What are the payment rates for MNT?
CMS has indicated, “Payment will be made under the physician fee schedule for dates of service on or after January 1, 2002, to a registered dietitian or nutrition professional that meets the above requirements. Deductible and coinsurance apply. As with the diabetes self-management training benefit, payment is only made for MNT services actually attended by the beneficiary and documented by the provider, and for beneficiaries that are not inpatients of a hospital or skilled nursing facility.” “Pay the lesser of the actual charge, or 85% of the physician fee schedule amount when rendered by a registered dietitian or nutrition professional. Coinsurance is based on 20 percent of the lesser of these two amounts.” (1) According to information posted by American Dietetic Association at http://www.eatright.com/memberlogin.php, The final rule establishes payment values for codes 97802 and 97803 at .46 Relative Value Units (RVUs) per 15-minute increment and for group code 97804 at .18 RVUs per 3
