TitleWeb
Changes to billing procedures for nutrition counseling are now in effect
							
																	
						
							Professional
						
					 
					
						Page Content
As previously communicated, most commercial managed care members are eligible 
for up to six fully covered one-on-one nutrition counseling sessions with a 
registered dietitian or primary care provider per benefit contract year. In the 
original communication about this benefit in the June 2007 edition of 
Partners in Health UpdateSM, group counseling sessions were 
mistakenly included in the eligible list of codes. This benefit, however, was 
intended only to be provided in an individual setting — not in a group 
setting.
Therefore, nutrition counseling in a group setting is no longer eligible for 
payment for dates of service on or after March 1, 2013. Providers should no 
longer bill for medical nutrition therapy in a group setting with the following 
codes: 97804, G0271. Only diabetic education services are eligible for payment 
in a group setting with these codes.
Note: Members do not need to obtain a referral for nutrition counseling 
services.