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Attention medical nutrition therapy providers:
The Health Care Authority (HCA) has published a revised Medical Nutrition Therapy Billing Guide, effective November 8, 2023, for fee-for-service Apple Health clients.
What has changed?
HCA has updated the Coverage/Fee Schedule section of this billing guide to correct the limitation for CPT® code 97804. The limit for this code should read 1 unit = 30 minutes. Maximum of 1 hour (2 units per day).
For more details, refer to the What has changed table inside the updated guide, which is located on HCA’s Provider billing guides and fee schedules webpage.
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