Free tools

Georgia Medicaid MNT coverage: codes, limits and referrals

The short answerGeorgia Medicaid pays licensed dietitians for nutrition services through Children's Intervention Services, for members from birth to 21 with a physical disability or developmental delay and a letter of medical necessity from their primary care provider. Bill 97802 with modifier HA once a year and 97803 with HA and TS up to 12 visits a year. We found no adult dietitian MNT benefit.

1 row: Medicaid (by state) · Georgia. Public policy, not the member's benefits.

Georgia Medicaid

Children's Intervention Services · Georgia

97802Listed (with modifier HA) [1]
97803Listed (with modifiers HA and TS) [1]
G0270Not published
G0271Not published
Where it appliesChildren's Intervention Services: members from birth to 21 with a physical disability or developmental delay. No dietitian MNT benefit for adults was found in the current manuals. [1]
DiagnosesNot published: call the payer.
Other codes97804 with modifier HA. [1]
Telehealth POSNot published: call the payer.
Telehealth modifierNot published: call the payer.
Visit limits97802-HA: 1 visit a year; 97803-HA-TS: 12 visits a year; 97804-HA: 12 visits a year. [1]
Referral and prior authA PCP letter of medical necessity or a PCP-approved plan of care, and the PCP's NPI on every claim. Prior authorization past 8 units per month per specialty; not needed for evaluations. [1]
Who can billA Georgia-licensed dietitian enrolled as an individual provider. [1]
PaymentMaximum allowable: 97802 $28.09; 97803 $23.94; 97804 $13.00. [1]
  1. Georgia DCH: Part II Policies and Procedures for Children's Intervention Services (CIS), July 1, 2026 (PDF), checked September 28, 2026

Check a Medicaid claim against the row

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

Sources

  1. Georgia DCH: Part II Policies and Procedures for Children's Intervention Services (CIS), July 1, 2026 (PDF)

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

Frequently asked questions

Does Georgia Medicaid cover 97802 and 97803 for a dietitian?

Yes, its public policy lists both. 97802 and 97803 are listed. G0270 and G0271 are not published. The member's plan still decides coverage, visits and cost sharing, so verify benefits before the first visit.

Does Georgia Medicaid limit MNT visits?

97802-HA: 1 visit a year; 97803-HA-TS: 12 visits a year; 97804-HA: 12 visits a year.

Does Georgia Medicaid need a referral or prior authorization for MNT?

A PCP letter of medical necessity or a PCP-approved plan of care, and the PCP's NPI on every claim. Prior authorization past 8 units per month per specialty; not needed for evaluations.

Part of Free tools & cheat sheets.