Blue Cross NC MNT coverage: codes and telehealth
The short answerBlue Cross NC pays medical nutrition therapy only when a registered dietitian, nutrition professional or hospital bills it. Its commercial telehealth policy lists 97802, 97803, 97804, G0270 and G0271 for telehealth with POS 02 or 10. No separate commercial MNT medical policy with visit limits was found.
By Javier Alvarez · Updated · 1 min read
1 row: Blue Cross and Blue Shield of North Carolina. Public policy, not the member's benefits.
Blue Cross NC
Commercial reimbursement policies (Bundling Guidelines, Telehealth) and preventive coding guide · North Carolina
| 97802 | Listed (named on the commercial telehealth code list and in the preventive services coding guide.) [1][2] |
|---|---|
| 97803 | Listed (named on the commercial telehealth code list and in the preventive services coding guide.) [1][2] |
| G0270 | Listed (named on the commercial telehealth code list and in the preventive services coding guide.) [1][2] |
| G0271 | Listed (named on the commercial telehealth code list and in the preventive services coding guide.) [1][2] |
| Where it applies | Commercial lines. The Bundling Guidelines (last review 06/2025) and Telehealth policy (last review 09/2025) are Blue Cross NC Commercial Reimbursement Policies. The coding guide covers non-grandfathered health plans. [3][1][2] |
| Diagnoses | In the preventive coding guide, the diet and physical activity counseling row for adults with cardiovascular risk factors lists 97802, 97803, 97804, S9452, S9470, G0270, G0271 and diagnosis Z71.3. The guide says 99402 to 99404 are used in the absence of a wellness visit. [2] |
| Other codes | 97804 (group MNT) is on the same telehealth list. S9470 appears in the preventive coding guide rows. [1][2] |
| Telehealth POS | Telehealth services must be reported with POS 02 (not in the patient's home) or POS 10 (in the patient's home). [1] |
| Telehealth modifier | Modifier 95 identifies synchronous audio and video telemedicine. Audio only telehealth, shown by modifier FQ or 93, receives 75% of the allowed reimbursement. Asynchronous services or modifier GQ are not reimbursable. [1] |
| Telehealth rules | The telehealth code list includes 97802, 97803, 97804, G0270 and G0271. Providers must be eligible to independently perform and bill the equivalent face to face service. Facilities are not eligible for telehealth reimbursement. [1] |
| Visit limits | Not published: call the payer. |
| Referral and prior auth | Not published: call the payer. |
| Who can bill | MNT is not reimbursable when billed by a provider other than a registered dietician, nutritional professional or hospital. Other specialty providers doing MNT are not eligible. [3] |
| Also | MNT is not eligible for separate reimbursement when dialysis services are reimbursed in the same month. [3] |
- Blue Cross NC: Telehealth, Commercial Reimbursement Policy (last review 09/2025), checked October 30, 2026
- Blue Cross NC: Health Care Reform Preventive Services Coding Guide, checked October 30, 2026
- Blue Cross NC: Bundling Guidelines, Commercial Reimbursement Policy (last review 06/2025), checked October 30, 2026
Check a Blue Cross and Blue Shield of North Carolina claim against the row
Before a Blue Cross NC 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 North Carolina with another payer, then download the PDF of what you see.