MVP Health Care MNT coverage: codes and referrals
The short answerMVP pays nutritional counseling when it is medically necessary for a chronic disease where diet has a therapeutic role. 97802, 97803, G0270 and G0271 are reimbursable. A physician or qualified practitioner must prescribe it, and the dietitian bills under their own provider number. Only Medicare MSA plans have a diagnosis list.
By Javier Alvarez · Updated · 1 min read
1 row: MVP Health Care. Public policy, not the member's benefits.
MVP Health Care
All lines (MVP Payment Policy: Diabetic Management and Nutritional Counseling) · NY, VT
| 97802 | Listed [1] |
|---|---|
| 97803 | Listed [1] |
| G0270 | Listed [1] |
| G0271 | Listed [1] |
| Where it applies | The Nutritional Counseling section sits in the 2026 payment policy bundle (updated Nov 1, 2025, effective Jan 1, 2026). Its history shows it was reviewed Nov 1, 2025 with no changes. The bundle names New York and Vermont products. [1] |
| Diagnoses | Codes 97802 to 97804 and G0270 to G0271 are limited to a list of diagnoses for Medicare MSA plans only. The policy says all other plans have no diagnosis code restrictions. [1] |
| Other codes | 97804 (group, each 30 minutes) is on the reimbursable list. Diabetic management has its own codes, G0108 and G0109. [1] |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | Not published: call the payer. |
| Visit limits | Not published: call the payer. |
| Referral and prior auth | Nutritional counseling must be prescribed by a physician or qualified non-physician practitioner. For prior authorization, the policy sends providers to MVP's Utilization Management Guides. [1] |
| Who can bill | The provider can be a licensed nutritionist, registered dietitian, or other qualified licensed professional such as a nurse trained in nutrition, recognized under the plan. Services by a nutritionist, dietitian or certified diabetes educator must be billed under their individual provider number. [1] |
| Payment | The policy sends providers to their fee schedule or IPA agreement for reimbursement amounts. [1] |
| Also | Not reimbursed: commercial diet plans and weight management programs, gym memberships, counseling at health resorts, camps or wilderness programs, skill, relaxation or lifestyle programs, supplemental fasting, and weight loss treatment by a physical therapist. [1] |
Check a MVP Health Care claim against the row
Before a MVP Health Care 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 MVP Health Care with another payer, then download the PDF of what you see.