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What does UnitedHealthcare pay a dietitian for? The UHC code sheet

The short answer. 97802 to 97804 and G0270/G0271 on three preventive rows, each with its own diagnosis list. Z71.3 is not on those lists, and UnitedHealthcare replaces S9470 with 97802 or 97803.

Codes97802, 97803, 97804, G0270, G0271 and 99401 to 99404 on the preventive rows. S9470 is replaced by 97802 or 97803 (Replacement Codes policy)
TelehealthPOS 02 or 10 with live audio and video, for codes on UHC's Telehealth Eligible Services list. Modifiers 95, GT, GQ and G0 are not required; UHC accepts them as informational
Visit limitsNot set in the preventive policy: plan-specific
Allowed amountYour UHC contract
Last verifiedOctober 22, 2026, every source opened that day

What does UnitedHealthcare pay a dietitian for?

UnitedHealthcare (commercial and Individual Exchange)
Codes listed 97802, 97803, 97804, G0270, G0271 and 99401 to 99404 on the preventive rows. S9470 is replaced by 97802 or 97803 (Replacement Codes policy)
Diagnoses listed Prediabetes row: R73.03, ages 35 to 70. Healthy diet row: one of the listed cardiovascular risk factor codes. Weight-loss row: Z68.30 to Z68.45, or E66.01, E66.09, E66.1, E66.2, E66.811 to E66.813, E66.89, E66.9, E88.82
Telehealth POS 02 or 10 with live audio and video, for codes on UHC's Telehealth Eligible Services list. Modifiers 95, GT, GQ and G0 are not required; UHC accepts them as informational
Units Per 15 minutes
Referral, prior auth Not set in the preventive policy: check the member's plan
Visit limits Not set in the preventive policy: plan-specific
Allowed amount Your UHC contract
Our paid-claim data Pending

Verified on October 22, 2026. Source: UHC Preventive Care Services MP.016.60, Telehealth/Virtual Health Policy 2026R0046A, Replacement Codes Policy 2026R0128A. More on the UnitedHealthcare page.

What is on the UnitedHealthcare PDF?

The PDF holds only UnitedHealthcare: its codes, diagnoses, telehealth POS and modifier, units, limits, the date we opened each policy and the link to it. The other five payers have their own sheet, so you print only the one a claim needs. See the sheet for every payer.

How many units does a visit bill?

Short answer: One unit per 15 minutes of face-to-face time, counted from 8 minutes. That is CMS's table for 15-minute timed codes, and the same midpoint rule CPT uses. A commercial contract can count units differently or cap them per visit, and the contract wins.

Face-to-face minutes 97802 / 97803 / G0270 units
Under 8 0 (not billable)
8 to 22 1
23 to 37 2
38 to 52 3
53 to 67 4
68 to 82 5

Group codes (97804, G0271) are per 30 minutes. The MNT units calculator does the arithmetic for any visit length. Source: CMS Claims Processing Manual, ch. 5 Section 20.2, verified October 22, 2026.

The insurance claim section of a visit in Duo Practice, with CPT 97802, diagnosis Z71.3, session minutes and units.
The claim for a test visit in Duo Practice: CPT 97802, Z71.3, and units worked out from the session's minutes. You check it against the chart and press Submit. Try Duo Practice free

Sources

  1. UnitedHealthcare: Preventive Care Services, MP.016.60, effective 10/01/2026 (PDF)
  2. UnitedHealthcare: Telehealth/Virtual Health Policy, Professional, 2026R0046A (PDF)
  3. UnitedHealthcare: Replacement Codes Policy, Professional, 2026R0128A (S9470 to 97802/97803, PDF)
  4. CMS: Medicare Claims Processing Manual, Chapter 5, Section 20.2 (minutes to 15-minute units, PDF)
  5. X12: Claim Adjustment Reason Codes (CARC 4, 5, 96)

Sources checked . Payer rules change; verify the member's benefits.

Frequently asked questions

Should I bill 97803, 99404 or S9470 for a follow-up?

97803, by time. UnitedHealthcare lists 99401 to 99404 on its preventive rows, and its Replacement Codes policy replaces S9470 with 97802 or 97803. Use 99401 to 99404 only when your UnitedHealthcare contract or the plan asks for them.

Why did a telehealth MNT claim deny with CO-96?

CARC 96 means a non-covered charge, and the remark code on the same line says why. UnitedHealthcare pays telehealth for codes on its Telehealth Eligible Services list, with POS 02 or 10 and live audio and video, so first check the code is on that list. A POS mismatch can also come back as CO-5, a modifier mismatch as CO-4.

Does this sheet replace checking benefits?

No. This sheet shows the public policy, not the member's benefits. The member's plan decides coverage, visit limits, referral requirements and cost sharing. Plans differ by state and employer. Run the benefits check before the first visit.

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