Non-Physician Health Care Codes Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans
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Questions and Answers
Q: If a Physician reports codes from the Health and Behavior Assessment/Intervention series using CPT 96156, 96158-96159, 96164-96165, 96167-96168, 96170-96171 will he or shebe reimbursed?
A: No.CPT 96156, 96158-96159, 96164-96165, 96167-96168, 96170-96171 should only be reported by qualified nonphysician health care professionals. As indicated in the parenthetical note following the Health and Behavior Assessment/Intervention guidelines in the CPT book,Physicians performing health and behavior assessments/interventions should report the appropriate Evaluation and Management or Preventive Medicine service codes.
Q: What would be the appropriate CPT or HCPCS code for a registered dietitian to report for medical nutrition therapy services?
A: Registered dietitians should report specific CPT or HCPCS codesthat accurately identify the service performed using CPT codes 97802-97804 and HCPCS codes G0270-G0271.