UnitedHealthcare updates preventive service coverage for select screenings

Based on the Women’s Preventive Services Initiative, diabetes and urinary continence screenings are being added to the Preventive Services Guideline (CDG), effective June 1.

This change applies to UnitedHealthcare fully insured and self-funded customers that follow UnitedHealthcare’s standard preventive coverage. 

The June 1 UnitedHealthcare Preventive Services Coverage Determination Guideline (CDG) will include these updates. 

For questions, please contact your UnitedHealthcare representative. 

CDG Change

Description

Effective Date

Diabetes Screening for individuals with history of gestational diabetes

The Women’s Preventive Services Initiative recommends women with a history of gestational diabetes who are not currently pregnant and who have not previously been diagnosed with type 2 diabetes should be screened for diabetes. There is no age limit.

  • Initial testing should ideally occur within the first year postpartum and can be conducted as early as 4-6 weeks postpartum.
  • Women with a negative initial postpartum screening test result should be rescreened at least every 3 years for a minimum of 10 years after pregnancy.
  • Procedure codes: 82947, 82948, 82950, 82951, 82952, 83036, 36415, 36416.
  • Codes must accompany  one of the following diagnosis codes: ICD-10: Z00.00, Z00.01, Z13.1
  • And include Z86.32 (history of gestational diabetes).

 

June 1, 2018

Urinary continence screening

The Women’s Preventive Services Initiative recommends screening women for urinary incontinence annually. 

This screening is part of the annual wellness examination.

June 1, 2018