FEP Blue (Service Benefit Plan) MNT coverage: limits and who can bill
The short answerThe Blue Cross and Blue Shield Service Benefit Plan lists nutritional counseling as adult and child preventive care, and obesity-related nutritional counseling is unlimited, with nothing owed at Preferred providers. During a covered hospital stay it is paid as an inpatient professional service. No CPT or HCPCS codes are named.
By Javier Alvarez · Updated · 1 min read
1 row: Blue Cross and Blue Shield Federal Employee Program. Public policy, not the member's benefits.
FEP Blue (Service Benefit Plan)
FEHB Standard and Basic Options, 2026 brochure (RI 71-005) · All states
| 97802 | Not published |
|---|---|
| 97803 | Not published |
| G0270 | Not published |
| G0271 | Not published |
| Where it applies | 2026 brochure for the FEP Blue Standard and FEP Blue Basic Options, a Preferred Provider Organization. Basic Option pays only for Preferred providers, with limited exceptions. [1] |
| Diagnoses | Not published: call the payer. |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | Not published: call the payer. |
| Telehealth rules | Nutritional counseling is available through the contracted telehealth provider network by phone (855-636-1579) or secure video and messaging at fepblue.org/telehealth, and benefits are paid as for Preferred providers. Other telemedicine for preventive services is not covered. [1] |
| Visit limits | Under preventive care, obesity counseling and referral to intensive nutrition and behavioral weight-loss therapy is covered with unlimited nutritional counseling for adults and for children up to age 22. [1] |
| Referral and prior auth | Not published: call the payer. |
| Who can bill | The brochure says nutritional counseling is covered when billed by a covered provider. It does not name dietitians. The Local Plan decides a provider's licensing status and scope of practice. [1] |
| Payment | During a covered hospital stay, nutritional counseling billed by a covered provider is an inpatient professional service: Standard Option Preferred 15% of the Plan allowance after the deductible, Participating 35%; Basic Option Preferred nothing, Participating and non-participating you pay all charges. As adult and child preventive care, Preferred providers are paid with nothing owed and no deductible. [1] |
| Also | Nutritional counseling that is not part of a diabetic education program is covered as described above; diabetic education is a separate benefit. [1] |
- Blue Cross and Blue Shield Service Benefit Plan: 2026 brochure, Standard and Basic Options (RI 71-005), checked October 30, 2026
Check a Blue Cross and Blue Shield Federal Employee Program claim against the row
Before a FEP Blue (Service Benefit Plan) 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 Federal Employee Program with another payer, then download the PDF of what you see.