RDs billing Blue CrossPDF · 2 pagesFree

Blue Cross billing cheat sheet for dietitians

The codes, units, diagnoses, telehealth rules and BlueCard routing behind MNT claims to Blue plans.

What’s inside

• The three MNT codes (97802, 97803, 97804) and the minutes-to-units table under CPT's time rule.
• Which diagnoses to put on the claim: Z71.3, when a Z68 BMI code can go on it, and whether a visit is billed as preventive or medical.
• Telehealth: the place of service and modifier that have to agree.
• BlueCard: how to bill out-of-state Blue members through your local plan, and the prefix that routes the claim.
• The ten-question benefits check, the top denials with their fixes, and the documentation that survives an audit.