The following updates highlight recent changes to UnitedHealthcare reimbursement policies that may impact claims submission, coding, and payment methodologies. Please review these policies to ensure continued compliance and accurate reimbursement.
The Professional updates apply to services and address billing guidance for bilateral procedures, CLIA identification requirements, and the appropriate use of add-on codes across commercial and certain Medicaid plans.
- Bilateral Procedures Policy, Professional
- Clinical Laboratory Improvement Amendments (CLIA) ID Requirement Policy, Professional
- Add-on Codes Policy, Professional
- Add-On Codes Policy, Professional (Community Plan Medicaid)
The Facility update applies to services and outlines reimbursement criteria related to device-intensive procedures involving skin substitute implants.
