Endocrinology · CMS status A

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.

Work RVU
0.45
National non-QP estimate
$31.73
National GPCI · non-facility · CF $33.4009

Fee-schedule estimate before claim adjustments. Coverage, setting and payer rules still apply.

RVU anatomyWork 0.45 + Practice 0.49 + Malpractice 0.01 = 0.95 total
Work (your effort)Practice expenseMalpractice
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Common ICD-10 pairings
E11.9N18.4Z94.0

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.

Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.