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.
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:
Contact Provider Services at 866-416-6594 if you have any questions.