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internal medicine and nutrition counseling same day

Alinda Posted Tue 22nd of January, 2013 18:02:00 PM

can we bill an e/m level of service combined with a nutrition visit using time /counseling as basis for level of service?

SuperCoder Answered Wed 23rd of January, 2013 19:25:06 PM

The answer is yes: Here is an excerpt from Medical Nutrition Therapy Services and CPT Codes. CPT® Assistant.
February 2009; Volume 19: Issue 2

MNT Codes

The family of CPT codes 97802-97804 describes the MNT services that RDs and other licensed nutrition qualified professionals provide to individuals or groups of individuals with chronic conditions. Medicare Part B regulations require licensed RD and licensed nutrition professional providers to generally report MNT CPT codes on claims for covered Medicare MNT services, though in some special circumstances requires use of HCPCS II codes. In addition to Medicare, other third-party payers frequently require MNT CPT code use by RDs and other licensed nutrition professionals who provide MNT and/or nutrition services for wellness or as part of a complementary alternative medicine program. When physicians provide nutrition services, CPT Evaluation and Management or Preventive Medicine service codes are used to report the service.

Medical nutrition therapy (MNT) includes nutritional diagnostic therapy and counseling services provided by registered dietitians (RDs) and state-licensed dietitians for the purpose of managing an acute or chronic condition or disease.

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