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Medical Nutrition Therapy

Here is my , scenario:

My practice provides Medical Weight loss for obese patients, we have CRNP’s the provide a E/M and also Preventative counseling 99401-99404.

We also have Certified Dietitians who provide medical nutrition therapy: CPT 97802 for NEW initial assessments and 97803 for re-assessments follow up for new patients. So here is my questions.

1.Do we bill the CRNP portion separate from the RD’s (same TAX ID) on the same DOS
2. There isn’t alot of documentation under MNT services 97802-97803 in the CPT book (No Guidelines) just that a 97802 must be performed only on NEW pt’s to the practice and the 97803 can NOT be performed under a pt that hasn’t had and assessment 97802
3. The DX codes we use for the NP is a obesity code E66._ followed by Z71.3 and a BMI code
4. The only DX we can bill with the RD’s is Z71.3 and a BMI DX code.

Please someone help us we are drowning :(

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