Oncology & Hematology Coding Alert

Reader Question: Check ICD-9 Code for 97802 Bill to Medicare

- Published on Fri, Jun 25, 2004
Question: How should we code for a registered dietitian who performs a consultation and assessment? We're considering 97802 and/or S9470. Hawaii Subscriber Answer: You may find some private insurers pay for 97802 (Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes) and/or S9470 (Nutritional counseling, dietitian visit). But Medicare usually covers medical nutrition therapy (MNT) services only for specific diagnoses, such as diabetes (250.xx) or end-stage renal disease (585), following kidney transplant. Also, a registered dietitian or nutritional professional must perform the services.

If the patient is on Medicare, be sure to obtain an advance beneficiary notice from your patient. And remember: The American College of Radiology's guidelines prohibit billing for MNT when the patients are undergoing radiation therapy treatment and are under the management of a radiation oncologist.

Get 14-Day Fully-Functional Free Trial of Physician Coder

Get access to all your specialty alerts and archived articles along with some comprehensive tools including:
  • Code Search for CPT®, HCPCS, ICD-9 and ICD-10
  • CCI Edits Checker
  • Part B Fees, MUEs
  • CPT-ICD-9 CrossRef
  • CPT® ↔ ICD-9 ↔ ICD-10 CM Crosswalk
  • LCD/NCD Lookup
  • CMS 1500 Claims Scrubber
  • NDC ↔ CPT/HCPCS CrossReference
First Name: *
Last Name: *
User Name: *
E-mail: *
Phone: *
Choose Speciality*
Please enter the characters shown in box*