Wiki United Healthcare rejecting modifier 93 for Telehealth

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gail181

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Does anyone know if United Healthcare is covering cpt code 99212 with modifier 93 for telehealth? We just got a claim rejected for "Audio only modifier 93 is not appropriate for procedure code 99212." The patient has commercial insurance United Healthcare, the POS code 10 was used, per note: visit type is virtual visit telephone. Can anyone help me with this?
 
gail181 said:
Does anyone know if United Healthcare is covering cpt code 99212 with modifier 93 for telehealth? We just got a claim rejected for "Audio only modifier 93 is not appropriate for procedure code 99212." The patient has commercial insurance United Healthcare, the POS code 10 was used, per note: visit type is virtual visit telephone. Can anyone help me with this?
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99212 is not an eligible audio-only code for United Healthcare commercial.

UHC's Telehealth/Virtual Health Policy, Professional has more details, including the list of codes that are eligible for audio-only telehealth:

 
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