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
97802 - | Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes |
97803 - | Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient each 15 minutes |
97804 - | Medical nutrition therapy; group (2 or more individuals), each 30 minutes |
G0270 - | Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
G0271 - | Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes |
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ICD-10 Codes
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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: