2025 CPT code 97804
Effective Date: N/A Medicine - Medical Nutrition Therapy Procedures Feed
Medical nutrition therapy provided to a group of two or more individuals, with each session lasting 30 minutes.
Modifiers may be applicable to this code depending on the specific circumstances of the service. Consult modifier guidelines for appropriate usage.
Medical necessity for MNT must be established by documenting the medical condition being treated and how the therapy is expected to improve the patient's health or manage the condition. Payer-specific guidelines for medical necessity should be consulted.
The qualified healthcare professional, typically a registered dietitian, is responsible for assessing the patients' medical conditions, conducting nutrition screenings, developing and implementing dietary plans, and educating the group about healthy eating habits.They work with the patients to establish and achieve their nutritional goals.
In simple words: This code covers a 30-minute group session with a dietitian or nutritionist to help manage health conditions through a tailored diet plan.The dietitian assesses each person's health, screens their current nutrition, and creates a diet plan to improve their well-being. They also provide advice on healthy long-term eating habits.
This code represents medical nutrition therapy (MNT) provided by a qualified healthcare professional, typically a registered dietitian, to a group of two or more individuals. The therapy involves assessment of the patients' medical conditions, nutrition screening, and the development of a specific dietary plan tailored to their needs.The aim is to improve the patients' health and quality of life by addressing their nutritional needs and promoting long-term healthy eating habits.This code is reported for each 30-minute session with the group.
Example 1: A registered dietitian leads a group session for patients with type 2 diabetes, providing education on carbohydrate counting, portion control, and healthy food choices., A group of patients with hypertension attend a MNT session focused on reducing sodium intake, increasing potassium intake, and following the DASH diet., Patients recovering from bariatric surgery participate in a group MNT session to learn about appropriate post-operative dietary guidelines and long-term weight management strategies.
Documentation should include the patients' medical conditions, the nutrition assessment findings, the individualized dietary plan, patient education provided, and the duration of the group session.
** This code does not include other services provided during the session, such as medical evaluation and management, which should be billed separately using appropriate E/M codes. This information is current as of December 1, 2024.
- Specialties:Registered Dietitians, Nutritionists, Endocrinologists, Primary Care Physicians, Cardiologists, Nephrologists, Gastroenterologists, Oncologists
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital, Skilled Nursing Facility, Nursing Facility,Telehealth Provided in Patient’s Home, Telehealth Provided Other than in Patient’s Home