Non-Physician Health Care Codes Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans

Overview

This policy describes the correct coding methodology and reimbursement for certainnonphysician health care professionalservices.

Policy Codes

Find your specific codes below.

This policy contains more codes than can be displayed on one screen. Find your specific code below.

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  • 96040
  • 96156
  • 96158
  • 96159
  • 96164
  • 96165
  • 96167
  • 96168
  • 96170
  • 96171
  • 97802
  • 97803
  • 97804
  • 98960
  • 98961
  • 98962
  • 99605
  • 99606
  • 99607
  • G0270
  • G0271
  • G2061
  • G2062
  • G2063
  • G2071
* COMM-Nonphysician-Health-Care-Codes-Policy.pdf
Click to Download: Non-Physician Health Care Codes Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans

Questions and Answers

Q: If a Physician reports codes from the Health and Behavior Assessment/Intervention series using CPT 96156, 96158-96159, 96164-96165, 96167-96168, 96170-96171 will he or shebe reimbursed? 

A: No.CPT 96156, 96158-96159, 96164-96165, 96167-96168, 96170-96171 should only be reported by qualified nonphysician health care professionals. As indicated in the parenthetical note following the Health and Behavior Assessment/Intervention guidelines in the CPT book,Physicians performing health and behavior assessments/interventions should report the appropriate Evaluation and Management or Preventive Medicine service codes.

Q: What would be the appropriate CPT or HCPCS code for a registered dietitian to report for medical nutrition therapy services?

A: Registered dietitians should report specific CPT or HCPCS codesthat accurately identify the service performed using CPT codes 97802-97804 and HCPCS codes G0270-G0271.