# HCPCS G0296: Counseling visit to discuss need for lung cancer screening

Medicare HCPCS G0296 pays $28.72 in a non-facility setting and $22.38 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $26.78 in Arkansas to $37.63 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/G0296-hcpcs-fee-schedule
Section: Medical and Therapeutic Services

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $28.72 |
| National facility | $22.38 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $37.63 | $30.87 |
| District of Columbia | $31.62 | $24.14 |
| New York | $31.10 | $24.03 |
| New Jersey | $31.01 | $23.86 |
| California | $30.79 | $23.28 |
| Washington | $30.51 | $23.28 |
| Massachusetts | $30.35 | $23.22 |
| Connecticut | $30.08 | $23.25 |
| Hawaii | $29.72 | $22.51 |
| Florida | $29.71 | $23.34 |
| Maryland | $29.47 | $22.86 |
| Colorado | $29.38 | $22.62 |
| Illinois | $29.35 | $23.22 |
| Rhode Island | $29.29 | $22.73 |
| Oregon | $29.15 | $22.45 |
| New Hampshire | $29.02 | $22.42 |
| Puerto Rico | $28.82 | $22.41 |
| Virgin Islands | $28.82 | $22.41 |
| Pennsylvania | $28.74 | $22.52 |
| Montana | $28.72 | $22.38 |
| Delaware | $28.59 | $22.32 |
| Texas | $28.59 | $22.34 |
| Nevada | $28.57 | $22.22 |
| Michigan | $28.50 | $22.55 |
| Georgia | $28.47 | $22.42 |
| Wyoming | $28.46 | $22.12 |
| Minnesota | $28.32 | $21.79 |
| Arizona | $28.26 | $22.11 |
| Virginia | $28.25 | $22.02 |
| North Dakota | $28.13 | $21.78 |
| Vermont | $28.13 | $21.84 |
| New Mexico | $28.07 | $22.25 |
| South Dakota | $28.06 | $21.71 |
| Utah | $28.00 | $22.04 |
| Maine | $27.89 | $21.83 |
| Louisiana | $27.87 | $22.08 |
| Missouri | $27.86 | $22.03 |
| Ohio | $27.83 | $22.04 |
| West Virginia | $27.80 | $22.29 |
| South Carolina | $27.79 | $21.92 |
| North Carolina | $27.67 | $21.75 |
| Wisconsin | $27.60 | $21.52 |
| Kentucky | $27.49 | $21.85 |
| Indiana | $27.45 | $21.57 |
| Oklahoma | $27.39 | $21.73 |
| Idaho | $27.37 | $21.53 |
| Tennessee | $27.32 | $21.55 |
| Nebraska | $27.30 | $21.45 |
| Iowa | $27.24 | $21.43 |
| Kansas | $27.23 | $21.50 |
| Mississippi | $27.02 | $21.56 |
| Alabama | $27.00 | $21.44 |
| Arkansas | $26.78 | $21.33 |

## Related codes

- 99401: Preventive medicine counseling, individual, approximately 15 minutes — https://www.med-reveal.com/rates/99401-cpt-fee-schedule
- 99402: Preventive medicine counseling, individual, approximately 30 minutes — https://www.med-reveal.com/rates/99402-cpt-fee-schedule
- 99403: Preventive medicine counseling, individual, approximately 45 minutes — https://www.med-reveal.com/rates/99403-cpt-fee-schedule
- 99404: Preventive medicine counseling, individual, approximately 60 minutes — https://www.med-reveal.com/rates/99404-cpt-fee-schedule
- 99406: Smoking and tobacco use cessation counseling, 3-10 minutes — https://www.med-reveal.com/rates/99406-cpt-fee-schedule
- 99407: Smoking and tobacco use cessation counseling, greater than 10 minutes — https://www.med-reveal.com/rates/99407-cpt-fee-schedule
- 99408: Alcohol and/or substance abuse structured screening and brief intervention, 15-30 minutes — https://www.med-reveal.com/rates/99408-cpt-fee-schedule
- 99409: Alcohol and/or substance abuse structured screening and brief intervention, greater than 30 minutes — https://www.med-reveal.com/rates/99409-cpt-fee-schedule

Commercial negotiated rates for G0296 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules