Regence BlueShield MNT coverage: codes and referrals
The short answerRegence's administrative manual pays 97802, 97803 and G0270 for medical nutrition therapy when a physician or other prescriber has diagnosed a covered condition and the dietitian keeps the prescription on file. Group codes 97804 and G0271 are listed as not covered.
By Javier Alvarez · Updated · 1 min read
1 row: Regence. Public policy, not the member's benefits.
Regence BlueShield
Regence BlueShield Administrative Manual, nutritionists/dietitians · WA, OR
| 97802 | Listed [1] |
|---|---|
| 97803 | Listed [1] |
| G0270 | Listed [1] |
| G0271 | Not covered (group reassessment is listed under services not covered.) [1] |
| Where it applies | Regence BlueShield Administrative Manual, Complementary & Integrative Care section, revised April 1, 2026. Subject to the employer group or individual plan benefits and may not apply to every member. [1] |
| Diagnoses | A covered medical condition diagnosed by the prescriber. Services that are part of a weight loss program may be denied as non-covered obesity treatment, depending on the contract. [1] |
| Other codes | G0108 is listed for billing. 97804, G0271 and G0109 are listed under services not covered. [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 | A physician or other prescribing provider must diagnose a covered medical condition. The nutritionist or dietitian must keep the prescription on file. [1] |
| Also | E&M codes are not appropriate and will not be allowed. Other services are included in the MNT allowance and denied as provider write-off. [1] |
- Regence BlueShield Administrative Manual: Complementary & Integrative Care (revised April 1, 2026), checked October 30, 2026
Check a Regence claim against the row
Before a Regence BlueShield 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 Regence with another payer, then download the PDF of what you see.