CPT codes and Telehealth

On Monday we talked about ICD (diagnosis) codes. Don't worry, the coding fun doesn't stop there! Today we'll discuss CPT codes used for nutrition counseling claims for both in-person and telehealth counseling sessions. 

CPT Codes

Remember, diagnosis codes are different from Current Procedural Terminology (CPT) codes. While diagnosis codes identify the diagnoses for the patient, the CPT codes identify the services provided for the patient. This allows insurance companies to determine the reimbursement rate.

The most common codes we use for dietitians are 97802 (Initial Medical Nutritional Therapy Appointment) & 97803 (Subsequent Medical Nutritional Therapy Appointment).

Telenutriton Claims

When it comes to filing a Telehealth claim, the modifier is generally appended to the end of the CPT codes.

  • GQ- Via Asynchronous Telecommunications systems
  • GT- Via Interactive Audio and Video Telecommunications systems

Continuing our example from before, 97802 will generally become 97802 GT while billing for Telehealth.

Remember, Individual insurance companies have different preferences on how Telenutrition claims should be filed. Check your provider handbook for full details. 

If you use Healthy Bytes, you don't have to worry about memorizing the CPT codes and Telehealth modifiers as we do all that for you!