G0270
MNT subsequent, 15 min, dx changed
Medical Nutrition Therapy (MNT) reassessment and subsequent intervention, individual, 15-minute increment, when there has been a change in the patient's condition, diagnosis, or treatment regimen requiring additional MNT beyond the routine annual benefit. CMS 2026 wRVU 0.45. Used after the initial MNT (97802) and routine subsequent MNT (97803) benefit has been exhausted for the year.
Billing guidance for G0270 is locked
- When to use it: the exact clinical situations that support billing G0270
- Documentation checklist: the 5 elements your note needs before submitting
- Common pitfalls: the 5 mistakes that get G0270 downcoded or denied
Payer notes
Medicare covers MNT for diabetes and CKD without dialysis, with strict coverage rules: 3 hours initial year (97802), 2 hours annually thereafter (97803), plus G0270 increments when condition changes. Commercial coverage varies; many commercial plans cover MNT for diabetes and cardiovascular conditions with different annual caps. Documentation of the change-in-condition trigger is essential for G0270 audit defense.