Nutritional Counseling

Aetna covers nutritional counseling/medical nutrition therapy as medically necessary preventive services for obese children and adults, for overweight adults (BMI > 25.0 kg/m2) with cardiovascular risk factors (hypertension, dyslipidemia, impaired fasting glucose, or metabolic syndrome), and for certain chronic disease states where diet is therapeutic (e.g., diabetes, eating disorders), provided the applicable CPT/HCPCS/ICD‑10 selection criteria are met. Nutritional counseling/testing is excluded as experimental/investigational for conditions not shown to be nutritionally related (e.g., ADHD F90.*, asthma J45.*, chronic fatigue R53.82), and NutrEval testing is considered investigational and not covered (no covered CPT/HCPCS code).

"Medical nutrition therapy/nutritional counseling for chronic disease states: kidney disease."

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