2006 proposed fee schedule - American Society of Clinical Oncology

Practitioners Who May Furnish Medical Nutrition Therapy
Services
108
Section 1834(m) of the Act specifies that practitioners
defined in section 1842(b)(18)(C) of the Act may receive
payment for furnishing telehealth services at the distant
site. Effective January 1, 2002, section 1842(b)(18)(C) of
the Act includes a registered dietitian or nutrition
professional as a Medicare practitioner. As a condition of
Medicare Part B payment, the statute allows only a
registered dietitian or nutrition professional to furnish
medical nutrition therapy services (subject to referral made
by the treating physician) for the purpose of managing
diabetes or renal disease. Medicare practitioners who are
not a licensed or certified registered dietitian or other
nutrition professional, as defined in §410.134, may not
furnish and receive payment for MNT services.
We propose to revise §410.78 and §414.65 to include
individual MNT as a Medicare telehealth service.
Additionally, since a certified registered dietitian or
other nutrition professional are the only practitioners
permitted by law to furnish MNT, we propose to revise
§410.78 to add a registered dietitian and nutrition
professional as defined in §410.134 to the list of
practitioners that may furnish and receive payment for a
telehealth service.