GEHA (FEHB) MNT coverage: referrals and who can bill
The short answerGEHA covers nutritional counseling from a dietitian with a state license or statutory certification when a physician orders it. In-network it pays up to the Plan allowance with no deductible on High and Standard. No CPT or HCPCS codes are named. Obesity counseling needs a BMI of 30 or more.
By Javier Alvarez · Updated · 1 min read
1 row: GEHA. Public policy, not the member's benefits.
GEHA (FEHB)
GEHA Benefit Plan: High, Standard and High Deductible options, 2026 (RI 71-006, 71-014) · All states
| 97802 | Not published |
|---|---|
| 97803 | Not published |
| G0270 | Not published |
| G0271 | Not published |
| Where it applies | 2026 FEHB brochures for the GEHA Benefit Plan: High and Standard Option (RI 71-006) and the High Deductible Health Plan option (RI 71-014). [1][2] |
| Diagnoses | Intensive nutrition and behavioral weight-loss counseling therapy is covered when your physician orders it for obesity (BMI of 30 kg/m2 or more). Weight loss programs are not covered except as specified in the brochure. [1][2] |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | Not published: call the payer. |
| Visit limits | Not published: call the payer. |
| Referral and prior auth | Nutritional counseling must be ordered by a physician. [1][2] |
| Who can bill | Nutritional counseling must be provided by a dietitian with a state license or statutory certification. [1][2] |
| Payment | High and Standard Option: in-network nothing up to the Plan allowance with no deductible; out-of-network 50% of the Plan allowance plus any difference from the billed amount. HDHP: in-network nothing up to the Plan allowance; out-of-network 35% plus any difference. [1][2] |
| Also | Diabetes self-management is a separate covered benefit that includes services by registered dietitians. [1] |
- OPM: 2026 G.E.H.A Benefit Plan brochure, High and Standard Option (RI 71-006), checked October 30, 2026
- OPM: 2026 G.E.H.A Benefit Plan brochure, High Deductible Health Plan (RI 71-014), checked October 30, 2026
Check a GEHA claim against the row
Before a GEHA (FEHB) 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 GEHA with another payer, then download the PDF of what you see.