Billing Beat

Labs, MDx Developers Brace for Requirement by United Healthcare for Z-Codes

August 10, 2023

The policy, announced in May, would require the submission of a Z-code obtained from Palmetto GBA’s DEX registry for each individual test covered by United. The Z-code would be added to insurance claims alongside CPT codes, which are currently required, but would replace test IDs obtained through United’s Genetic Test Registry. The new requirement is being implemented with the goal of “simplifying the claims submission process and reducing the frequency we request clinical information, resulting in more accurate and faster reimbursement,” a United spokesperson said via email.

Source: https://www.genomeweb.com/clinical-lab-management/labs-mdx-developers-brace-requirement-united-healthcare-z-codes

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