Overview of Genetic Testing Unlisted Codes Review Process
June 24, 2015UHC’s Medical Claim Review (MCR) currently includes an unlisted code review process for UnitedHealthcare Commercial claims. Beginning June 1, 2015, they will add two unlisted genetic testing codes CPT codes 81479 and 81599 to the review process. When either participating or non-participating care providers use these codes after June 1, 2015, UHC will request medical records from the provider and perform a post-service clinical review to determine medical necessity before payment.