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CPT 97804: Group Medical Nutrition Therapy, 30-Minute Increment
CPT code 97804 denotes group medical nutrition therapy provided by a qualified clinician for two or more patients, billed per 30-minute increment. This code matters nationally as group diet therapy is a common, cost-conscious delivery model for managing chronic diseases and nutrition-related conditions, supporting population health and outpatient care efficiency. It allows clinicians to document structured diet therapy when multiple patients receive the same instruction and counseling simultaneously.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise orientation to how 97804 is defined clinically and operationally, plus an overview of payer coverage considerations and common modifiers. The publication outlines typical sites of service, the group-based service model, and where this code fits within outpatient nutrition services.
This summary prepares readers to use the full publication to review benchmarks, payer policy variations, coding guidance, and clinical context for group medical nutrition therapy. Data not available in the input for certain fields — such as associated taxonomies, specific ICD-10 pairings, and related codes — are noted as unavailable elsewhere in the report.
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Billing Code Overview
CPT code 97804 describes group medical nutrition therapy where a provider delivers specific diet therapy to treat medical conditions and related symptoms by interacting with a group of two or more patients. The code represents each 30 minutes of a group visit involving two or more patients.
Service type: Group medical nutrition/diet therapy
Typical site of service: Outpatient clinic or ambulatory care setting where group therapy is provided