Wiki UHC prolonged service codes

[Pari9282]

Hello,
UHC commercial as of 2024 is following Medicare guidelines for prolonged services to report G2212 instead of 99417.
Getting denials when G2212 is used for UHC commercial when encounter time is between 55-69 minutes. Wondering if I am missing something.
Also, I couldn’t find any resources from UHC confirming prolonged service codes. Can someone help me?

 

[Papitha]

As per my review, the time you've mentioned above is 55-69 minutes. UHC states the above, please read the highlighted sentences. Hope this helps! I am sharing the link below for your reference.

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-reimbursement/COMM-Prolonged-Services-Policy.pdf