UnitedHealthcare Medicare Advantage MNT coverage: codes, telehealth and limits
1 row: UnitedHealthcare Medicare Advantage. Public policy, not the member's benefits.
UnitedHealthcare Medicare Advantage
Medicare Advantage (UnitedHealthcare network services) · All states
| 97802 | Follows Medicare (our reading: UHC points to CMS coding and names no MNT code list, so Original Medicare codes apply) [1] |
|---|---|
| 97803 | Follows Medicare (our reading: UHC points to CMS coding and names no MNT code list, so Original Medicare codes apply) [1] |
| G0270 | Follows Medicare (our reading: UHC points to CMS coding and names no MNT code list, so Original Medicare codes apply) [1] |
| G0271 | Follows Medicare (our reading: UHC points to CMS coding and names no MNT code list, so Original Medicare codes apply) [1] |
| Where it applies | Applies 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] |
| Diagnoses | Diabetes, renal disease, or after a kidney transplant. [1] |
| Telehealth POS | 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. [2] |
| Telehealth modifier | The telehealth policy names modifiers 95, GT, GQ and G0 as telehealth modifiers. It does not say which one MNT needs. [2] |
| Telehealth rules | Telehealth services may have a different cost share than in-person services. [1] |
| Visit limits | 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. [1] |
| Referral and prior auth | The member must be referred by their doctor. [1] |
| Who can bill | UHC Medicare Advantage follows CMS on who may deliver telehealth and lists a registered dietitian or nutrition professional among eligible care providers. [2] |
| Payment | Listed as a Medicare-covered preventive service: no copay, coinsurance or deductible when a network provider renders it. [1] |
| Also | UHC 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] |
- UnitedHealthcare: 2026 Medicare Advantage copay guidelines, frequently asked questions (PCA-1-25-02688, 12/11/2025), checked October 30, 2026
- 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.