NC Medicaid MNT coverage: codes, telehealth and limits
The short answerNC Medicaid covers 97802 and 97803 for members under 21 with a qualifying condition and for pregnant or postpartum women whose pregnancy is affected by a nutrition-related condition. Licensed or registered dietitians can bill with their own NPI. No prior approval is needed, but an order or referral is, and units are capped per 270 and 365 days.
By Javier Alvarez · Updated · 1 min read
1 row: Medicaid (by state) · North Carolina. Public policy, not the member's benefits.
NC Medicaid
Medicaid (Clinical Coverage Policy 1-I) · North Carolina
| 97802 | Listed [1] |
|---|---|
| 97803 | Listed [1] |
| G0270 | Not published |
| G0271 | Not published |
| Where it applies | Members under 21 with a qualifying condition; pregnant and postpartum women who meet the criteria. [1] |
| Diagnoses | Not published: call the payer. |
| Telehealth POS | The usual place of service. [1] |
| Telehealth modifier | GT for audio and video. Both codes are telehealth-eligible. [1] |
| Visit limits | 97802: 4 units per date of service and 4 units per 270 days. 97803: 4 units per date of service and 20 units per 365 days. Both across all providers. [1] |
| Referral and prior auth | No prior approval. An order or referral from the primary or specialty care provider is required. [1] |
| Who can bill | An NC-licensed dietitian/nutritionist or a CDR-registered dietitian, with their own NPI or their employer's. [1][2] |
- NC Medicaid: Clinical Coverage Policy 1-I, Dietary Evaluation and Counseling and Medical Lactation Services (PDF), checked September 28, 2026
- NC Medicaid: Registered Dieticians and Nutritionists Added to the List of Eligible Providers (Dec 2020), checked September 28, 2026
Check a Medicaid claim against the row
Before a NC 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 NC Medicaid coverage guide.