Dietitian Invoice Template
MNT codes, units, group sessions and referral details. Free PDF, no account.
Medical nutrition therapy is billed in units, and the units are not all the same length — individual sessions count in fifteen-minute increments while group sessions count in thirty. Mixing them, or billing a returning patient as a new assessment, is what turns a straightforward claim into a denial months later.
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INVOICE
Issued
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Issued by
Alder & Fern Nutrition
9 Harvest Lane Suite 5 05401 Burlington, VT United States billing@alderfernnutrition.example |
Bill to
Silvia Marchetti
410 Winooski Avenue 05403 Burlington, VT United States s.marchetti@example.com |
| Description | Qty | Rate | Tax | Amount |
|---|---|---|---|---|
97802 — MNT initial assessment Individual, face to face, 15-minute units | 4 | $38.00 | — | $152.00 |
97803 — MNT reassessment and intervention Four follow-up sessions, 15-minute units | 12 | $36.00 | — | $432.00 |
97803 — MNT follow-up, telehealth Two sessions by video, 15-minute units | 6 | $36.00 | — | $216.00 |
97804 — Group medical nutrition therapy Two group sessions, 30-minute units | 4 | $22.00 | — | $88.00 |
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What to put on a dietitian invoice
- Your NPI, registration and the practice tax ID
- The initial assessment separately from follow-up sessions, since they are different codes
- Units against each session, with the length a unit represents
- Group sessions apart from individual ones — they are counted in half-hour units
- The referral and diagnosis, where the plan requires one
- Telehealth sessions marked, with the place-of-service code
Questions
When do I bill an initial assessment again?
Rarely. A patient returning after their first visit is a follow-up regardless of how long it has been — the usual exception is a patient discharged and then re-referred more than a year later. Re-billing the initial code because a gap felt long is a common and avoidable denial.
Are group sessions billed the same way?
No. Group medical nutrition therapy is counted in thirty-minute units rather than fifteen, so a ninety-minute group is three units and not six. It is the arithmetic most often got wrong on a nutrition claim.
Are there daily unit limits?
Medicare applies them, and commercial plans usually follow — commonly eight units a day for individual therapy and six for group. Bill against the limit rather than against the clock, and check it before a long session rather than after.
Ready to bill for it?
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