Japan's health insurance pays for outpatient nutrition guidance only when a registered dietitian, on a physician's instruction, gives each patient a meal plan suited to their life and tastes

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Where this applies

Japan, national health insurance. The ministry's notice on the 2026 fee schedule says the outpatient nutrition guidance fee is billable when a registered dietitian (kanri eiyōshi), on a physician's instruction, gives each patient as needed a draft meal plan taking account of their living conditions and tastes and gives the guidance needed for treatment, about 30 minutes or more the first time; fee 1 requires the institution's own registered dietitian; and the dietitian must keep a guidance record for each patient with the main points and the time spent. The notice applies from 1 June 2026; the 2024 notice it replaces used the same wording. It is a payment condition, not a ban on drafting tools.

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What it does not yet show

One country's reimbursement rule for outpatient guidance; it does not forbid AI-drafted plans and says nothing about plans outside insured care.

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