United Health Care Cpt Code List

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Coding Corner UHCprovider.com

(8 days ago) WEBCoding Corner. Health care professionals can decrease the potential for claim denials with UnitedHealthcare by utilizing our coding corner training courses. To help decrease the potential for claim denials, we encourage you to utilize these valuable coding resources.

https://www.uhcprovider.com/en/resource-library/training/coding.html

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Prior Authorization Requirements for UnitedHealthcare

(9 days ago) WEBservices provided by United HealthCare Services, Inc., OptumRx, OptumHealth Care Solutions, LLC, Oxford Health Plans LLC or their This list …

https://www.uhcprovider.com/content/dam/provider/docs/public/prior-auth/pa-requirements/commercial/Commercial-Advance-Notification-Prior-Auth-Requirements-01-01-2023.pdf

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Prior Authorization and Notification UHCprovider.com

(2 days ago) WEBPrior authorization information and forms for providers. Submit a new prior auth, get prescription requirements, or submit case updates for specialties. Health care …

https://www.uhcprovider.com/en/prior-auth-advance-notification/prior-auth-app.html

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Outpatient Surgical Procedures Site of Service: CPT/HCPCS …

(2 days ago) WEB57410 Pelvic examination under anesthesia (other than local) 57415 57420. Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/attachments/commercial/outpatient-surg-procedures-site-service-cpt-hcpcs-codes.pdf

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List of CPT/HCPCS Codes CMS - Centers for Medicare

(4 days ago) WEBWe maintain and annually update a List of Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS) Codes (the Code …

https://www.cms.gov/medicare/regulations-guidance/physician-self-referral/list-cpt-hcpcs-codes

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Coding Summary for Providers - AAPC

(3 days ago) WEBProcedure Code(s): n/a This service is included in the payment for a Preventive Care visit or focused E&M visit. n/a. Prostate Cancer Screening. Procedure Code(s): Code Group …

https://www.aapc.com/codes/webroot/upload/general_pages_docs/document/preventive_care_services_coding_guideline_summary.pdf

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Fee Schedule Lookup - UHCprovider.com

(5 days ago) WEBLook up contracted rates of Commercial plans for CPT or HCPC codes, for a specific physician/healthcare professional name and product. Created Date 1/17/2024 1:49:57 PM

https://www.uhcprovider.com/content/dam/provider/docs/public/claims/fee-schedule-lookup-qsg.pdf

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Prior authorization - UnitedHealthcare

(1 days ago) WEBIn some cases, an approval is needed from your health plan before some health care services will be covered. This is called prior authorization. Your doctor is responsible for …

https://member.uhc.com/myuhc/content/myuhc/en/secure/communityplan/prior-auth/prior-auth-summary.html

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Find a doctor, dentist or provider UnitedHealthcare

(3 days ago) WEBWith UnitedHealthcare health insurance plans, you'll have access to a large provider network that includes more than 1.3 million physicians and care professionals and 6500 …

https://www.uhc.com/find-a-doctor

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Category III CPT Codes - UHCprovider.com

(6 days ago) WEBThe Category III CPT code description does not establish a service or procedure as safe, effective or applicable to the clinical practice of medicine. Guidelines Section …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medadv-guidelines/c/category-iii-cpt-codes.pdf

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New codes added to prior authorization list for commercial plans

(Just Now) WEBThe following Cosmetic & Reconstructive codes will be added to the prior authorization list effective Oct. 1, 2022. CPT ® code. Description. Plan Impacted. …

https://www.uhcprovider.com/en/resource-library/news/2022/codes-prior-auth-commercial.html

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Summary of Benefits and Coverage - UnitedHealthcare

(3 days ago) WEBThe Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered …

https://www.uhc.com/ifp/sbc.95426MO0410012-01.en.2024

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Medicare Advantage Cardiology CPT Code List & Crosswalk …

(Just Now) WEBCPT code. CPT description. 93350. Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest …

https://www.uhcprovider.com/content/dam/provider/docs/public/prior-auth/cardiology/Med-Adv-Cardiology-CPT-Code-Crosswalk-Table.pdf

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UnitedHealthcare Community Plan radiology prior …

(5 days ago) WEBYou can verify if prior authorization is required or initiate a request by calling 866-889-8054. CPT code. Description. Modality. 70450. CT HEAD/BRN C-MATRL. CT. 70460. CT …

https://www.uhcprovider.com/content/dam/provider/docs/public/prior-auth/radiology/UHCCP-Radiology-Prior-Authorization-CPT-Code-List.pdf

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Procedure and Place of Service Policy, Professional

(5 days ago) WEBThe Procedure and Place of Service policy addresses the reimbursement of Current Procedural Terminology \(CPT®\) and Healthcare Common Procedure Coding System …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-reimbursement/COMM-Procedure-and-Place-of-Service-Policy.pdf

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Non-Covered and Covered Codes Policy, Professional

(2 days ago) WEBnetwork physicians and other qualified health care professionals, including, but not limited to, non-network authorized and percent of charge contract physicians and other qualified …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medicaid-comm-plan-reimbursement/UHCCP-Non-Covered-and-Covered-Codes-Policy-Professional.pdf

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UnitedHealthcare Commercial Reimbursement Policies

(8 days ago) WEBYou are responsible for submission of accurate claims requests. This reimbursement policy is intended to ensure that you are reimbursed based on the code that correctly describes …

https://www.uhcprovider.com/en/policies-protocols/commercial-policies/commercial-reimbursement-policies.html

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Category III Codes - UHCprovider.com

(Just Now) WEB0601T. Ablation, irreversible electroporation; 1 or more tumors, including fluoroscopic and ultrasound guidance, when performed, open. 0602T. Glomerular filtration rate (GFR) …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/category-iii-codes.pdf

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Telehealth/Virtual Health Policy, Professional - UHCprovider.com

(2 days ago) WEBCPT code set, which are appropriate for reporting real-time, interactive audio-only Telehealth, when appended with modifier 93, and reported with POS 02 or 10. See the …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-reimbursement/COMM-Telehealth-and-Telemedicine-Policy.pdf

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Preventive Care Services - UHCprovider.com

(6 days ago) WEBPelvic Examination add-on code 99459: Preventive care services benefits may apply to 99459 when the related code is applied to the preventive care services benefit. CPT …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/preventive-care-services.pdf

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Policy Search Index UHCprovider.com

(4 days ago) WEBEffective Date: 02.01.2024 – This policy addresses thermal intradiscal procedures (TIPs) and percutaneous discectomy and decompression procedures for treating discogenic …

https://www.uhcprovider.com/en/policies-protocols/policy-search-index.html

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Modifier Reference Policy, Professional - UHCprovider.com

(3 days ago) WEBreimbursed based on the code or codes that correctly describe the health care services provided. UnitedHealthcare reimbursement policies may use Current Procedural …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-reimbursement/COMM-Modifier-Reference-Policy.pdf

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COVID-19 PHE ends on May 11, 2023 UHCprovider.com

(1 days ago) WEBOn Jan. 30, 2023, the White House announced the COVID-19 national emergency and public health emergency (PHE) expired at the end of the day on May 11, 2023. This …

https://www.uhcprovider.com/en/resource-library/news/Novel-Coronavirus-COVID-19/covid19-testing/covid19-testing-claim-coding-submissions.html

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Positron Emission Tomography (PET) Scan – Medicare …

(1 days ago) WEBservice. Benefit coverage for health services is determined by the member specific benefit plan document and applicable laws that may require coverage for a specific service. The …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medadv-guidelines/p/positron-emission-tomography-pet-scan.pdf

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