UHC Will Reimburse Telehealth Claims from Qualified Chiropractors
In response to the COVID-19 pandemic, UnitedHealthcare will reimburse claims for telehealth services for service submitted by chiropractors for service dates from March 18 until June 18.
Additionally, the payer will waive cost sharing for in-network telehealth services for both COVID-19- and non-COVID-19 related visits. UnitedHealthcare is also allowing all codes on CMS’ covered telehealth services list for Medicare Advantage, Medicaid and individual and group market health plans.
Eligible care providers can bill for telehealth services performed using interactive audio-video or audio-only, except in cases where UnitedHealthcare explicitly notes the need for interactive audio/video, which include physical therapy, occupational therapy and speech therapy while a patient is at home.
| Here are the services, and their respective codes, that UnitedHealthcare will cover when provided via telehealth through June 18. 99211-99215: established patient visit with a provider who uses audio-video or audio-only telecommunications system for COVID-19 or non-COVID-19 care 99211-99215: established patient visit with a provider who uses audio-video or audio-only telecommunications system for evaluating need for COVID-19 testing 99211-99215: established patient with COVID-19 diagnosis visits with a provider who uses an audio-video or audio-only telecommunications system 99201-99205: new patient visit with a provider who uses an audio-video or audio-only telecommunications system for COVID-19 or non-COVID-19 related care 99201-99205: new patient visit with a provider who uses an audio-video or audio-only telecommunications system for evaluating need for COVID-19 testing 99421-99423: communication between an established patient and their provider through an online patient portal for COVID-19 or non-COVID-19 related care G2012: brief check-in with provider using audio-only with established patient for COVID-19 or non-COVID-19 related care G2010: brief check-in with provider using a recorded video and/or images submitted by established patient for COVID-19 or non COVID-19 related care Telehealth Services for Chiropractors: 99201-99205: office/outpatient visit with new patient 99211-99213: office/outpatient visit with established patient 97110: therapeutic exercises 97116: gait training therapy 97530: therapeutic activities, one-to-one patient contact, 15 minutes 97112: neuromuscular reeducation 97535: self-care management training 97750: physical performance test 97755: assistive technology assessment 97760: orthotic management and training, first encounter 97761: prosthetic training, first encounter Telehealth Services for Physical, Occupation and Speech Therapy: 97161: physical therapy evaluation, low complexity 97162: physical therapy evaluation, moderate complexity 97163: physical therapy evaluation, high complexity 97164: physical therapy re-evaluation 97110: physical and occupational therapeutic procedure, one or more areas, 15 minutes 97116: gait training 97530: therapeutic activities, one-to-one patient contact, 15 minutes 97112: therapeutic procedure, one or more areas, 15 minutes 97535: physical and occupational therapy self-care/home management training, 15 minutes 97750: physical and occupational therapy physical performance test 97755: physical and occupational therapy assistive technology assessment 97760: physical and occupational therapy orthotic management and training, first encounter 97761: physical and occupational therapy prosthetic training, first encounter 97165: occupational therapy evaluation, low complexity 97166: occupational therapy evaluation, moderate complexity 97167: occupational therapy evaluation, high complexity 97168: occupational therapy re-evaluation 97530: therapeutic activities, one-to-one patient contact, 15 minutes 92507: treatment of speech, language, voice, communication and/or auditory processing disorder 92521: evaluation of speech fluency 92522: evaluation of speech sound production 92523: evaluation of speech sound production 92524: behavioral and qualitative analysis of voice and resonance 92526: treatment of swallowing dysfunction and/or oral function for feeding 96105: assessment of aphasia and cognitive performance testing 97129: therapeutic interventions that focus on cognitive function 97130: each additional 15 minutes (use in conjunction with 97129) |
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