2006 proposed fee schedule - American Society of Clinical Oncology

G0270, G0271 and 97802 through 97804) and diabetes
outpatient self-management training services (DSMT) (as
defined by HCPCS codes G0108 and G0109). The requestors
believe that MNT and DSMT are similar to the services
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currently on the list of Medicare telehealth services and,
therefore, should be added to the list of Medicare
telehealth services.
CMS Review
Section 1861(s)(2) of the Act authorizes coverage and
payment of MNT for certain beneficiaries who have diabetes
or a renal disease. Individual MNT typically involves
obtaining a nutrition history, counseling, the formulation
of a treatment plan, implementation of a treatment plan
through discussion with the patient, and follow-up with the
patient. These components would be comparable to E&M office
or other outpatient visits which are currently Medicare
telehealth services. Additionally, the interactive dynamic
of individual MNT is similar in nature to an E&M office
visit because the nutrition professional is able to have a
direct one-on-one discussion with the beneficiary and the
beneficiary is able to ask immediate questions regarding his
or role in following the treatment plan. Therefore, we
propose to add individual MNT as represented by HCPCS codes
G0270, 97802 and 97803 to the list of Medicare telehealth
services.