2025 CPT code 97803
(Active) Effective Date: N/A Medicine - Medical Nutrition Therapy Procedures Feed
Re-assessment and intervention for medical nutrition therapy, provided face-to-face with an individual patient, for each 15 minutes.
Modifiers may be applicable in certain situations.For example, modifier 33 may be used for preventive services and telehealth modifiers (such as 95 or GT) may apply when appropriate.
Medical necessity must be established for the reassessment and intervention.This may include documentation of the patient's medical condition, the need for ongoing dietary management, and the expected benefit of the intervention.
The qualified nutrition professional (e.g., registered dietitian) is responsible for reassessing the patient's condition, conducting a nutrition screen, reviewing and modifying the dietary plan, and providing guidance on long-term eating habits.
In simple words: This code covers a 15-minute follow-up visit with a nutritionist to check on your diet and make any needed changes to your eating plan to help manage your medical condition.
This code represents a 15-minute session where a qualified nutrition professional reassesses a patient's dietary needs and provides specific diet therapy to treat medical conditions and related symptoms.It involves reviewing the patient's medical condition, performing a nutrition screen, and adjusting the dietary plan as needed to improve the patient's health and quality of life.This code is used for subsequent visits after the initial assessment.
Example 1: A patient with type 2 diabetes has a follow-up appointment with a registered dietitian to review their blood sugar logs, adjust their meal plan based on recent changes in their medication, and provide education on carbohydrate counting., A patient with chronic kidney disease sees a renal dietitian for a follow-up visit to discuss their lab results, adjust their diet to manage their electrolyte levels, and provide guidance on fluid intake., A patient recovering from surgery meets with a nutritionist to assess their nutritional status, adjust their diet to promote healing, and address any dietary concerns related to their recovery.
Documentation should include the patient's medical history, current dietary intake, nutrition screen results, the revised dietary plan, patient education provided, and the total time spent with the patient.
** This information is current as of December 1, 2024.Always verify coding and reimbursement guidelines with the specific payer.
- Revenue Code: P6C - MINOR PROCEDURES - OTHER (MEDICARE FEE SCHEDULE)
- Payment Status: Active
- Specialties:Registered Dietitians, Nutritionists, Nephrology, Endocrinology, Oncology, Gastroenterology, Primary Care
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital, Nursing Facility, Home, Telehealth Provided in Patient’s Home, Telehealth Provided Other than in Patient’s Home