• If the insurance company asks for a CPT code please provide them with the following codes: 97802 & 97803. If they say you do not have coverage using those codes NEXT ask them to check your coverage for the following CPT codes: S9470, 99401, 99402, 99403 and 99404.

• If the representative asks for a diagnosis code – please tell them the visit is coded the ICD 10 code: Z71.3
• If they don’t accept Z71.3 then provide them with Z72.4 and see if they will cover that diagnosis instead on your plan. 
• If you have an eating disorder or are overweight, obese, have pre-diabetes, diabetes, hypertension, or high cholesterol you may want to see what your coverage is for these diagnoses as well. 
• I will usually try to code your visit using preventative coding to maximize the number of visits you receive from your insurance carrier.

Note: A referral is legally required by the State of California for all Registered Dietitians to practice, but insurance may have their own requirements.

Note: At this time, Off-Road Nutrition ONLY offers Telehealth.

• Your carrier will let you know how many visits they are willing to cover. Depending on the carrier, the number of visits will vary from 0 to unlimited depending on medical need.

• In the event that you have a deductible, applicable payment will be due at the time of service.

• Registered Dietitians are usually considered specialists, so a specialist co-pay may be due. If it is determined that you are responsible for a co-pay or co-insurance, the amount will be due at the time of service. This information is often apparent on the front of your actual insurance card. Co-pays may not be applicable, however, if we bill the session as preventative.

• Different insurance reps might give you different answers, so it’s important to document the details of your call in case of a dispute.