MEDICAL NUTRITION THERAPY (MNT) CLINICAL NUTRITION THERAPY Service Time CPT Code
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1 MEDICAL NUTRITION THERAPY (MNT) CLINICAL NUTRITION THERAPY Service Time CPT Code Initial Assessment And Intervention This Code Can Be Used Only Once A Year For First Appointment Medical Nutrition Therapy (MNT) 15 minutes Initial Assessment and Intervention 15 minutes Face to Face with the Patient 15 minutes NOTE: CPT codes and should be unit priced; four units = 60 minutes, and six units = 90 minutes. Six or more units will be priced at six units For Insurance Claim use the term Medical nutrition therapy, which is another term for clinical nutrition therapy.. Subsequent Individual Reassessment And Intervention This Code Is used For Subsequent Appointments and Intervention, after the Initial (above) Also Use This Code When There Is A Change In the Patient s Medical Condition that Affects the Nutritional Status of the Patient. All Subsequent Individual Appointments 15 minutes Fact to Face with the Patient 15 minutes All Individual Reassessments 15 minutes All Interventions 15 minutes NOTE: CPT codes and should be unit priced; four units = 60 minutes, and six units = 90 minutes. Six or more units will be priced at six units. Group Appointments (2 Or More Individuals).. This code can also be used when there is a change in a patient's condition that affects the nutritional status of the patient and the patient is attending in a group Initial Group Appointments 30 minutes Subsequent Group Appointments 30 minutes NOTE: CPT code should be unit priced; two units = 60 minutes, and three units = 90 minutes. Three or more units are typically priced at three units 1
2 NUTRITIONAL AND DIETETIC COUNSELING Nutritional counseling, Dietitian appointment EXTENDED TIME S9470 S9470 The following codes are not separately reimbursed and appropriate CPT codes should be reported. Use G codes when additional hours of MNT services are performed beyond the number of hours typically covered, (3 hours in the initial calendar year, and 2 follow-up hours in subsequent years with a physician referral) when the treating physician determines there is a change of diagnosis or medical condition that makes a change in diet necessary. INDIVIDUAL Medical Nutrition Therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen including additional hours needed for renal disease individual, face to face with the patient, each 15 minutes. 15 minutes G0270 GROUP Medical Nutrition Therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen including additional hours needed for renal disease Group (2 or more individuals), each 30 minutes, 30 minutes G0271 Medicare and insurance companies have various limits and restrictions for reimbursement of nutritional counseling. Check with them for additional information. 2
3 BLOOD CHEMISTRY TESTS Dr. Smith s Blood Chemistry Tests for Clinical Nutrition Analysis Comprehensive Metabolic Panel (16 tests) Comprehensive metabolic panel (formerly 80054) Glucose (82947) Uric Acid (84550) Urea Nitrogen (BUN) (84520) Creatinine (82565) Sodium (84295) Potassium (84132) Chloride (82435) Carbon dioxide (bicarbonate) (82374) Calcium (82310) Phosphorus, Serum (84100) Protein, total (84155) Albumin (82040) Globulin, Total (84270) Bilirubin, total (82247) Phosphatase, alkaline (84075) Iron (83540) Liver/Biliary Tests LD Transferase, aspartate amino (AST) (SGOT) Transferase, alanine amino (ALT) (SGPT)) GTT Lipid Metabolism Tests Total Cholesterol HDL LDL Triglycerides Thyroid Tests: TSH Thyroxine, total T3 Uptake Free Thyroxine Index (FTI) Complete Blood Count (CBC with Differential)
4 Profiles / Panels (Various) Basic Metabolic Panel (8 tests) Basic metabolic panel (formerly 80049) Calcium (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520) Cardiac/Liver/Biliary Tests: CK/CPK CK,MB LD AST ALT ALP GGT Bilirubin, total Bilirubin, direct Total Protein Albumin Complete Blood Count (CBC) Complete Blood Count (CBC with Differential) Complete Blood Count (CBC) without Differential Electrolyte Panel (4 tests) Hepatic Function Panel (6 tests) 80076/80058 Acute Hepatitis Panel Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HbcAb), IgM antibody (86705) Hepatitis B surface antigen (HbsAg) (87340) Hepatitis C antibody (86803) Lipid Panel (Chol, HDL, Triglycerides)
5 Lipid Metabolism Tests Total Cholesterol HDL LDL Triglycerides Renal Function Tests BUN Creatinine Diabetes Tests Glucose, quantitative blood type Glucose on home use meter-type device 82962/82962 Hemoglobin A1c Glucose Tolerance Test, initial 3 specimens Glucose Tolerance Test, each additional specimen > Fructosamine Individual Chemistry Tests Calcium Carbon Dioxide (CO 2 ) Phosphorous Protein Uric Acid Amylase Magnesium Iron TIBC Ferritin Prostate Specific Antigen (PSA) (Males over 50 years only) Troponin T Therapeutic Drug Monitoring: Theophylline Digoxin Drug Screening (THC, Cocaine, etc.) multiple drug classes Pregnancy Tests: HCG quantitative serum
6 Hair Analysis ICD * SALIVA TESTING Cortisol, Salivary x x4 DHEA, salivary Estradiol, salivary x Estriol, salivary x Estrone, salivary x Melatonin, Salivary x3 Progesterone, salivary x Testosterone, salivary BONE RESORPTION URINE TESTS Deoxypyridinoline, Urine Pyridinium Crosslinks, Urine COMPREHENSIVE DIGESTIVE STOOL ANALYSIS (CDSA) Bacteriology, aerobic Bacteriology, anaerobic Beta-Glucuronidase Long Chain Fatty Acids, Stool Short Chain Fatty Acids, Stool Cholesterol, Stool Chymotrypsin, Stool Fecal Lactoferrin Meat Fibers Occult Blood Phospholipids ph Stool Triglycerides, Stool Yeast Culture
7 COMPREHENSIVE DIGESTIVE STOOL ANALYSIS (CDSA) With Parasitology Bacteriology, aerobic Bacteriology, anaerobic Beta-Glucuronidase Long Chain Fatty Acids, Stool Short Chain Fatty Acids, Stool Cholesterol, Stool Chymotrypsin, Stool Cryptosporidium EIA Entamoeba histolytica EIA Fecal Lactoferrin Giardia lamblia EIA Meat Fibers Occult Blood Parasitology Identification, Concentrate Parasitology Identification, Trichrome Stain Phospholipids ph Stool Triglycerides, Stool Yeast Culture
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