Medica MNT coverage: codes and referrals
The short answerMedica generally covers nutritional counseling when a physician directs it and a registered dietitian provides it. No prior authorization, but claims can be reviewed afterward. The policy lists 97802, 97803, G0270 and G0271 for information only.
By Javier Alvarez · Updated · 1 min read
1 row: Medica. Public policy, not the member's benefits.
Medica
Nutritional Counseling coverage policy · MN, WI, IA, NE, ND, SD
| 97802 | Listed (listed for information only; inclusion does not imply coverage.) [1] |
|---|---|
| 97803 | Listed (listed for information only; inclusion does not imply coverage.) [1] |
| G0270 | Listed (listed for information only; inclusion does not imply coverage.) [1] |
| G0271 | Listed (listed for information only; inclusion does not imply coverage.) [1] |
| Where it applies | Policy effective 05/01/2026. It applies to Medicare, Medicaid and other government programs unless those programs require different coverage. Plan documents control. [1] |
| Diagnoses | Not published: call the payer. |
| Other codes | Also listed: 97804, 98960 to 98962, 99078, G0108, G0109, G0447, S9455, S9460, S9465 and S9470. [1] |
| 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 directed by a physician. Prior authorization is not required, but services may be reviewed retrospectively and denied if criteria are not met. [1] |
| Who can bill | Services must be provided with a registered dietitian. [1] |
- Medica: Nutritional Counseling coverage policy (effective 05/01/2026), checked October 30, 2026
Check a Medica claim against the row
Before a Medica 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 Medica with another payer, then download the PDF of what you see.