- Free PDF
- Cigna
- Updated October 2026
What does Cigna pay a dietitian for? The Cigna code sheet
The short answer. 97802, 97803, 97804 and S9470 as preventive when the diagnosis is a wellness code from Cigna's Code Group 1, which includes Z71.3. With an illness diagnosis the same visit is reviewed under the medical benefit. On video, Cigna asks for POS 02, not 10.
- Every rule links to its sourceThe payer's own policy, so you can check it before a claim goes out.
- Last verified October 22, 2026Every source opened that day.
- Made by a dietitian billing personBy Javier Alvarez, from filing claims for two dietitians.
By Javier Alvarez · Updated · 2 min read
| Codes | 97802, 97803, 97804, S9470; 99401 to 99404, 99411, 99412 allowed with any diagnosis |
|---|---|
| Telehealth | Modifier 95, GT or GQ, and POS 02. Cigna's system accepts POS 10 but asks providers not to bill it "until further notice". Paid at 100% of face-to-face rates when the requirements are met |
| Visit limits | No public Cigna number: plan-specific |
| Allowed amount | Your Cigna contract |
| Last verified | October 22, 2026, every source opened that day |
What does Cigna pay a dietitian for?
| Cigna (commercial) | |
|---|---|
| Codes listed | 97802, 97803, 97804, S9470; 99401 to 99404, 99411, 99412 allowed with any diagnosis |
| Diagnoses listed | A designated wellness code from Code Group 1 (includes Z71.3) for the preventive rows: adults with cardiovascular risk factors, adults and children 6 and older with obesity, and midlife women. An illness or injury diagnosis goes to the medical benefit |
| Telehealth | Modifier 95, GT or GQ, and POS 02. Cigna's system accepts POS 10 but asks providers not to bill it "until further notice". Paid at 100% of face-to-face rates when the requirements are met |
| Units | Per 15 minutes |
| Referral, prior auth | Not in A004: check the member's plan |
| Visit limits | No public Cigna number: plan-specific |
| Allowed amount | Your Cigna contract |
| Our paid-claim data | Pending |
Verified on October 22, 2026. Source: Cigna A004 Preventive Care Services, Cigna virtual care guidance. The virtual care page was last updated in August 2022; the full R31 policy sits behind Cigna's provider login. More on the Cigna page.
What is on the Cigna PDF?
The PDF holds only Cigna: its codes, diagnoses, telehealth POS and modifier, units, limits, the date we opened each policy and the link to it. The other five payers have their own sheet, so you print only the one a claim needs. See the sheet for every payer.
How many units does a visit bill?
Short answer: One unit per 15 minutes of face-to-face time, counted from 8 minutes. That is CMS's table for 15-minute timed codes, and the same midpoint rule CPT uses. A commercial contract can count units differently or cap them per visit, and the contract wins.
| Face-to-face minutes | 97802 / 97803 / G0270 units |
|---|---|
| Under 8 | 0 (not billable) |
| 8 to 22 | 1 |
| 23 to 37 | 2 |
| 38 to 52 | 3 |
| 53 to 67 | 4 |
| 68 to 82 | 5 |
Group codes (97804, G0271) are per 30 minutes. The MNT units calculator does the arithmetic for any visit length. Source: CMS Claims Processing Manual, ch. 5 Section 20.2, verified October 22, 2026.
