2025 HCPCS code G0271
(Active) Effective Date: N/A Revision Date: N/A Professional Services - Medical Nutrition Therapy Miscellaneous Diagnostic and Therapeutic Services Feed
Medical nutrition therapy reassessment and subsequent intervention(s) following a second referral within the same year due to a change in diagnosis, medical condition, or treatment regimen (including extra time for renal disease), for groups of two or more individuals; per 30 minutes.
Modifiers may apply depending on the circumstances of service.For example, modifier 59 (distinct procedural service) might be used if the MNT service is distinct from other services provided on the same day.Modifiers for telehealth services are also applicable if the session is conducted remotely.Specific modifier usage should be confirmed by the payer's guidelines.
Medical necessity is established by the presence of a diagnosis of diabetes, renal disease, or a history of kidney transplant, and a documented change in the patient's diagnosis, medical condition, or treatment regimen that requires adjustment to the dietary plan.Referrals from physicians or other qualified healthcare professionals are required.
A registered dietitian or qualified nutrition professional reviews patient medical records, conducts nutrition screenings, develops and reviews individual dietary plans, provides dietary counseling and education, and monitors patient progress towards their goals.
- Miscellaneous Diagnostic and Therapeutic Services
- G0008-G9987 (Miscellaneous Diagnostic and Therapeutic Services)
In simple words: This code covers a dietitian or nutritionist's second visit this year to a group of two or more people with diabetes, kidney problems, or a kidney transplant. This visit happens only if there has been a change in their diagnosis, health, or treatment. The dietitian spends about 30 minutes reviewing everyone's health and dietary needs, helping them adjust their diets to feel and be healthier.This code is for each 30-minute session.
This HCPCS code encompasses a reassessment and subsequent interventions related to medical nutrition therapy (MNT).It applies to a second referral within the same year, necessitated by a change in the patient's diagnosis, medical condition, or treatment plan.The service is rendered to groups of two or more patients, and the code is reported for each 30-minute interval.Additional time may be required for patients with renal disease.The provider, a registered dietitian or qualified nutrition professional, reviews changes in the patients' medical conditions, performs nutrition screenings, and reviews individual dietary plans, reevaluating diets to enhance health and quality of life.The 30-minute session includes advice on long-term eating habits and health, and can be delivered via telehealth.
Example 1: A group of five diabetic patients attending a support group requires a second MNT reassessment due to changes in their medication regimens. The dietitian spends 45 minutes with the group, resulting in billing for G0271 (one unit for 30 minutes and potentially another unit for the extra 15 minutes, depending on payer policy)., Two patients with renal disease and a history of kidney transplants attend a follow-up MNT session after one patient has experienced a change in kidney function.The session lasts 30 minutes. One unit of G0271 is reported., Three patients, all post kidney transplant, are meeting with their registered dietitian for a follow-up group session.One patient requires an adjustment in their medication due to recent blood work results, causing the registered dietitian to meet with the three patients for a reassessment and intervention. The meeting lasts for 60 minutes, resulting in two units of G0271.
Detailed patient medical records, including diagnoses, treatment plans, and any changes affecting their dietary needs; documentation of the nutrition screening; the developed or reviewed individualized dietary plans; the date, time, and duration of the session; and the number of patients present.
** Medicare limits MNT to 3 hours of individual contact in the first year, and 2 follow-up hours in subsequent years. G0271 is for additional hours beyond these limits.The provider must be a registered dietitian or qualified nutrition professional.Payer-specific policies may vary.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Dietetics/Nutrition, Nephrology, Endocrinology, Transplant Surgery
- Place of Service:Office,Telehealth Provided in Patient’s Home, Telehealth Provided Other than in Patient’s Home