MassHealth (Massachusetts Medicaid) MNT coverage: codes and telehealth
1 row: Medicaid (by state) · Massachusetts. Public policy, not the member's benefits.
MassHealth (Massachusetts Medicaid)
MassHealth · Massachusetts
| 97802 | Listed [1][2] |
|---|---|
| 97803 | Listed [1][2] |
| G0270 | Listed [1][2] |
| G0271 | Listed [1][2] |
| Diagnoses | Nutritional diagnostic therapy and counseling to manage a medical condition; no diagnosis list in the regulation. [1] |
| Other codes | 97804; DSMT G0108 and G0109 for prediabetes or diabetes. [1][2] |
| Telehealth POS | POS 02 or 10. [3] |
| Telehealth modifier | 95, 93 or GQ. [3] |
| Visit limits | Not published: call the payer. |
| Referral and prior auth | Not published: call the payer. |
| Who can bill | Community health centers, physicians, hospital outpatient departments, and independently enrolled nurse practitioners and nurse-midwives. No MassHealth provider type for independent dietitian billing was found. [1][2] |
- Massachusetts: 130 CMR 405.000 Community Health Center Services, incl. 405.475 Medical Nutrition Therapy (PDF), checked September 28, 2026
- MassHealth: Physician Bulletin 86, Medical Nutrition Therapy and Diabetes Self-Management Training (July 2007), checked September 28, 2026
- MassHealth: All Provider Bulletin 379, telehealth (Oct 2023), checked September 28, 2026
Check a Medicaid claim against the row
Before a MassHealth (Massachusetts 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 MassHealth (Massachusetts Medicaid) coverage guide.