CurrentUnitedHealthcarePolicy N/A

Intracellular micronutrient panel testing reimbursement

This policy governs UnitedHealthcare Community Plan Medicaid reimbursement methodology and coverage stance for intracellular micronutrient panel testing billed on CMS-1500 or UB-04 forms and affects all network and non-network providers for the applicable Medicaid products.

Policy Summary

PayerUnitedHealthcare

PolicyIntracellular micronutrient panel testing reimbursement

Policy CodePolicy N/A

Change TypeNo material change

Effective DateN/A

Next Review DateN/A

Key ActionProviders are responsible for accurate claim submission and should follow CPT/CMS coding guidelines.

SourceLink

POLICY UPDATE CHANGES

No material clinical or coverage changes in this revision.

Multipleprocedure codes referenced as not reimbursed

Medicaidplan applicability

2026-05-01implementation date

2026-02-02publication date

Coverage Determination

Non-covered services

UnitedHealthcare will not consider reimbursement for the intracellular micronutrient panel testing procedure codes listed below.

ALL of the following

ANY of the following
- 82128 and associated component mappings: 82136; 82180; 82310; 82379; 82495.
- 82525 and associated component mappings: 82607; 82725; 82746; 82978; 83735.
- 83785 and associated component mappings: 84207; 84252; 84255; 84425; 84446.
- 84590 and associated component mappings: 84591; 84597; 84630; 86353; 88348.

Policy Summary

PayerUnitedHealthcare

PolicyIntracellular micronutrient panel testing reimbursement

Policy CodePolicy N/A

Change TypeNo material change

Effective DateN/A

Next Review DateN/A

Key ActionProviders are responsible for accurate claim submission and should follow CPT/CMS coding guidelines.

SourceLink

On This Page

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Procedure Codes and Reimbursement Stance

Procedure codes listed as not reimbursedCPTNot Covered

82128	Referenced in grouping of intracellular micronutrient panel codes (listed as not reimbursed)
82525	Referenced in grouping of intracellular micronutrient panel codes (listed as not reimbursed)
83785	Referenced in grouping of intracellular micronutrient panel codes (listed as not reimbursed)
84590	Referenced in grouping of intracellular micronutrient panel codes (listed as not reimbursed)

Associated component codes (listed with primary codes)CPTNot Covered

82136	Component code listed with 82128
82180	Component code listed with 82128
82310	Component code listed with 82128
82379	Component code listed with 82128
82495	Component code listed with 82128
82607	Component code listed with 82525
82725	Component code listed with 82525
82746	Component code listed with 82525
82978	Component code listed with 82525
83735	Component code listed with 82525

1–10 of 20

1/2

Reimbursement stance

Reimbursement stanceUnitedHealthcare will not consider reimbursement of intracellular micronutrient panel testing for the procedure codes listed.

ApplicabilityApplies to services billed on CMS-1500 and UB-04 forms for UnitedHealthcare Community Plan Medicaid products.

ScopeStance applies to the specific procedure codes listed in this policy and is intended as general reference; UnitedHealthcare may use discretion in applying the policy.

Provider Responsibilities and Billing Guidance

Documentation Required

Provider responsibilities and coding guidance

You are responsible for submitting accurate claims using the code or codes that correctly describe the services provided. Follow CPT, CMS, or other coding guidelines when billing; UnitedHealthcare Community Plan may use reasonable discretion in interpreting and applying this policy to services in a particular case.

Ensure claims reflect the CPT/CMS codes that accurately describe the service billed.
Be aware that references to CPT or other sources are for definitional purposes and do not guarantee reimbursement.
UnitedHealthcare may apply additional factors (regulatory requirements, contracts, benefit design) that affect reimbursement and may modify the policy at any time.

Key Definitions

Intracellular micronutrient panel testing

Definition — Intracellular micronutrient panel testingAssays such as SpectraCell, Cell Science Systems cell micronutrient assay, ExaTest.

PurposeDescribes the reimbursement methodology for intracellular micronutrient panel testing.

ExamplesSpectraCell; Cell Science Systems cell micronutrient assay; ExaTest.

Reimbursement policy

Reimbursement policy — definitionGuidance uses CPT, CMS or other coding guidelines to determine appropriate claim reimbursement; references are for definitional purposes and do not imply a right to reimbursement.

Provider responsibilityProviders are responsible for submission of accurate claims and should code services using the code or codes that correctly describe the services provided.

Policy limitationsPolicy is a general reference and may be superseded by federal/state regulations, contracts, benefit documents, or other policies.

ApplicationCoding methodology, industry-standard reimbursement logic, regulatory requirements, benefits design, and other factors are considered in developing reimbursement policy.