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Nutritional counseling 97802 and 97803

brandee.ortiz@gmail.com

New
Local Chapter Officer
Messages
5
Best answers
0
I am having problems with getting 97802 and 97803 covered by insurance, has anyone else had problems getting these covered? Also has anyone got them paid by insurance?
Thanks for your help!!
 

nlbarnes

Guru
Messages
182
Location
Oceanside, CA
Best answers
0
97802

Hi Michelle - CCI edits state that 97802 can't be billed with a same day E/M. What if the patient needs to see the doc on that date?
 

michellepilcher

Networker
Messages
75
Best answers
0
If you're using a registered dietitian for services then 97802 and 97803 are appropriate, you will need to append a -25 modifier to the medical services. If the dietary counseling is not a registered dietitian you will want to use the E/M codes 99401-99404 and still use the -25 for the medicine part of the visit.
 

mahitala

New
Messages
1
Best answers
0
Can physician report these MNT 97802-97804?

My pediatric physician have been adding these codes along with the preventive medicine service because they do Healthy diet (Z71.3) and exercise (Z71.82) counseling in an FQHC setting. Is this appropriate?
My understanding is that only REGISTERED DIETITIAN/NUTRITIONIST can report MNT 97802-97804.

Thank you.
 

kavon57

New
Messages
4
Best answers
0
I have a question I hope someone can answer......our pedi and family med providers regularly refer patients for nutritional counseling. We're considering group therapy/counseling. Can the medical provider's referral count as the initial assessment? Or does patient have to be assessed by the nutritionist and a 97802 billed before we can bill 97804 for a group. Thanks for your help!
 
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