Insurance billing for naturopathic practice.
E&M codes for new and established patients, MNT codes (97802/97803), state-specific naturopathic coverage support, and superbill flow for cash-pay clients.
How naturopaths actually use this
Naturopathic billing varies significantly by state. Licensed-state NDs (CA, OR, WA, AZ, etc.) can bill major insurers; non-licensed-state NDs typically operate cash-pay with HSA/FSA superbills. Stillpoint handles both flows.
The typical workflow
- 1New patient: comprehensive E&M (99204/99205) billed on initial visit
- 2Established patient: appropriate E&M level (99213/99214/99215) based on complexity
- 3MNT (97802/97803) for nutrition-focused visits
- 4Cash-pay: auto-generated superbill for HSA/FSA / out-of-network reimbursement
Works with what you already use
Common tools naturopaths pair with insurance billing.
Concerns we hear most
Will my state's ND licensure affect billing?
Yes — licensed-state NDs have direct billing options; non-licensed states typically operate cash-pay. Both flows are supported.
Can I bill MNT codes?
Yes — 97802 (initial) and 97803 (follow-up) MNT codes are supported with proper time-based selection.
Frequently asked questions
Can I bill both E&M and MNT on one visit?
In some cases — it depends on payer policy and proper modifier use. Stillpoint flags potential coding conflicts before submission.
Does the system handle Medicaid for ND?
State-specific. OR and WA Medicaid commonly cover ND services; others vary. Verified per state at signup.
Can clients use HSA for naturopathic visits?
Yes if there's a qualifying medical condition. Stillpoint generates the receipt with appropriate ICD-10 coding.
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