Updated medical policy for hyperbaric oxygen therapy
Effective Dec. 1, 2022, we will only consider hyperbaric oxygen therapy (HBOT) services for CPT® codes 99183 or G0277 medically necessary for UnitedHealthcare commercial plan members with one of the listed diagnosis codes in the new hyperbaric oxygen therapy medical policy.
Impacted plans These changes affect UnitedHealthcare commercial plan members, including members of affiliate plans, such as UnitedHealthcare of the Mid-Atlantic, UnitedHealthcare Oxford, Neighborhood Health Partnership, and UnitedHealthcare of the River Valley.
Commercial plan members in the state of Rhode Island are excluded from this requirement.
Please note that:
We may deny HBOT claims for unproven diagnosis codes
These requirements apply to new and current HBOT users that do not have an appropriate diagnosis in their medical claims
This change won't affect any existing authorizations on file for HBOT, unless the member's eligibility changes
Contact Provider Services at 866-416-6594 if you have any questions.
CPT® is a registered trademark of the American Medical Association.