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A FEW NOTES ON INSURANCE

Regence/ Blue Cross/ Blue Shield:

Call the number on the back of your insurance card and ask the following

questions to ensure coverage: 

  • Do I have coverage for outpatient nutrition counseling?

    • Procedure codes 97802 and 97803

  • Are there limitations on what diagnoses are covered?​

    • is the diagnosis code Z71.3 for dietary counseling and surveillance covered?

    • if you do need a diagnosis, I will need a referral from your doctor stating this diagnosis. 

  • Do I have to meet a deductible before I receive insurance reimbursement?

    • If so, how much is my deductible?

  • Do I need a referral from my primary care provider?

  • Do they limit the number of covered sessions?

  • Are services covered when conducted virtually?

Pursuing reimbursement from other insurance companies: 

- please note: payment will be required at time of service. 

- call the number on the back of your insurance card to ask whether you have out-of-network benefits for dietitian services. 

- the billing codes we utilize are 97802 and 97803. 

- if they limit which diagnoses are covered, ask about diagnosis code Z71.3 (dietary counseling and surveillance). If they require a different diagnosis (ie. diabetes or an eating disorder), you will need to provide me with a referral from your doctor. 

A few other questions to consider: 

  • Do I need a referral from my primary care provider? 

  • Do I need prior authorization? 

  • Do I need to meet my deductible first? What is that deductible? 

  • Are there any limits to the number of sessions covered? 

  • What is the reimbursement amount and process to submit for reimbursement? 

  • Are virtual services covered? 

Be sure to let your dietitian know if you are hoping to submit for reimbursement so they can provide you with a superbill. 

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