Humana Medicare Advantage MNT coverage: codes, limits and referrals
The short answerHumana Medicare Advantage follows Original Medicare's MNT rules as its baseline: diabetes, chronic kidney disease or a kidney transplant in the last 36 months, 3 hours the first year and 2 hours each year after. We found no separate Humana MNT policy. The MNT codes are not on Humana's Medicare prior authorization list, but an HMO plan may need a Humana referral number on the claim.
By Javier Alvarez · Updated · 1 min read
1 row: Humana Medicare Advantage. Public policy, not the member's benefits.
Humana Medicare Advantage
Medicare Advantage · All states
| 97802 | Follows Medicare (our reading: no Humana MNT code list, so Original Medicare's codes apply; not on Humana's MA prior authorization list) [1][2] |
|---|---|
| 97803 | Follows Medicare (our reading: no Humana MNT code list, so Original Medicare's codes apply; not on Humana's MA prior authorization list) [1][2] |
| G0270 | Follows Medicare (our reading: no Humana MNT code list, so Original Medicare's codes apply; not on Humana's MA prior authorization list) [3][1] |
| G0271 | Follows Medicare (our reading: no Humana MNT code list, so Original Medicare's codes apply; not on Humana's MA prior authorization list) [3][1] |
| Diagnoses | Diabetes, chronic kidney disease or a kidney transplant in the last 36 months (the Original Medicare baseline, NCD 180.1). [2][3] |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | Not published: call the payer. |
| Visit limits | 3 hours the first year, 2 hours each year after; more with a new referral (G0270, G0271). [3][2] |
| Referral and prior auth | Medicare's physician referral for MNT applies. HMO plans may require a Humana referral number on the claim (Box 23 or loop 2300 REF02); Humana doesn't require one on PPO plans. 97802 to 97804, G0270 and G0271 are not on the MA prior authorization list (eff. 07/01/2026). [4][1] |
| Payment | Humana's Medicare member page says Medicare may cover MNT at 100%, with no deductible or copay, for members who qualify. [3] |
| Medicare rules | Timely filing for Medicare lines: 1 year from the date of service (Humana 2026 provider manual). We found no separate Humana MNT policy. [4] |
- Humana: Medicare Advantage and D-SNP prior authorization and notification list, eff. 07/01/2026 (PDF), checked September 28, 2026
- CMS: NCD 180.1 Medical Nutrition Therapy (effective 01/01/2022), checked October 30, 2026
- Humana: Medical nutrition therapy (Medicare member page), checked September 28, 2026
- Humana: 2026 Provider Manual for physicians, hospitals and healthcare providers (PDF), checked September 28, 2026
Check a Humana Medicare Advantage claim against the row
Before a Humana Medicare Advantage 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 Humana Medicare Advantage with another payer, then download the PDF of what you see. More on the Humana Medicare Advantage coverage guide.