Skip to main content

UnitedHealthCare's recent decision to adopt a permanent telehealth policy that includes PTs was a big win for the profession and APTA, which has been helping commercial payers understand the value of delivering PT services remotely. Now more details are beginning to emerge.

Recently, UHC released the list of CPT codes it would accept for physical and occupational therapy as well as speech-language pathology services delivered via telehealth (OTs and SLPs were also included in the new policy).

Here are the areas covered:

  • Physical therapy evaluations (CPT codes 97161-97163).
  • Therapeutic procedure, one or more areas, each 15 minutes (97110, 97112, 97116).
  • Tests and measures (97750, 97755).
  • Self-care/home management training (97535).
  • Orthotic management and training and prosthetic management (97760, 97761).
  • Occupational therapy evaluations (97165-97168).
  • Treatment of speech, language, voice, communication and/or auditory processing (92507).
  • Special otorhinolaryngologic services and procedures (92521-92524).

Providers who bill services on a 1500 claim form can get more details on the new policy by reviewing UHC's updated Telehealth/Telemedicine Policy, Professional.

(Want to keep up with the latest in payment? Subscribe to the free APTA Friday Focus series on payment issues, emailed to you on the fourth Friday of every month. Signing up is easy — just visit this page to manage your email preferences.)


You Might Also Like...

News

New Member Benefit a One-Stop-Shop for Prior Authorization, UM Advocacy Tools

Mar 15, 2022

APTA and the Private Practice Section have collaborated to create SPARC — the State Payer Advocacy Resource Center.

News

Spending Package: A Win for Telehealth, No Movement on PTA Differential

Mar 11, 2022

The $1.5 trillion plan passed with bipartisan support. Here are three takeaways of interest to the physical therapy community.

Perspective

One-Size-Fits-All Insurance Is Shortchanging Older Athletes

Jan 25, 2022

Health insurance coverage for outpatient musculoskeletal rehabilitation disregards variability in prior level of function, rehabilitation progress, and