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See a sample rate comparisonCPT 97803 Fee Schedule
Last Verified: September 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 None 10 - Telehealth in Patient's Home |
| Common Modifiers | None 95 - Telemedicine - audio and video GT - Via interactive audio and video telecommunication systems |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 97803 |
| Medicaid Fee Schedule | View Medicaid rates for 97803 |
National average reimbursement for CPT 97803 by major payers:
$34.89
$38.00
$48.63
$38.74
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CPT 97803
5 of 25 sample ratesHigher to lower in this preview
Viet Nguyen
The Vancouver Clinic, Inc., Ps
$103.97Published rateJohn Millichap
Multicare Health System
$70.94Published rateMatthew Masiello
Physicians Of Falmouth Hospital
$43.40Published rateKelsi Haraway
$23.37Published rateSarah Schwartz
Meira Waldman Rd LLC
$19.04Published rate
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See a sample payer proposalCPT 97803 vs. Other Medical Nutrition Therapy Procedures Codes
The CPT 97803 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 97803 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 97803. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 97803 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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