North Dakota Medicaid MNT coverage: codes and limits
The short answerNorth Dakota's professional fee schedule (data as of Oct. 1, 2026) marks 97802, 97803, 97804, G0270 and G0271 as covered. Rates: 97802 $40.93, 97803 $35.30, 97804 $18.77. Telehealth is allowed for 97802 to 97804, with modifier 93 for audio-only. No service authorization is required. S9470 is not covered.
By Javier Alvarez · Updated · 1 min read
1 row: Medicaid (by state) · North Dakota. Public policy, not the member's benefits.
North Dakota Medicaid
Medicaid (HHS Professional Services Fee Schedule, Oct. 2026) · North Dakota
| 97802 | Listed (covered, telehealth allowed, $40.93, no service authorization.) [1] |
|---|---|
| 97803 | Listed (covered, telehealth allowed, $35.30, no service authorization.) [1] |
| G0270 | Listed (covered at $35.30. Telehealth Allowed column says No.) [1] |
| G0271 | Listed (covered at $18.77. Telehealth Allowed column says No.) [1] |
| Where it applies | ND Medicaid Professional Services Fee Schedule, data updated as of October 1, 2026. The sheet says inclusion or exclusion of a code does not imply Medicaid coverage, reimbursement, or lack thereof. [1] |
| Diagnoses | Not published: call the payer. |
| Other codes | 97804 (group) is covered at $18.77. S9470 (nutritional counseling, diet) is marked not covered. [1] |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | Not published: call the payer. |
| Telehealth rules | Telehealth Allowed: Yes for 97802, 97803 and 97804. Modifier 93 is required if the service is rendered as audio-only. Telehealth Allowed is No for G0270 and G0271. [1] |
| Visit limits | Service Authorization Required: No for 97802, 97803, 97804, G0270 and G0271. No modifier is required. [1] |
| Referral and prior auth | Not published: call the payer. |
| Payment | General Rate: 97802 $40.93; 97803 $35.30; 97804 $18.77; G0270 $35.30; G0271 $18.77. [1] |
Check a Medicaid claim against the row
Before a North Dakota 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.