Medical Nutrition Therapy (MNT) - JE Part B

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 (two or more individual(s)), each 30 minutes
• G0270 - MNT reassessment and subsequent intervention(s) for change in diagnosis, medical condition or treatment regimen, individual, each 15 minutes
• G0271 - MNT reassessment and subsequent intervention(s) for change in diagnosis, medical condition or treatment regimen, group (two or more), each 30 minutes

Frequency

First year: Three hours of one-on-one counseling

Subsequent years: Two hours

Coverage

Beneficiary must meet all of the following:

• Referral received from treating physician; and
• Diagnosed with diabetes or renal disease or has received kidney transplant within last three years
• Service provided by registered dietitian or nutrition professional

Payment

Copayment/coinsurance waived; Deductible waived

Noridian Medicare Portal

No

Resources

• Diabetic, Diabetes Self-Management Training (DSMT) and MNT Services
• CMS Internet Only Manual (IOM), Publication 100-04, Medicare Claims Processing Manual, Chapter 4, Section 300
• CMS Medicare Preventive Services
• CMS National Coverage Determination (NCD) 180.1