CMS says group sessions and health coaching are not billable FQHC visits
Issue
On November 9, 2026, CMS published its final 2027 fee schedule rule. Asked to let FQHCs bill the new group visit code G0686, CMS said group sessions fail the one-on-one rule for a billable FQHC visit, as does health coaching under general supervision.
Same-day care coordination is still paid separately. No health center is named.
Sources for this story
Centers for Medicare & Medicaid Services (CY 2027 Physician Fee Schedule final rule, Federal Register document 2026-22743, 91 FR 70992)Part of
- Medicare payment and value-based care
Care-management codes and telehealth
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More in Legislation
FQHC Talent. (2026, November 9). CMS says group sessions and health coaching are not billable FQHC visits. Source: Centers for Medicare & Medicaid Services (CY 2027 Physician Fee Schedule final rule, Federal Register document 2026-22743, 91 FR 70992). Retrieved November 11, 2026, from https://www.fqhctalent.com/intel/cms-cy2027-pfs-final-rule-group-visits-and-health-coaching-november-2026