Louisiana Blue MNT coverage: codes and limits
1 row: Blue Cross and Blue Shield of Louisiana. Public policy, not the member's benefits.
Louisiana Blue
Professional Provider Office Manual, section 5.12 Dietitian · Louisiana
| 97802 | Listed (each 15 minutes.) [1] |
|---|---|
| 97803 | Listed (each 15 minutes.) [1] |
| G0270 | Listed (each 15 minutes.) [1] |
| G0271 | Listed (each 30 minutes.) [1] |
| Where it applies | Professional Provider Office Manual January 2025, section 5.12. The billing guidelines are not an indication that services are necessarily covered. Coverage depends on the member's benefits. [1] |
| Diagnoses | Counseling for diabetes billed with diabetes diagnosis codes falls under the member's diabetes education and training benefit, not the nutritional counseling maximum. [1] |
| Other codes | 97804 (each 30 minutes), G0108 and G0109 (each 30 minutes), S9470 and S9452 (per session). [1] |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | Not published: call the payer. |
| Visit limits | Nutritional counseling for conditions other than diabetes has no visit limitation, but a maximum benefit limitation per benefit period may apply. It does not apply to all Louisiana Blue policies. [1] |
| Referral and prior auth | Not published: call the payer. |
| Who can bill | Services rendered by a registered dietitian. Outpatient services go on a CMS-1500 and are payable to the dietitian. [1] |
| Also | Claims are filed under the appropriate CPT or HCPCS code as a single line item. The service units field indicates the number of sessions within the dates of service on the claim. [1] |
Check a Blue Cross and Blue Shield of Louisiana claim against the row
Before a Louisiana Blue 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 Blue Cross and Blue Shield of Louisiana with another payer, then download the PDF of what you see.