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Unlock Your Nutrition Benefits:
Dietitian Care Covered by Insurance!

Michelle Ivy is an in-network provider with the following insurance:

Before scheduling, it's important to verify your benefits. This helps you understand your coverage for Preventative and Medical Nutrition Therapy (MNT) and avoid billing surprises.


HOW TO VERIFY YOUR COVERAGE

Step 1: Call the customer service number on the back of your insurance card.

Step 2: Use the automated system or speak to a representative. Let them know you are calling about Eligibility, Coverage, and Benefits for nutrition counseling.

Tip:  Use this worksheet to take notes during the call and guide you through the call.

QUESTIONS TO ASK YOUR INSURANCE PROVIDER

  • Practitioner Name: Michelle Ivy

  • NPI: 1417316340

1. Are CPT codes 97802 (initial session) and 97803 (follow-up sessions) covered under my plan?

2. Is nutrition counseling covered under preventative services

3. How many visits are covered per year? 

4. Do I have a co-pay, deductible, or coinsurance for these visits?

5. Do I need a referral or prior authorization?

6. Are telehealth visits covered?

7. Is my provider in network with my plan?

8. If my provider is not in-network, do I have nutritional counseling out- of-network benefits?

 

**BEFORE YOU HANG UP**

Ask the representative for the Call Reference Number. This will help if they misquote coverage and may result in getting coverage if they deny the claim.

Call Representative’s Full Name: _____________________________________________

Call Reference Number:_______________________________________

Insurance companies require a diagnosis code (ICD-10) to explain the medical reason for your visit and process claims. Coverage often depends on your specific medical history and the nature of your visit.

 
**Medicare is only covered for those with Diabetes and Kidney disease diagnosis**

Preventive Coverage: Often No Cost-Share

These codes are used when nutrition counseling is considered a preventive service, which often means it’s fully covered with no copay, deductible, or coinsurance, as mandated by the Affordable Care Act for A and B rated services by the USPSTF.

  • Z71.3 – Dietary counseling and surveillance (General healthy eating, wellness)

  • Z72.4 – Problems related to inappropriate diet and eating habits (Addressing unhealthy eating patterns before they lead to severe conditions)

  • R73.03 -Prediabetes

  • E66.0 – E66.9 -(Various obesity codes, e.g., E66.01 – Morbid (severe) obesity due to excess calories, E66.3 – Overweight)

  • Z68.x – Body Mass Index (BMI) codes 

  • I10 – Essential (primary) hypertension.

  • E78.00 – Pure hypercholesterolemia.

  • Z83.3 – Family history of diabetes mellitus.

  • Z83.49 – Family history of other cardiovascular disease

Important Note on BMI: For some preventive services, insurance plans may require a specific BMI (Body Mass Index) code to be attached, even if your primary goal isn’t weight-focused.

Codes for Medical Conditions: Coverage Varies by Plan

For diagnosed medical issues, these codes may apply. However, benefits often fall under medical coverage and may include copays or deductibles.

Metabolic & Endocrine Disorders

  • E11.9 – Type 2 diabetes, without complications

  • E78.0 – Pure hypercholesterolemia

  • E78.5 – Hyperlipidemia, unspecified

  • E88.81 – Metabolic syndrome

Digestive & Gastrointestinal Conditions

  • K21.9 – GERD (acid reflux)

  • K50.90 – Crohn’s disease, unspecified

  • K51.90 – Ulcerative colitis, unspecified

  • K59.00 – Constipation, unspecified

  • K90.0 – Celiac disease

Heart & Circulatory Conditions

  • I10 – Essential hypertension

  • I25.10 – Atherosclerotic heart disease

  • I49.9 – Cardiac arrhythmia, unspecified

 

Don’t see your insurance listed? You may still be eligible for out-of-network benefits. Use our insurance verification form to check. A superbill can be provided for reimbursement. HSA/FSA cards are accepted.

We securely store a valid credit or debit card to ensure smooth billing. This card may be used for co-pays, deductibles, or services not covered by insurance.

You may also use HSA or FSA cards.

Please note: any refund issued will be minus card processing fees.

 

I provide Medical Nutrition Therapy (MNT)—also known as nutrition counseling—exclusively through telehealth.

Currently, I can see clients in the following states: Arkansas, Arizona, California, Colorado, Florida, Michigan, New Jersey, Texas, and Virginia.