UnitedHealthcare Delays Changes in Consultation Code Policy
In August 2017, UnitedHealthcare (UHC) indicated they would no longer reimburse inpatient and outpatient consultation codes, as of Oct. 1, 2017. When the implementation date came, UHC indicated they would delay the consultation services revision until 2018:
We previously announced that certain revisions to the Consultation Services Reimbursement Policy would become effective for UnitedHealthcare Commercial members on Oct. 1, 2017. In an effort to give care providers more time to adjust to potential changes in their submission of procedure codes for consultation services, UnitedHealthcare will be delaying implementation of the revisions to the Reimbursement Policy for services reported with consultation codes 99241-99245 and 99251-99255.
UHC did not rescind its decision; they only delayed implementation to pursue “data analysis and trending,” further. Check with your carriers for their latest policies when billing consultation services.
Resource: RAC Monitor, “Breaking: UnitedHealthcare Appears to Delay Eliminating Consultation Codes”