If we haven't answered your question already give us a call at (301) 547-0569
Insurance coverage of Nutrition Counseling varies greatly from payer to payer (and even among the different plans within the same payer). We encourage you to contact your insurance company directly to determine whether your visit will be covered, if there will be a co-pay, co-insurance, or deductible applied. In addition, please note the number of visits they advise are approved and when they expire. It is the patient's responsibility to track use of the authorized number of visits to avoid full financial responsibility of the visit.
When contacting your insurance, they may ask you for the CPT code. For consultations (new patients), please provide code 97802. Follow-up visits are billed using code 97803.
At the time of your visit, you will be requested to sign a waiver acknowledging that you will be financially responsible for the cost of your appointment in the case it is denied by insurance.
If you have a secondary insurance to which you would like us to submit a claim, please bring a copy of that card with you to your first appointment and notify the staff.
Please note: for patients with Medicare Part B, consultations and follow-up nutrition visits are only covered with the diagnosis of either diabetes (not pre-diabetes) or chronic kidney disease (any stage). Either of these diagnoses must be present on the physician referral and/or progress notes uploaded at the end of this form. If neither of these diagnoses apply, you will be asked to sign an ABN at the time of your appointment.