The IDSA Clinical Affairs Committee (CAC), in collaboration with several medical specialty societies, submitted a letter to UnitedHealthcare (UHC) regarding consultation services reported by CPT® (Current Procedural Terminology) codes 99241-99245 and 99251-99255. UHC had proposed to discontinue payment for those services, citing misuse of the codes and UHC’s desire to align with Medicare policy. “As cognitive physicians, we believe our timely services are integral to the effective treatment of patients who have severe, complex conditions,” said the societies’ letter. “We seek to engage UHC in a discussion of these services in order to explain how consultation services best align with UHC’s Triple Aim of ‘improving health care services, health outcomes, and overall costs of care.’” The societies thanked UHC for delaying implementation of this policy, which was originally planned for October 1, and asked for ongoing discussions.
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