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. Which diagnoses are covered?

Ask about coverage for preventative diagnosis (ICD‑10) code: Z71.3 (nutrition counseling)

If preventative coverage is not an option, your plan may cover medical diagnoses, but a deductible, co‑pay, or co‑insurance may apply. Medical diagnoses may include, but are not limited to, overweight, obesity, prediabetes, diabetes, IBS, high blood pressure, and high cholesterol. In this case, we will need your doctor to fax documentation of these diagnoses to us.

3. How many visits do I get per calendar year?

4. Are telehealth and in-person visits covered the same?

5. Do I need a referral?

6. 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.

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.