Contacting your insurance carrier:

If you would like to find out if your insurance will reimburse for out-of-network nutrition services, contact the members phone line of your insurance carrier and ask the questions below. Don’t forget to write down the information you receive for your records!

• Do my out-of-network benefits reimburse for the following CPT codes: 97802 and 97803? If so, what portion of each visit is covered?

• Do you reimburse for ICD-10 code Z71.3 (dietary counseling and surveillance), or is a medical diagnosis required from a primary care provider?

• What ICD-10 diagnosis codes are covered for nutrition services?

• How do I submit a superbill for reimbursement?

If a medical diagnosis is required, get a referral from your primary care provider:

It is not within a dietitian’s scope of practice to make a medical diagnosis, so in order to list a diagnosis on the superbill, I need a referral from your primary care provider. Upon request, I can provide you with a nutrition therapy referral form to give to your provider. They will then need to fax the form back to me so that I can fill out the superbill.

Submitting:

After I receive the referral from your primary care provider, I can send you the superbill for you to submit to your insurance company.