Health Insurance for Nutrition Services
If the insurance company asks for a CPT code please provide them with the following codes 97802 or 97803. If they say you do not have coverage using those codes NEXT ask them to check your coverage for the following CPT codes: 99401, 99402, 99403, and 99404.
If the representative asks for a diagnosis code – please tell them the visit is coded the ICD 10 code: Z71.3
I always code your visit using preventative coding to maximize the number of visits you receive from your insurance carrier.
Your carrier will let you know how many visits they are willing to cover. Depending on the carrier, the number of visits vary from 0 to unlimited depending on medical need.
In the event you have a deductible, I will not be able to initially bill your insurance company directly. Therefore, payment of $180.00 is due at the initial visit and $90.00 is due at each follow-up visit.
I will provide you will the appropriate documentation to submit to your insurance company to show receipt of the services. This will allow you to “pay down” your deductible. Once your deductible has been met and you have nutrition services on your policy, I can then directly bill your insurance company.
For most insurance companies, I am considered a specialist. Therefore, your specialist co-pay is applicable and is payable at the time of service. This information is often apparent on the front of your actual insurance card.
Ask what percentage the company will reimburse for out of network providers – if you are eligible, you may have a small amount to cover, but insurance companies usually cover a majority of the visit’s cost.