Insurance Coverage
It is your responsibility to call your insurance company before your appointment to confirm your nutrition counseling benefits. We repeat this often because we want to help you avoid any surprise bills.
Questions to Ask Your Insurance Company
1. Do I have coverage for nutrition counseling?
If they ask for CPT (procedure) codes, give them: 97802 and 97803
2. Will my diagnosis be covered?
If they ask for a diagnosis (ICD‑10) code, tell them: Z71.3 (nutrition counseling)
If they do not cover Z71.3, ask them to check: Z72.4
If you have conditions like overweight, obesity, prediabetes, diabetes, high blood pressure, or high cholesterol, ask about coverage for those diagnoses as well.
We always use preventive coding when appropriate to help you get the maximum number of covered visits. If you only have a medical diagnosis (for example: IBS) and no preventive coverage, your plan may apply a deductible, co‑pay, or co‑insurance.
3. How many visits do I get per calendar year?
Insurance plans vary widely. Some offer no visits, some offer several, and some offer unlimited visits based on medical need.
4. Do I have a cost‑share for nutrition visits?
A cost‑share is any amount you may owe, such as deductible, co-pay, or co-insurance.
If your plan includes preventive benefits, many visits may have no cost‑share, but you must confirm this with your insurance company.
We will bill your insurance first. After we receive the Explanation of Benefits (EOB), we will charge the credit card on file for any amount listed as patient responsibility.
Most insurance companies consider dietitians specialists, so a specialist co‑pay may apply unless preventive benefits override it.
Summary of What to Ask
Do I have coverage for nutrition counseling?
Do I need a referral to see a Registered Dietitian?
Are my diagnosis codes covered?
How many visits per year do I get?
Do I have a cost‑share (deductible, co‑pay, co‑insurance)?
Is there a different cost for telehealth vs. in‑person visits