G0270
Mnt subs tx for change dx
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. Used after the initial MNT (97802) and routine subsequent MNT (97803) benefit has been exhausted for the year.
Published by RVUDoc. Numeric data: CMS RVU26C, effective 2026-07-01. Page updated 2026-09-23. Calculation limits and editorial policy.
Fee-schedule estimate before claim adjustments. Coverage, setting and payer rules still apply.
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.
Related codes
These include alternative services and possible add-ons. Listing codes together does not establish that they can be billed together; check the applicable edits and payer policy.
See what G0270 adds to your year
Add it to the wRVU calculator with your own volume, or paste a note and let the chart audit check your coding.