UHC Will Reimburse Telehealth Claims from Qualified Chiropractors

Written by Thomas Jorno

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)
For additional information:
https://www.uhcprovider.com/en/resource-library/news/Novel-Coronavirus-COVID-19/covid19-telehealth-services/covid19-telehealth-services-telehealth.html
https://www.beckershospitalreview.com/telehealth/cms-adds-85-more-medicare-services-covered-under-telehealth.html

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