Kaiser Permanente MNT coverage: limits and referrals
1 row: Kaiser Permanente. Public policy, not the member's benefits.
Kaiser Permanente
HMO (integrated system) · CA, CO, WA
| 97802 | Not published |
|---|---|
| 97803 | Not published |
| G0270 | Not published |
| G0271 | Not published |
| Diagnoses | Not published: call the payer. |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | Not published: call the payer. |
| Visit limits | Washington: nutritional counseling is authorized up to 6 visits per 12 months; request it within 14 days of the start. [1] |
| Referral and prior auth | 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. [2] |
| Also | Colorado: in-house adult and pediatric weight management and nutrition services; one visit per referral unless the referral says otherwise. [3] |
- Kaiser Permanente Washington: Provider Manual 2026 (PDF), checked September 28, 2026
- Kaiser Permanente: 2026 Northern California HMO Provider Manual (PDF), checked September 28, 2026
- 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.