Ellen Petrosino Consulting is in-network with New Jersey insurance plans including Aetna, AmeriHealth, Cigna, Horizon Blue Cross Blue Shield, United Health Care and Medicare. Each plan can offer slightly different coverage for nutrition counseling. I recommend that you contact your insurance provider to ask about your coverage for the following CPT codes (Current Procedural Terminology). These are codes that indicate services are provided by a Registered Dietitian Nutritionist.

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• 97802 (Initial Assessment)

• 97803 (Follow-up Session)

• 99404 (Prevention & Wellness)

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Potential ICD 10 diagnosis codes to combine with these CPT codes in your call are:

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• Z71.3 for Amerihealth, Blue Cross/Blue Shield, Cigna and United Health Care plans

• E66.3 for Aetna plans, if you have a BMI >25 (Click HERE for a quick calculation)

• Medicare and Medicare supplemental plans will ONLY cover diagnoses of diabetes and non-dialysis kidney disease. Weight loss, heart disease and pre-diabetes are not covered diagnoses at this time.

 

Please contact me if you would like additional information. ​

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Important questions to ask:

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• Is tele-health provided by a dietitian a covered benefit?  

• How many visits per calendar year are permitted?

• Do you have a deductible to meet? 

• Is a co-payment required?

• Is a physician referral required?

• Is coverage limited to a specific medical diagnoses?

  • As an example, Medicare benefits for nutrition counseling are limited to those with a diagnosis of diabetes, or non-dialysis kidney disease ONLY. Weight loss is not a covered diagnosis.

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IMPORTANT: Make sure you take note of the representative's name and call reference number and the date of the call.