$30.26
Use 97802 for initial individual assessment and intervention; use 97803 for subsequent individual reassessment and intervention.
On this page
CMS RVU26D · Effective 2026-10-01
97802 Medical nutrition therapy Medicare reimbursement rates in Nebraska
Reports an initial, face-to-face individual nutrition assessment and intervention, provided by a qualified nutrition professional and counted in 15-minute units. Compare 97802 office and facility rates across CMS payment localities in Nebraska.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 97802 in Nebraska?
Nebraska has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$35.09
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
Facility setting
$25.54
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Nutrition services
About 97802: Initial individual nutrition therapy assessment
Reports an initial, face-to-face individual nutrition assessment and intervention, provided by a qualified nutrition professional and counted in 15-minute units.
An initial individual MNT service combines nutrition assessment with tailored intervention: the practitioner evaluates relevant dietary patterns and nutrition needs, then develops or begins a plan with the patient. Registered dietitians and other qualified nutrition professionals commonly provide it in outpatient offices, clinics, or other settings where the patient receives face-to-face counseling. Common referrals involve nutrition management for diabetes, kidney disease, or other conditions affected by diet; the diagnosis and practitioner’s scope determine the clinical focus.
Choose 97802 for the initial assessment-and-intervention service, rather than later individual reassessment and intervention (97803) or group counseling (97804). Report the documented face-to-face service in 15-minute units. The note should identify the nutrition assessment, individualized plan or counseling delivered, patient participation, and time. CMS assigns separate office and facility practice-expense values in the Physician Fee Schedule, so use the setting that matches where the service was furnished.
Where the value comes from
- Work RVU0.53 · 48%
- Practice expense (office) RVU0.56 · 51%
- Malpractice RVU0.01 · 1%
197.4K
Medicare services in 2024 · #391 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
97802 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$16.18
97804 reports group MNT. Choose 97802 when the patient receives the nutrition assessment and intervention individually.
$30.26
G0270 is a Medicare code for qualifying individual MNT reassessment after a change in condition or treatment; 97802 describes the initial individual service.
Compare 97802 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Nebraska →
Office / nonfacility
$35.09
Facility
$25.54
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 97802 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
12,913
- Code
- 97802
- Physician work
- 0.53
- Practice expense
- 0.56
- Malpractice
- 0.01
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.53 | × 1.000 | 0.5300 |
| Practice expense | 0.56 | × 0.923 | 0.5169 |
| Malpractice | 0.01 | × 0.378 | 0.0038 |
| Total RVUs | 1.0507 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$35.09
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.53 | 1 |
| Practice expense | 0.56 | 0.923 |
| Malpractice | 0.01 | 0.378 |
(0.53 × 1 + 0.56 × 0.923 + 0.01 × 0.378) × $33.4009 = $35.09
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.53 | 1 |
| Practice expense | 0.25 | 0.923 |
| Malpractice | 0.01 | 0.378 |
(0.53 × 1 + 0.25 × 0.923 + 0.01 × 0.378) × $33.4009 = $25.54
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
97802 billing questions
How is 97802 different from 97803?
97802 is for the initial individual nutrition assessment and intervention. Use 97803 for subsequent individual reassessment and intervention.
When should 97804 be used instead?
97804 is the group MNT code. Use 97802 when the nutrition assessment and intervention are provided individually to the patient.
How are units reported?
The service is reported in 15-minute units. Document the face-to-face time and the nutrition assessment and intervention provided.
What documentation supports 97802?
Document the nutrition needs assessed, the individualized counseling or plan delivered, the patient's participation, and the face-to-face time.
Can 97802 be reported with an office E/M service?
The MNT service represents individualized nutrition assessment and intervention. A separate E/M service must reflect distinct, separately documented evaluation and management work.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
12,91097761,,Prosthetic traing 1st enc,A,,0.50,0.70,,0.70,NA,0.01,1.21,1.21,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,91197763,,Orthc/prostc mgmt sbsq enc,A,,0.48,1.01,,1.01,NA,0.01,1.50,1.50,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,91297799,,Unlisted physcl med/rehab px,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,7,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,91397802,,Medical nutrition indiv in,A,,0.53,0.56,,0.25,,0.01,1.10,0.79,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,91497803,,Med nutrition indiv subseq,A,,0.45,0.49,,0.20,,0.01,0.95,0.66,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,91597804,,Medical nutrition group,A,,0.25,0.25,,0.11,,0.01,0.51,0.37,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,91697810,,Acup 1/> wo estim 1st 15 min,A,,0.61,0.79,,0.17,,0.04,1.44,0.82,0,XXX,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068