Question 1

What insurance policy changes affect CPT 97802?

Accepted Answer

There are 7 tracked policy changes affecting CPT 97802, including updates from Blue Cross Blue Shield of Vermont, Maryland Medicaid, Texas Medicaid. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 97802?

Accepted Answer

Payers that have issued tracked updates for CPT 97802 include: Blue Cross Blue Shield of Vermont, Maryland Medicaid, Texas Medicaid, Connecticut Medicaid (HUSKY Health), Blue Cross Blue Shield of Rhode Island, Blue Cross of Idaho.

Question 3

How do I get notified when CPT 97802 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 97802. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 97802?

Accepted Answer

Payers revise policies for individual billing codes to align with updated clinical guidelines, CMS rule changes, fraud and abuse prevention measures, or network cost-management goals. Changes can affect medical necessity criteria, place-of-service restrictions, bundling rules, or whether a code requires prior authorization.

97802 Insurance Policy Changes

Nutritional Therapy and Nutritional Counseling

PT 66-26: Federally Qualified Health Center and Rural Health Center Coding Guidelines

Updates to Prior Authorization for Services and Clinician-Administered Drug Benefits for HTW/HTW Plus

2025.65 - Provider Bulletin - Medical Nutrition Therapy - Billing Update

Payment policy updates

MAPAP111 - Billing Requirements for Federally Qualified Health Centers (FQHCs) - Updated language CCM, VCS, CoCM, and telehealth

2025.18 - Provider Bulletin - New Coverage of Medical Nutrition Therapy