Social determinants of health protocol - Chapter 8, 2021 UnitedHealthcare Administrative Guide

Effective Oct. 1, 2020, we strongly encourage you to document social determinants of health (SDoH) using ICD-10 diagnostic code(s) (or successor diagnostic codes) in the member’s medical record. Unless prohibited by federal or state law, this protocol applies to all UnitedHealthcare members, including Medicare Advantage and Individual and Group Market plans.

As a result of this protocol, we strongly encourage you to routinely screen, document, and submit the appropriate ICD-10 code(s) when a patient is impacted by SDoH. Although the list of ICD-10 codes is not comprehensive of all social determinants, it is a step we can take together in improving the lives of our members. We encourage you to remain current on the utilization of these SDoH ICD-10 codes, as they may be updated.

For more information, go to > Policies and Protocols > Under Additional Resources choose Protocols > Social Determinants of Health ICD-10 Coding Protocol.