Medicare may cover medical nutrition therapy if you have diabetes or kidney
disease, and your doctor refers you for this service. These services can be given
by a registered dietitian or Medicare-approved nutrition professional, and include
a nutritional assessment and counseling to help you manage your diabetes or
kidney disease.
HCPCS/CPT Codes
97802 – MNT; 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 (2 or more individual(s)), each 30 minutes
G0270 – MNT reassessment and subsequent intervention(s) for change in diagnosis, individual, each 15 minutes
G0271 – MNT reassessment and subsequent intervention(s) for change in diagnosis, group (2 or more), each 30 minutes
ICD-10-CM (ICD-9-CM) Codes
No specific diagnosis code
Contact local Medicare Administrative Contractor (MAC) for guidance
Who Is Covered
Certain Medicare beneficiaries:
Who receive a referral from their treating physician; and
Are diagnosed with diabetes, renal disease, or who have received a kidney transplant within the last 3 years; and
A registered dietitian or nutrition professional must provide the services
Frequency
First year: 3 hours of one-on-one counseling; or
Subsequent years: 2 hours
If your condition, treatment, or diagnosis changes,
you may be able to get more hours of treatment with a doctor’s referral. A
doctor must prescribe these services and renew your referral yearly if continuing
treatment is needed into another calendar year.
Beneficiary Pays
Copayment/coinsurance waived
Deductible waived
Other Notes
You cannot bill DSMT and MNT on the same date of service for the same beneficiary
If you get dialysis in a dialysis facility, Medicare covers MNT as part of your overall dialysis care.
If you're in a rural area, you may be able to get MNT through telehealth. A Registered Dietitian or other nutrition professional in a different location would provide the service.