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Thread: nutritionist billing

  1. #1

    Red face nutritionist billing

    AAPC: Back to School
    can a claim be filed to insurance for a contracted nutritionist under a licensed provider w/o direct supervision from that provider?

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


    It depends. Don't you love that answer!?

    There are codes that are billable to commercial payers and Medicare, provided your nutritionist is an RD, CDE; for example, G0108 and G0109, for Diabetes management, and G0270 and G0271 for medical nutritional therapy. Be sure to read the code descriptions in HCPCS, and check with your CMS contractor to make sure these are accepted. Some commercial payers will credential a registered dietitian.

    There are also codes in the medicine section of CPT specifically for non-physician providers, for Medical-nutritional services, 97802-97804, and 98960-98962 for patient (nutrition) education using a curriculum. These are specifically for nonphysician healthcare providers, but you'd have to check with your payers to see if they allow you to bill incident-to, or if you can credential your nutritionist.

    As in many coding scenarios, there's never one quick, easy answer.
    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

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