Arkansas Blue Cross MNT coverage: codes
The short answerThis Arkansas Blue Cross PPO certificate covers dietary and nutritional counseling only with an eating disorder, diabetes self-management training, cleft palate management, or hospital nutritional assessment programs. Its exclusions list medical nutrition therapy among dietary services that are not otherwise covered.
By Javier Alvarez · Updated · 1 min read
1 row: Arkansas Blue Cross and Blue Shield. Public policy, not the member's benefits.
Arkansas Blue Cross
ABCBS Local Plan certificate (Managed Benefits PPO) · Arkansas
| 97802 | Not named (the certificate names no CPT codes.) [1] |
|---|---|
| 97803 | Not named (the certificate names no CPT codes.) [1] |
| G0270 | Not published |
| G0271 | Not published |
| Where it applies | One member certificate (ABCBS Local Plan, form ABCBS_Local_75293AR120_R1/26), conditioned on residence in Arkansas. Other Arkansas Blue Cross products may differ. [1] |
| Diagnoses | Covered with treatment of an eating disorder, Diabetic Self-Management Training, cleft palate management, and nutritional assessment programs provided in and by a Hospital. [1] |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | Not published: call the payer. |
| Visit limits | Not published: call the payer. |
| Referral and prior auth | Not published: call the payer. |
| Also | The certificate's exclusions say dietary and nutritional services, including medical nutrition therapy, are not covered other than for the conditions the certificate specifies (it names Medical Disorder Requiring Specialized Nutrients or Formulas). Diabetes Self-Management Training is defined to include medical nutrition therapy for diabetes. [1] |
Check an Arkansas Blue Cross and Blue Shield claim against the row
Before an Arkansas Blue Cross claim goes out, compare it with the row above: the code is one the policy lists, the place of service and modifier match for a video visit, and the units fit the limit. Change the filters to compare Arkansas Blue Cross and Blue Shield with another payer, then download the PDF of what you see.