Module 1: Understanding Chronic Kidney Disease (ckd)


MNT telehealth services are covered



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Diet Module 1 2019

MNT telehealth services are covered

  • Slide 68 of 80
  • Applies only to Medicare-Fee-For-Service Programs in rural areas.
  • Must use interactive audio and video telecommunication systems that permits real-time communication.
  • For individual and group medical nutrition therapy use HCPCS code G0270 and CPT codes 97802–97804.
  • Reference: Medicare Learning Network Telehealth Services. ICN 901705 November 2016

Coding for MNT including Telehealth

  • Slide 69 of 80
  • 97802
  • 97803
  • Re-assessment and intervention, individual, face-to-face with patient, each 15 minutes
  • 97804
  • Group (2 or more individuals), each 30 minutes
  • G0270
  • Reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen, (including additional hours for renal disease) individual, (face to face) each 15 minutes
  • G0271
  • Reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours for renal disease), group (two or more), each 30 minutes
  • https://www.cms.gov/Medicare/Prevention/PrevntionGenInfo/medicare-preventive-services/MPS-QuickReferenceChart-1.html#MNT

ICD-10 for CKD

  • Slide 70 of 80
  • GFR
  • N18.1
  • Stage 1
  • Kidney damage with normal GFR
  • >90
  • N18.2
  • Stage 2
  • Kidney damage with mildly low GFR
  • 60-89
  • N18.3
  • Stage 3 (moderate)
  • 30-80
  • N18.4
  • Stage 4 (severe)
  • 15-29
  • N18.5
  • Stage 5 (renal failure)
  • <15
  • N18.6
  • End stage renal disease requiring dialysis (GFR <15)
  • R80.9
  • Proteinuria, unspecified

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