What does CPT code 97803 mean?
Emma Martin
Published Mar 06, 2026
What does CPT code 97803 mean?
97803. Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with. the patient, each 15 minutes.
Is CPT 97803 covered by Medicare?
Effective January 1, 2006, covered telehealth services also include HCPCS codes G0270, 97802, 97803.
Can physicians bill for 97802?
Licensed dietitians and licensed nutritionists can bill for procedure/service codes S9470, 97802, 97803, and G0447 for diagnosis codes other than eating disorders.
Does United Healthcare cover medical nutrition therapy?
(2) The agency covers medical nutrition therapy, nutrition assessment, and counseling for conditions that are within the scope of practice for a registered dietitian (RD) to evaluate and treat. UnitedHealthcare offers Educational Health Improvement Programs which may be available to members.
Can a physician Bill CPT 97802?
Medical nutritional therapy codes (97802, 97803, S9470) may be billed when counseling patients on obesity or weight management. These codes are compatible with any diagnosis but are most appropriate or intended for illness or disease-related diagnoses such as obesity or diabetes.
Does 97802 need a modifier?
If you’re using a registered dietitian for services then 97802 and 97803 are appropriate, you will need to append a -25 modifier to the medical services.
Can a physician bill for 97802?
What is the NCD for 97803?
Medical nutrition therapy
97803 Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes. 97804 Medical nutrition therapy; group (2 or more individual(s), each 30 minutes.
When do you use modifier GT?
The GT modifier is used to indicate a service was rendered via synchronous telecommunication.
Who can bill CPT 97802?
Licensed dietitians
Licensed dietitians and licensed nutritionists can bill for procedure/service codes S9470, 97802, 97803, and G0447 for diagnosis codes other than eating disorders.
Are nutritionists covered by Unitedhealthcare?
Nutrition Counseling Covered when ordered by network provider. Referrals to licensed dietitian only. Outpatient Hospital Services (including physical, occupational, hearing, respiratory and language therapy) Covered when ordered by a network provider.
Who can bill CPT 97803?
Does Medicare cover CPT 97802?
CPT code – 97802, 97803, 97804, G0270, G0271, G0108, dx code. Diabetes self-management training services may be covered by Medicare only if the treating physician or treating qualified non physician practitioner who is managing the beneficiary’s diabetic condition certifies that such services are needed.
What is CPT Procedure Code?
CPT stands for Current Procedural Terminology . This code is part of a family of medical billing codes described by the numbers 99201-99205. CPT® 99204 represents the mid-high (level 4) office or other outpatient new patient visit and is part of the Healthcare Common Procedure Coding System (HCPCS).
What is the definition of CPT codes?
CPT codes. a coding system, defined in the publication Current Procedural Terminology , for medical procedures that allows for comparability in pricing, billing, and utilization review.
What is the CPT code for nutritional counseling?
HCPCS Code S9470. Nutritional counseling, dietitian visit. Commercial Payers (Temporary Codes) S9470 is a valid 2019 HCPCS code for Nutritional counseling, dietitian visit or just “Nutritional counseling, diet” for short, used in Other medical items or services.
