97804 Insurance Policy Changes

CPT 97804, in plain terms, covers A healthcare provider leads a group education session teaching patients about nutrition and diet management. CPT 97804 is referenced in 5 tracked payer policy changes from Maryland Medicaid, Texas Medicaid, and 2 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 97804 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 97804 on AAPC