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Kaiser Permanente MNT coverage: limits and referrals

The short answerKaiser Permanente runs its own nutrition services, so an outside dietitian is paid only with an approved KP referral or authorization. In Northern California, prior authorization is a condition of payment; in Washington, nutritional counseling is authorized up to 6 visits per 12 months. KP doesn't publish MNT codes or diagnosis rules for outside providers.

1 row: Kaiser Permanente. Public policy, not the member's benefits.

Kaiser Permanente

HMO (integrated system) · CA, CO, WA

97802Not published
97803Not published
G0270Not published
G0271Not published
DiagnosesNot published: call the payer.
Telehealth POSNot published: call the payer.
Telehealth modifierNot published: call the payer.
Visit limitsWashington: nutritional counseling is authorized up to 6 visits per 12 months; request it within 14 days of the start. [1]
Referral and prior authAn outside dietitian is paid only with an approved KP referral or authorization. Northern California HMO: prior authorization is a condition of payment for non-emergency outpatient services. [2]
AlsoColorado: in-house adult and pediatric weight management and nutrition services; one visit per referral unless the referral says otherwise. [3]
  1. Kaiser Permanente Washington: Provider Manual 2026 (PDF), checked September 28, 2026
  2. Kaiser Permanente: 2026 Northern California HMO Provider Manual (PDF), checked September 28, 2026
  3. Kaiser Permanente Colorado: Affiliated Provider Manual 2026, Section 4 Utilization Management (PDF), checked September 28, 2026

Check a Kaiser Permanente claim against the row

Before a Kaiser Permanente 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 Kaiser Permanente with another payer, then download the PDF of what you see. More on the Kaiser Permanente coverage guide.

Sources

  1. Kaiser Permanente Washington: Provider Manual 2026 (PDF)
  2. Kaiser Permanente: 2026 Northern California HMO Provider Manual (PDF)
  3. Kaiser Permanente Colorado: Affiliated Provider Manual 2026, Section 4 Utilization Management (PDF)

Sources checked . Payer rules change; verify the member's benefits.

Frequently asked questions

Does Kaiser Permanente limit MNT visits?

Washington: nutritional counseling is authorized up to 6 visits per 12 months; request it within 14 days of the start.

Does Kaiser Permanente need a referral or prior authorization for MNT?

An outside dietitian is paid only with an approved KP referral or authorization. Northern California HMO: prior authorization is a condition of payment for non-emergency outpatient services.

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