Dietician Billing - FQHC
Medicare
The correct CPT code for Medicare is G0108 – DSMT, individual, per 30 minutes. This code is a
covered when performed at an FQHC. It is reimbursable for FQHC PPS payment as long as no other
office visit is performed. If it is performed on the same day as a physician visit. It will be
included as incident to physician services.
Medicaid
A dietician is not an approved practitioner to perform services in a FQHC for the encounter rate
payment. The services would be considered incidental to the physician services.
Commercial
Majority of the commercial payers will pay for dietician services for diabetes and ESRD. The payer
would need to be contacted to see if they credential the dietician. If not, the services would need
to be billed under the physician. Many will require a referral or authorization depending if the
patient has an HMO or PPO.
If you have any other FQHC questions or would like to swap concerns-
Shanda.Meeks@CharlesDrew.com