services that Medicare pays at the same base rate.
Which revenue codes are billed with HCPCS G0446?
Hospital price transparency files list HCPCS G0446 under these revenue codes: 0510 and 0521. A revenue code names the hospital department or charge category for the line; it does not change what the service is.