Medical Nutrition Therapy for diabetes and Diabetes Education should be covered by your insurance, depending on your carrier and the plan your employer negotiated with the carrier. To determine if your insurance will cover these services, we highly recommend you call your insurance company with the following information before arriving for your appointment. Please ask your insurance representative how many “hours or units” per year you are entitled to for each service.
Please note the Diabetes Education Center’s services are billed as OUTPATIENT HOSPITAL SERVICES/FACILITY.
The information below is what the insurance company will need to confirm coverage:
1. Provider: Stony Brook University Hospital
2. Billing Address: 101 Nichols Road Stony Brook, NY 11794
3. Tax number: 113243405
4. NPI number: 1972523348
5. Diabetes diagnosis codes:
a. Type 1 = E10.65
b. Type 2 = E11.65
c. Gestational Diabetes = O24.419
d. Pre-diabetes = R73.09
| Type of Service or benefit | Code | # of hours or units per year |
|---|---|---|
| MNT Individual (provided by Registered Dietitian) | Initial Visit | |
| 97802 | ||
| Follow Up Visit | ||
| 97803 | ||
| DSME Individual (provided by Registered Dietitian or nurse) | G0108 | |
| DSME Group Classes | G0109 |
Please ask also if you are covered for Telehealth visits.