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2025 HCPCS code G0270

Medical nutrition therapy reassessment and subsequent interventions following a second referral within the same year due to changes in diagnosis, medical condition, or treatment regimen; individual, face-to-face, per 15 minutes.

Follow payer-specific guidelines for MNT services.Ensure documentation supports medical necessity and the time spent with the patient.This code should not be used for initial assessments.

Modifiers may apply depending on the circumstances of service.Consult payer guidelines for specific modifier requirements.

Medical necessity is established when a patient's diagnosis, medical condition, or treatment regimen changes, necessitating a reassessment and modification of their dietary plan by a qualified nutrition professional.This should be documented in the patient's records.

Registered dietitian or qualified nutrition professional reviews patient's medical condition, performs a nutrition screen, reviews the dietary plan, and adjusts the diet to improve health and quality of life.They spend 15 minutes with the patient providing counseling on long-term dietary habits.

IMPORTANT:G0271 (group MNT reassessment); CPT codes 97802-97804 (initial and subsequent MNT assessments)

In simple words: This code covers a registered dietitian's follow-up appointment to adjust a patient's meal plan.This is needed if the patient's health issues or treatment changes, requiring a new plan. The dietitian spends 15 minutes with the patient, and the code is billed for each 15 minutes of service.

This HCPCS code, G0270, represents medical nutrition therapy (MNT) that involves a reassessment and subsequent interventions.This applies to situations where a second referral occurs within the same year and there's been a change in the patient's diagnosis, medical condition, or treatment plan. The service is provided individually, face-to-face with the patient, and is billed in 15-minute increments.Additional time may be necessary for patients with renal disease.The provider, typically a registered dietitian or qualified nutrition professional, reviews the patient's medical condition, performs a nutrition screen, reviews the dietary plan, and makes adjustments to improve the patient's health and quality of life.The service includes counseling on long-term dietary habits.

Example 1: A patient with type 2 diabetes mellitus experiences a change in medication, requiring adjustments to their carbohydrate intake. A registered dietitian performs a reassessment and adjusts the meal plan, billing G0270 for each 15-minute interval., A patient post-kidney transplant experiences elevated potassium levels.A registered dietitian meets with the patient to modify their potassium-rich food intake and provide education on appropriate meal choices, billing G0270 for the time spent., A patient with chronic kidney disease begins dialysis. The dietitian conducts a reassessment, adapting the meal plan to accommodate dietary restrictions associated with dialysis, using G0270 for each 15-minute session.

Patient's medical records including diagnosis, treatment plan, and lab results; dietitian's notes documenting the reassessment, interventions, and time spent with the patient; referral information.

** This code is for reassessments only.Separate codes exist for initial assessments and group sessions.Maximum allowed time for MNT within a year may be limited by some payers. Always refer to payer specific guidelines for coverage and reimbursement.

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