BCBS of Vermont MNT coverage: codes, limits and referrals
The short answerBlue Cross VT's combined MNT policy, effective 08/01/2026, treats MNT as medically necessary from a qualified professional within their license when documentation is met. It lists 97802, 97803, G0270 (4 units per visit) and G0271 (2 units), with no limit on sessions per plan year.
By Javier Alvarez · Updated · 1 min read
1 row: Blue Cross and Blue Shield of Vermont. Public policy, not the member's benefits.
BCBS of Vermont
Medical Policy 10.01.VT205 and Payment Policy CPP_53 · Vermont
| 97802 | Listed (limited up to 4 units per visit.) [1] |
|---|---|
| 97803 | Listed (limited up to 4 units per visit.) [1] |
| G0270 | Listed (limited up to 4 units per visit.) [1] |
| G0271 | Listed (limited up to 2 units per visit.) [1] |
| Where it applies | Medical policy effective 08/01/2026. Contract or employer plan language takes precedence. ASO groups, NEHP/ABNE members and FEP members may have different benefits. [1] |
| Diagnoses | Not published: call the payer. |
| Other codes | 97804, G0537 (1 unit per year) and S9470. [1] |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | Not published: call the payer. |
| Visit limits | Payment up to 1 hour per session regardless of time spent, and no limit on sessions per member per plan year. Units per visit: 97802, 97803 and G0270 up to 4; 97804 and G0271 up to 2; S9470 1. [1][2] |
| Referral and prior auth | Prior approval may be required, subject to the subscriber contract. [1] |
| Who can bill | Qualified healthcare professionals practicing within the scope of their license. [1] |
| Also | Documentation must show assessment, an individualized goal plan, progress notes and start and end times for each visit. Copying notes from a prior encounter is not accepted. [1] |
- Blue Cross and Blue Shield of Vermont: Medical Policy 10.01.VT205 Medical Nutrition Therapy and Nutritional Counseling (effective 08/01/2026), checked October 30, 2026
- Blue Cross and Blue Shield of Vermont: Payment Policy CPP_53 Medical Nutrition Therapy and Nutritional Counseling (effective August 01, 2026), checked October 30, 2026
Check a Blue Cross and Blue Shield of Vermont claim against the row
Before a BCBS of Vermont 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 Vermont with another payer, then download the PDF of what you see.