Louisiana Medicaid MNT coverage: codes and limits
The short answerLouisiana's professional services fee schedule lists 97802, 97803 and 97804 with fees, but flags all three as crossover only, meaning payable for Medicare/Medicaid recipients only. Fees for dates of service on or after July 1, 2026: 97802 $28.99, 97803 $25.23 and 97804 $13.34 per unit. The only MNT line not marked crossover only is G0270 for recipients 0 through 15. No prior authorization flag is shown on these lines.
By Javier Alvarez · Updated · 1 min read
1 row: Medicaid (by state) · Louisiana. Public policy, not the member's benefits.
Louisiana Medicaid
Medicaid (LDH Professional Services Fee Schedule) · Louisiana
| 97802 | Limited (fee schedule marks the line crossover only (Medicare/Medicaid recipients).) [1][2] |
|---|---|
| 97803 | Limited (fee schedule marks the line crossover only (Medicare/Medicaid recipients).) [1][2] |
| G0270 | Limited (full-service line is crossover only; a second line for recipients 0 through 15 allows more than one unit per day.) [1][2] |
| G0271 | Limited (crossover only line, $13.34.) [1][2] |
| Where it applies | Louisiana Medicaid professional services fee schedule, effective for dates of service on and after July 1, 2026. [1] |
| Diagnoses | Not published: call the payer. |
| Other codes | 97804 (group) $13.34 and G0271 $13.34, both crossover only. G0270 is $25.23 on a crossover-only line and $27.16 on a line for ages 0 through 15 that is not marked crossover only. [1] |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | Not published: call the payer. |
| Visit limits | 97802 and 97803 are flagged crossover only: payable for Medicare/Medicaid recipients only. The lines show no prior authorization or medical review flag and an age range of 0 through 99. [1][2] |
| Referral and prior auth | Not published: call the payer. |
| Payment | 97802 $28.99 and 97803 $25.23 per unit (fee effective 7/1/2025, schedule for dates of service on and after 7/1/2026). Both codes also have a TOS 7 line for recipients 0 through 15 years of age at the same fee, also flagged crossover only. [1] |
Check a Medicaid claim against the row
Before a Louisiana 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.