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| Section: | Visits |
| Number: | V-44 |
| Topic: | Medical Nutrition Management Services (MNT) |
| Effective Date: | September 10, 2007 |
| Issued Date: | September 10, 2007 |
| Date Last Reviewed: | 03/2007 |
Indications and Limitations of Coverage
When reported separately, charges for medical nutrition therapy (97802, 97803, 97804, G0270, G0271) should be combined with and processed under the appropriate medical visit procedure codes. If MNT is the only service performed, it will be reimbursed in accordance with the member's medical care benefits.
See Medical Policy Bulletin G-24 for information on the treatment of obesity. See Medical Policy Bulletin E-15 for information on Diabetic Services and Supplies.
Description Medical Nutrition Therapy (MNT) is an important part of prevention and treatment of many diseases and conditions. MNT is the assessment of the patient’s nutritional status followed by therapy. The overall goal of MNT is to assist the patient in making changes in his/her nutrition and exercise habits leading to improved health through optimal nutrition. MNT may be performed as an outpatient service in a professional provider's office, in an outpatient facility or in the patient's home. A MNT assessment may include the review and analysis of the following:
Medical Nutrition Therapy (MNT) can include the following:
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| 97802 | 97803 | 97804 | G0270 | G0271 |
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This medical policy may not apply to FEP. Medical policy is not an authorization, certification, explanation of benefits, or a contract. Benefits are determined by the Federal Employee Program. |
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American Dietetic Association: disorders of lipid metabolism: evidence-based nutrition practice guidelines, American Dietetic Association, 08/2005 American Dietetic Association: chronic kidney disease (non-dialysis) medical nutrition therapy protocol, American Dietetic Association, 05/2002 Position of the American Dietetic Association and Dietitians of Canada: nutrition intervention in the care of persons with human immunodeficiency virus infection, Journal of the American Dietetic Association, Vol. 104, No. 9, 09/2004 Advocacy for coverage of nutrition services, Journal of the American Dietetic Association, Vol. 105, No.5, 05/2005 Nutritional assessment and counseling for prevention and treatment of cardiovascular disease, American Family Physician, Vol. 73, No. 2, 01/2006 Effectiveness of medical nutrition therapy: importance of documenting and monitoring nutrition outcomes, Journal of the American Dietetic Association, Vol. 106, No. 9, 12/2004 Position of the American Dietetic Association: nutrition intervention in the treatment of anorexia nervosa, bulimia nervosa, and other eating disorders, Journal of the American Dietetic Association, Vol. 106, Number 12, 12/2006 American Dietetic Association: standards of practice in nutrition care and updated standards of professional performance, Journal of the American Dietetic Association, Vol. 105, No. 4, 04/2005 Impact of gestational diabetes mellitus nutrition practice guidelines implemented by registered dietitians on pregnancy outcomes, Journal of the American Dietetic Association, Vol. 106, No. 9, 09/2006 Position paper of the American Dietetic Association: nutrition across the spectrum of aging, Journal of the American Dietetic Association, Vol. 105, No. 4, 04/2005 Position of the American Dietetic Association and Dietitians of |
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This policy is designed to address medical guidelines that are appropriate for the majority of individuals with a particular disease, illness, or condition. Each person's unique clinical circumstances may warrant individual consideration, based on review of applicable medical records.
Medical policies are designed to supplement the terms of a member's contract. The member's contract defines the benefits available; therefore, medical policies should not be construed as overriding specific contract language. In the event of conflict, the contract shall govern.
Medical policies do not constitute medical advice, nor the practice of medicine. Rather, such policies are intended only to establish general guidelines for coverage and reimbursement under Mountain State Blue Cross Blue Shield plans. Application of a medical policy to determine coverage in an individual instance is not intended and shall not be construed to supercede the professional judgment of a treating provider. In all situations, the treating provider must use his/her professional judgment to provide care he/she believes to be in the best interest of the patient, and the provider and patient remain responsible for all treatment decisions.
Mountain State Blue Cross Blue Shield (MSBCBS) retains the right to review and update its medical policy guidelines at its sole discretion. These guidelines are the proprietary information of MSBCBS. Any sale, copying or dissemination of the medical policies is prohibited; however, limited copying of medical policies is permitted for individual use.
