ALERT! UHC Medical Policy Change
In its November 2012 “Medical Policy Update Bulletin” UHC announced their Coverage Determination Guidelines for Bariatric Surgery are being revised effective December 1, 2012. You can access the full new Coverage Rationale at www.unitedhealthcareonline.com. Once you are on that site open the pdf file entitled “2012 Network Bulletin” and scroll to page 6 of that document to see the summary.
The summary of changes they describe in the Bulletin include:
Updated description of services to reflect most current clinical evidence and references and references
Revised coverage rationale; added language to indicate vagus nerve blocking (VNB) or vagal blocking therapy is unproven for treatment of obesity
Updated list of applicable (unproven) CPT codes; added 0312T, 0313T, 0314T, 0315T, 0316T and 0317T effective 01/01/2013