Medical Nutrition Therapy CPT Code Level Verification of Benefits
The most common CPT codes for medical nutrition therapy are:
- 97802, Initial Assessment
- 97803, Reassessment
- 97804, Group
Especially for medical nutrition therapy, it’s important that you always call the insurance company to check benefits. Currently there is no good way to get medical nutrition therapy benefits online.
When you call the payer, it’s important to ask for nutritional therapy benefits. If you are providing the therapy online then you should ask for medical nutrition counseling via telehealth.
In addition to the following general benefits questions, it is also important to ask whether the diagnosis codes are preventable or medical.
Some questions you want to make sure you ask payers:
Do the CPT codes count towards the deductible
Is there a copay? Is there a co-insurance?
Is authorization required and if yes, when and how do you submit the authorization request?
Are there any limitations on coverage for these CPT codes?
If you need assistance with verifying patient benefits at your clinic, our verification of benefits experts at One Body would be happy to help. Contact us by filling out the contact form below to learn more about how we can streamline your verifications process.