Preventive Services: Medical Nutrition Therapy (MNT)

by  Find-A-Code
September 1st, 2017

The following information from the Medicare Learning Network provides guidance from the Department of Health and Human Services on Medical Nutrition Therapy (MNT): 

HCPCS/CPT Codes

ICD-10 Codes

See the CMS ICD-10 webpage for individual CRs and coding translations for ICD-10, and contact your MAC for guidance.

Who Is Covered

Certain Medicare beneficiaries when all of the following are true:

• Receive a referral from their treating physician
• Diagnosed with diabetes or renal disease or received a kidney transplant within the last 36 months
• Service provided by a registered dietitian or nutrition professional

Frequency

• First year: 3 hours of one-on-one counseling
• Subsequent years: 2 hours

Medicare Beneficiary Pays

• Copayment/coinsurance waived
• Deductible waived

Please note: The information in this educational product applies only to the Medicare Fee-For-Service Program (also known as Original Medicare). For additional guidance on using diagnosis codes, go to the Medicare Claims Processing Manual, Chapter 18 on the Centers for Medicare & Medicaid Services (CMS) website.

Watch the CMS Provider Minute: Preventive Services video for pointers to help you submit sufficient documentation when billing for certain preventive services.

References:

• CMS: Preventive Services Chart | Medicare Learning Network