Billing for Nutritional Counseling

Nutritional counseling benefit, fully funded plans

Nutritional counseling is a covered benefit for plan members when services are rendered by a registered dietician.

• Number of covered visits may vary based on plan benefits. 
• Services should be reported with a valid CPT code by any one of:
• A participating hospital 
• A registered dietician in the provider office setting (report the AE modifier to indicate registered dietician performed this service)
• A health department, directly
  

Nutritional counseling benefit, self-funded plans

Nutritional counseling may be reimbursed, depending on the employer plan benefits.

Nutritional counseling benefit, PriorityMedicare plans

• Covered for individuals who are diabetic or have been diagnosed with renal failure
• Not covered for maintenance dialysis
• Not covered for other conditions

More information
Go to the CMS nutrition therapy Web page



Contact the Provider Help Line for specific member benefits.