United Healthcare Delays Termination of Consultation Codes Indefinitely

Thanks to the quick and effective advocacy on your behalf by the North Carolina Medical Society (NCMS), UnitedHealthcare announced that implementation of the revised “Consultation Services Reimbursement Policy,” originally slated to begin on Oct. 1, has been delayed indefinitely.

“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,” the health plan reported its October network bulletin. The Bulletin indicates the policy is on hold until “further notice.”

We will continue to monitor the situation and report any changes immediately. Watch your NCMS Bulletin and email for updates.


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