Insurance Information

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. 

          
         

Last Updated
01/21/2025