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

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

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:

Preventive Services: Medical Nutrition Therapy (MNT). (2017, September 1). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/medical-nutrition-therapy-mnt-32720.html

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