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See a sample rate comparisonCPT 97802 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Diet And Nutrition Counseling, Each 15 Minutes Of Individual Nutrition Therapy. Covers Assessment Plan Development And In-Person Meeting With Therapist.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Medical Nutrition Therapy Procedures |
| Common Place of Service | 11 - Office |
| Common Modifiers | 59 - Distinct Procedural Service 95 - Telemedicine - audio and video |
| Complexity Level | Low |
| Medicare Fee Schedule | $36.74 national non-facility rate (2026) · View Medicare rates for 97802 |
| Medicaid Fee Schedule | $29.015 median of the 8 states in the free preview · View Medicaid rates for 97802 |
National average reimbursement for CPT 97802 by major payers:
$40.42
$43.46
$55.71
$44.36
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CPT 97802
5 of 25 sample ratesHigher to lower in this preview
Lakshmi Niranjana Dhanabalan
$248.69Published rateJohn Millichap
Advocate Health And Hospitals Corporation
$77.52Published rateAsad Saeed
Florida Hospital Medical Group Inc
$62.06Published rateElita Balakrishnan
Physician Affiliate Group Of New York PC
$40.68Published rateLatosha Ireland
$0.34Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 97802 vs. Other Medical Nutrition Therapy Procedures Codes
The CPT 97802 code is part of the Medicine Services and Procedures services used for Medical Nutrition Therapy Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 97802 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 97763-CPT | Low | Orthotic(S)Prosthetic(S) Mana, Orthotic(S)Prosthetic(S) Management Andor Training Upper Extremity(Ies) Lower Extremity(Ies) Andor Trunk Subsequent Orthotic(S)Prosthetic(S) Encounter Each 15 Minutes He Performance Of An Activity (Eg Managing Time Or Schedules Initiating Organizing And Sequencing |
| 97802-CPT | Low | Diet And Nutrition Counseling, Each 15 Minutes Of Individual Nutrition Therapy. Covers Assessment Plan Development And In-Person Meeting With Therapist. |
| 97803-CPT | Low | Diet And Nutrition Counseling, Each 15 Minutes Of Individual Nutrition Therapy. Covers Assessment Plan Development And In-Person Meeting With Therapist. |
| 97804-CPT | Low | Medic Nutrition Therap; Group (2 Or More Individ(S)) Ea 30 Mi, Medical Nutrition Therapy; Group (2 Or More Individual(S)) Each 30 Mi |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 97802. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 97802 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
A CPT (Current Procedural Terminology) code is a five-character alphanumeric code used by healthcare providers to describe medical, surgical, and diagnostic services. These codes are essential for accurate billing, processing of claims, and tracking healthcare services provided to patients.
To find the cost of a specific medical procedure, you'll typically need its CPT code and your location. For an accurate estimate based on your specific situation, including a CPT code and location, you can use a tool like Payerprice, which offers a fee schedule lookup for users to search this information.
CPT codes describe the medical services or procedures performed (e.g., an office visit, a specific type of surgery). ICD-10 codes (International Classification of Diseases, 10th Revision) describe the diagnosis or condition that led to the service (e.g., a broken arm, influenza). In simple terms, CPT explains 'what was done' and ICD-10 explains 'why it was done.'
Prices for the same medical procedure can vary significantly due to several factors, including the healthcare provider's negotiated rates with different insurance companies, the type of facility where the service is rendered (e.g., hospital vs. independent clinic), geographic location, and whether the provider is in-network or out-of-network. Tools like Payerprice can help in understanding these variations for specific CPT codes in your area.
Fee schedules for healthcare services, which detail the maximum amount an insurance company will pay for a specific CPT code, are often complex and vary by payer, plan, and location. For users looking to search fee schedules with a CPT code and specific location, Payerprice offers a specialized lookup tool to assist in finding this information.