Effective March 2020: Until further notice, all Nutrition
visits are conducted virtually, via Telehealth, in the comfort of
your own home or office, using a HIPAA compliant video
Did you know many health insurance companies now cover
nutritional counseling, also known as Medical Nutrition
Therapy? This is often the case EVEN if you don’t have an actual
medical diagnosis BUT simply want to meet with a Registered
Dietitian Nutritionist to help prevent future health
conditions. Telehealth visits are also covered.
I encourage you to call your insurance and ask if they will
cover nutrition counseling, so that you can receive the benefits
you are entitled to. Start by calling the 1-800 number on the back
of your insurance card and ask to speak with a representative.
The following information will walk you through the
steps to take to see if your insurance will cover the cost of
nutrition counseling for your visit.
Dr. Mary Friesz is
currently a nutrition provider with Medicare, Horizon Blue Cross
and Blue Shield, AmeriHealth, United HealthCare and Cigna.
Medicare ONLY covers Nutrition Counseling if you have
Diabetes (Type 1 or Type 2) or some form of Kidney disease.
Medicare DOES NOT cover for nutritional counseling for pre-diabetes
at this time.
*Please note you
are responsible for verifying nutrition counseling services covered
on your plan.
What happens if Dr.
Mary does not participate with my insurance?
If you have
insurance with a company not listed above, Dr. Mary would be
considered out-of-network. In this situation, she will
provide you with a “Superbill” and/or an itemized invoice you can
submit to your insurance company for reimbursement. Reimbursement
is based on your policy’s standards. Please call your insurance
company’s member services number to verify how reimbursement works
under your current insurance policy.
Please note if you
do have insurance which considers Dr. Mary as out-of-network, Dr.
Mary cannot submit directly on your behalf – she can only supply
you with the appropriate paperwork. Therefore, payment is due at
the time for service directly payable to Dr. Mary
Do I have nutritional counseling coverage on my
insurance company asks for a CPT code, please provide
them with codes 97802 & 97803. If they say you do not have coverage
for these codes, ask them to check your coverage for these CPT
codes: 99401, 99402, 99403 and 99404.
Will my diagnosis be covered?
representative asks for a diagnosis code and you do not have
any medical conditions – please tell them the visit is coded
the ICD 10 code: Z71.3 or Z72.4.
If you have diabetes, gestational diabetes,
hypertension, high cholesterol, kidney disease, celiac disease
and/or are obese or morbidly obese, the good news is that most
insurance companies will cover nutrition counseling for these
conditions. Please click here for the ICD-10 codes commonly
covered for nutrition counseling.
How many visits do I have per calendar
carrier will let you know how many visits you are entitled to. The
number of visits vary, depending on your insurance policy and your
Have I met my deductible?
In the event
you have a deductible I will not be able to bill your insurance
company directly. Therefore, payment of services is due at
visit. I will, however, provide you will the appropriate
documentation to submit to your insurance company to show receipt
of the services. This will allow you to “pay down” your
Do I have a co-pay for nutritional
insurance companies I am considered a specialist. Therefore, your
specialist co-pay is applicable and is payable at the time of
service. This information is often listed on the front of your
actual insurance card. However, in the event your insurance does
not cover nutrition counseling, you would be responsible for full
payment of the session, without an additional
questions? Feel free to email Dr.