Utah Medicaid MNT coverage: codes, limits and referrals
The short answerThe Utah Medicaid Physician Services manual covers nutritional counseling with a maximum of 1 hour for the initial assessment and intervention. It is not paid on the same date as an evaluation and management visit by the same provider. The reviewed manual names no CPT codes or fees and is an archived July 2024 edition.
By Javier Alvarez · Updated · 1 min read
1 row: Medicaid (by state) · Utah. Public policy, not the member's benefits.
Utah Medicaid
Medicaid (Physician Services Provider Manual, section 8-9) · Utah
| 97802 | Not named (section 8-9 describes the benefit without code numbers; the manual points to a Coverage and Reimbursement Code Lookup.) [1] |
|---|---|
| 97803 | Not named (reassessment limits are in the Coverage and Reimbursement Code Lookup, not the manual.) [1] |
| G0270 | Not published |
| G0271 | Not published |
| Diagnoses | Not published: call the payer. |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | Not published: call the payer. |
| Visit limits | A maximum of 1 hour for the initial assessment and intervention. Limits on reassessment are in the Coverage and Reimbursement Code Lookup. [1] |
| Referral and prior auth | For prenatal members with complex nutritional risk, a registered dietitian may provide nutritional assessment and counseling on referral from a physician, certified nurse-midwife or certified nurse practitioner. [1] |
| Who can bill | In the maternity section the manual states a registered dietitian may provide nutritional assessment and counseling. General enrollment rules were not found in this manual. [1] |
| Also | Nutritional counseling and an evaluation and management visit are not covered for the same provider on the same date of service. [1] |
Check a Medicaid claim against the row
Before an Utah 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.