Free tools

UnitedHealthcare Medicare Advantage MNT coverage: codes, telehealth and limits

The short answerUnitedHealthcare Medicare Advantage follows CMS coverage and coding for network services. Its provider guide covers MNT for diabetes, renal disease or after a kidney transplant with a doctor's referral: 3 hours the first year, 2 hours a year after, $0 for the member with a network provider. Telehealth uses POS 02 or 10.

1 row: UnitedHealthcare Medicare Advantage. Public policy, not the member's benefits.

UnitedHealthcare Medicare Advantage

Medicare Advantage (UnitedHealthcare network services) · All states

97802Follows Medicare (our reading: UHC points to CMS coding and names no MNT code list, so Original Medicare codes apply) [1]
97803Follows Medicare (our reading: UHC points to CMS coding and names no MNT code list, so Original Medicare codes apply) [1]
G0270Follows Medicare (our reading: UHC points to CMS coding and names no MNT code list, so Original Medicare codes apply) [1]
G0271Follows Medicare (our reading: UHC points to CMS coding and names no MNT code list, so Original Medicare codes apply) [1]
Where it appliesApplies to UnitedHealthcare Medicare Advantage plans. Employer group plans may have custom cost sharing that differs from the guide, so check the member's Evidence of Coverage. [1]
DiagnosesDiabetes, renal disease, or after a kidney transplant. [1]
Telehealth POSTelehealth POS 02 (patient not at home) or POS 10 (patient at home) certifies the service meets telehealth requirements. The service must be on the Medicare telehealth list. [2]
Telehealth modifierThe telehealth policy names modifiers 95, GT, GQ and G0 as telehealth modifiers. It does not say which one MNT needs. [2]
Telehealth rulesTelehealth services may have a different cost share than in-person services. [1]
Visit limits3 hours of individual counseling in the first year and 2 hours each year after. If the member's condition, treatment or diagnosis changes, the member may receive additional hours. [1]
Referral and prior authThe member must be referred by their doctor. [1]
Who can billUHC Medicare Advantage follows CMS on who may deliver telehealth and lists a registered dietitian or nutrition professional among eligible care providers. [2]
PaymentListed as a Medicare-covered preventive service: no copay, coinsurance or deductible when a network provider renders it. [1]
AlsoUHC states: we follow CMS Medicare coverage and coding guidelines for all network services. Its Medicare Advantage reimbursement policies do not note prior authorization requirements, and we found no separate UHC Medicare Advantage MNT policy. [1][2]
  1. UnitedHealthcare: 2026 Medicare Advantage copay guidelines, frequently asked questions (PCA-1-25-02688, 12/11/2025), checked October 30, 2026
  2. UnitedHealthcare Medicare Advantage: Telehealth and Telemedicine Policy, Professional, Reimbursement Policy 2026R9039A (version 4/1/2026), checked October 30, 2026

Check an UnitedHealthcare Medicare Advantage claim against the row

Before an UnitedHealthcare Medicare Advantage claim goes out, compare it with the row above: the code is one the policy lists, the place of service and modifier match for a video visit, and the units fit the limit. Change the filters to compare UnitedHealthcare Medicare Advantage with another payer, then download the PDF of what you see.

Sources

  1. UnitedHealthcare: 2026 Medicare Advantage copay guidelines, frequently asked questions (PCA-1-25-02688, 12/11/2025)
  2. UnitedHealthcare Medicare Advantage: Telehealth and Telemedicine Policy, Professional, Reimbursement Policy 2026R9039A (version 4/1/2026)

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

Frequently asked questions

Does UnitedHealthcare Medicare Advantage cover 97802 and 97803 for a dietitian?

Yes, as Original Medicare does. 97802, 97803, G0270 and G0271 are not named in a plan policy, so Original Medicare's rules apply (our reading: UHC points to CMS coding and names no MNT code list, so Original Medicare codes apply). The member's plan still decides coverage, visits and cost sharing, so verify benefits before the first visit.

What place of service and modifier does UnitedHealthcare Medicare Advantage want for telehealth MNT?

Place of service: Telehealth POS 02 (patient not at home) or POS 10 (patient at home) certifies the service meets telehealth requirements. The service must be on the Medicare telehealth list. Modifier: The telehealth policy names modifiers 95, GT, GQ and G0 as telehealth modifiers. It does not say which one MNT needs.

Does UnitedHealthcare Medicare Advantage limit MNT visits?

3 hours of individual counseling in the first year and 2 hours each year after. If the member's condition, treatment or diagnosis changes, the member may receive additional hours.

Part of Free tools & cheat sheets.