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Thread: Dietian Coding

  1. #1

    Default Dietian Coding

    AAPC: Back to School
    I need some help with billing for a registered dietian. We are a general surgery practice in Illinois who also do bariatric surgeries including Gastric Bypass and Lap Bands. We would like to hire a dietian for nutrition counseling for these individuals pre and post surgery. Does anyone know can and how we bill for these services? Does not appear like it can qualify for Medicare pts. Any help would be appreciated. Thanks!!

  2. #2
    Join Date
    Apr 2007
    Dover Seacoast New Hampshire


    Medicare will cover registered dietitian services for diabetes only if the RD is also a CDE. Here are the codes:

    G0108 Diabetes outpatient self-management training services, individual, per 30 minutes
    G0109 Diabetes outpatient self-management training services, group, per 30 minutes

    CPT also lists codes for medical Nutritional Therapy, but the payers differe as to what conditions they cover for these services. Also, some payers will not credential a registered dietitian, (and not all nutritionists are registered dietitians), so you'll have to check with each payer regarding billing under physician supervision. Here are the codes for Medical nutritional therapy.

    97802 Medical Nutrition Therapy, initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes
    97803 MNT, re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes
    97804 MNT, group, each 30 minutes

    Hope this helps.
    Pam Brooks, MHA, CPC, PCS, COC
    Coding Manager
    Wentworth-Douglass Hospital
    Dover, NH 03820

    If you can dream it, you can do it. Walt Disney

  3. #3
    Join Date
    Apr 2007

    Default Medical Nutrition Assesment

    We bill for a registered dietitian for an oncology group. Can we bill the 97802 as the initial assesment if it has been 1 year since the patient has received this therapy in our facility, or do we have to bill the 97803 as the re-assessment?

    Thank you,
    Kristen Richard, CPC

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