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Blue KC MNT coverage: limits

The short answerBlue KC announced that nutritional counseling is available to its large group health plans from Jan. 1, 2024, for members with any medical diagnosis. Regular cost share applies and fully insured groups have no visit limit. It does not name CPT codes.

1 row: Blue KC. Public policy, not the member's benefits.

Blue KC

Large group nutritional counseling benefit · MO, KS

97802Not published
97803Not published
G0270Not published
G0271Not published
Where it appliesLarge group health plans, starting January 1, 2024 (announcement dated Dec 19, 2023). [1]
DiagnosesAvailable to members with any medical diagnosis. [1]
Telehealth POSNot published: call the payer.
Telehealth modifierNot published: call the payer.
Visit limitsFor fully insured group members there is no limit to the number of nutritional counseling visits in a year. [1]
Referral and prior authNot published: call the payer.
PaymentThe member's regular cost share applies, typically deductible and coinsurance. [1]
  1. Blue KC: The Blueprint, Blue KC adds nutritional counseling benefit for large groups (Dec 19, 2023), checked October 30, 2026

Check a Blue KC claim against the row

Before a Blue KC 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 KC with another payer, then download the PDF of what you see.

Sources

  1. Blue KC: The Blueprint, Blue KC adds nutritional counseling benefit for large groups (Dec 19, 2023)

Sources checked . Payer rules change; verify the member's benefits.

Frequently asked questions

Does Blue KC limit MNT visits?

For fully insured group members there is no limit to the number of nutritional counseling visits in a year.

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