medical nutrition therapy
A dietetic professional provides medical nutrition therapy assessment or re-assessment and intervention in a face-to-face or group patient setting. CPT code 97804 is reported for group medical nutrition therapy provided for two or more individuals, each 30 minutes.

Medical nutritional therapy codes (97802, 97803, S9470) may be billed when counseling patients on obesity or weight management. These codes are compatible with any diagnosis but are most appropriate or intended for illness or disease-related diagnoses such as obesity or diabetes.

The most common CPT codes dietitians can use to bill are : 97802, 97803 and 97804. The CPT codes 97802 and 97803 represent codes dietitians use to bill for individual MNT visits. While the CPT code 97804 would be used to bill for groups of patients of two or more.

The Medicare Part B MNT payment will be 80% (because a 20% patient co-pay applies) or the lesser of either the actual charge or 80% of the physician fee schedule amount. The physician fee schedule varies by state.

CPT, or Current Procedural Terminology, codes are the codes that identify the service you provided as a healthcare professional. The three most common medical nutrition therapy (MNT) codes that dietitians use on claims are listed below.

2021 HCPCS Code S9470 : Nutritional counseling, dietitian visit.

Dietitians are considered “fee-for-service” providers, meaning that dietitians provide a service to clients and are then reimbursed later by insurance payers with an amount designated within their specific fee schedule. For all other insurance payers, contract rates are private and unique to a healthcare provider.

Medical nutrition therapy is covered by Medicare for diagnoses of diabetes, non-dialysis kidney disease, and 36 months post kidney transplant when a Medicare beneficiary has been referred by a physician, and when provided by an RDN who is enrolled as a Medicare Provider.

(NOTE: This CPT code must only be used for the initial visit.) This code is to be used only once a year, for initial assessment of a new patient. All subsequent individual visits (including reassessments and interventions) are to be coded as 97803. All subsequent Group Visits are to be billed as 97804.

A: The CPT code for the annual routine physical exam for Medicare is 99387 (preventative medicine E/M new patient age 65 and older) or 99397 (preventative medicine E/M established patient age 65 or older). This is the same code for all insurance companies.

Medical Nutrition Therapy (MNT) CPT code 97802, 97803, 97804, G0270, G0271. HCPCS/CPT Codes. 97802 – MNT; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes.

Dietary counseling and surveillance. Z71.3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

CPT codes are, for the most part, grouped numerically. The codes for surgery, for example, are 10021 through 69990. In the CPT codebook, these codes are listed in mostly numerical order, except for the codes for Evaluation and Management.