Highmark MNT coverage: codes, telehealth and limits
The short answerHighmark pays 97802 once for a new patient, then 97803, with G0270 and G0271 also listed, when a registered dietitian or nutrition professional bills, and only one MNT code per date of service. Its public policies set no visit limit as of October 22, 2026. On video, use POS 10 for a patient at home and 02 elsewhere, paid at parity with in-person visits.
By Javier Alvarez · Updated · 1 min read
1 row: Highmark. Public policy, not the member's benefits.
Highmark
Commercial and Medicare Advantage · PA, WV, DE, NY
| 97802 | Listed (once for a new patient) [1] |
|---|---|
| 97803 | Listed [1] |
| G0270 | Listed [1] |
| G0271 | Listed [1] |
| Where it applies | Commercial and Medicare Advantage in Highmark's Pennsylvania, West Virginia, Delaware and New York markets. [1] |
| Diagnoses | The Pennsylvania policy names conditions, not codes: diabetes, lipid disorders, cardiovascular and kidney conditions, GI disorders, nutritional deficiencies and others. Obesity is covered "per the member's group or individual benefit program". [2] |
| Other codes | 97804. The Pennsylvania medical policy also lists 99402 to 99404 for preventive counseling. [1][2] |
| Telehealth POS | POS 02 outside the home, POS 10 in the home, on 1500 claims. Paid at parity with in-person visits. [3] |
| Telehealth modifier | The policy names GT, 93 or 95 for facility claims only. [3] |
| Visit limits | The policies state none as of October 22, 2026. One MNT code per date of service, and modifiers don't bypass that edit. [1][2] |
| Referral and prior auth | Not published: call the payer. |
| Who can bill | A registered dietitian or nutrition professional, or a facility with their assignment. Anyone else is denied, and the denial can't be billed to the member. [1] |
- Highmark: Reimbursement Policy RP-076, Medical Nutrition Therapy, checked October 22, 2026
- Highmark: Commercial Medical Policy V-44-017, Medical Nutrition Management Services (Pennsylvania), checked October 22, 2026
- Highmark: Reimbursement Policy RP-046, Telemedicine and Telehealth Services (version effective 09/01/2026), checked October 22, 2026
Check a Highmark claim against the row
Before a Highmark 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 Highmark with another payer, then download the PDF of what you see. More on the one-page Highmark code sheet.