CHAMPVA MNT coverage: codes and limits
1 row: CHAMPVA. Public policy, not the member's benefits.
CHAMPVA
CHAMPVA Operational Policy Manual, Chapter 2 (Department of Veterans Affairs) · All states
| 97802 | Not named (our reading: the manual sections we read name no MNT code) [1] |
|---|---|
| 97803 | Not named (our reading: the manual sections we read name no MNT code) [1] |
| G0270 | Not named (our reading: the manual sections we read name no MNT code) [1] |
| G0271 | Not named (our reading: the manual sections we read name no MNT code) [1] |
| Where it applies | The CHAMPVA Operational Policy Manual sets the benefit. The preventive services section is Chapter 2, Section 23.1 (Transmittal 153, 06/12/2025). [1] |
| Diagnoses | Diabetes self-management training is covered when the attending physician certifies a plan of care. Initial training is up to ten one-hour sessions in a continuous 12-month period, then up to two one-hour sessions a year. Initial hours can be used for specific areas such as nutrition. [2] |
| Other codes | G0108 and G0109 for outpatient diabetes self-management training. The manual says providers should bill these two codes. [2] |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | Not published: call the payer. |
| Visit limits | Preventive services exclusion: counseling services for dietary assessment and nutrition. In primary care, patients with a BMI of 25 or above typically receive nutritional and physical activity counseling as part of the visit, integrated at no additional charge. [1] |
| Referral and prior auth | Not published: call the payer. |
| Who can bill | DSMT must be provided by an authorized individual professional provider who also meets the ADA-recognized National Standards for Diabetes Self-Management Education, or by a provider Medicare certified for outpatient DSMT. [2] |
| Also | Nutrition Therapies (Section 30.4) cover enteral, parenteral and oral nutritional therapy and products, not counseling. Outpatient ketogenic diet nutritional counseling is excluded except as part of a medically necessary epilepsy admission. [3] |
- VA: CHAMPVA Operational Policy Manual, Chapter 2, Section 23.1, Preventive Services (Transmittal 153, 06/12/2025), checked October 30, 2026
- VA: CHAMPVA Operational Policy Manual, Chapter 2, Section 9.2, Outpatient Diabetes Self-Management Training (Transmittal 135, 12/02/2013), checked October 30, 2026
- VA: CHAMPVA Operational Policy Manual, Chapter 2, Section 30.4, Nutrition Therapies (Transmittal 129, 12/23/2011), checked October 30, 2026
Check a CHAMPVA claim against the row
Before a CHAMPVA 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 CHAMPVA with another payer, then download the PDF of what you see.