Reimbursement Policy Update – Laboratory Services Policy, Professional

Effective with dates of service on or after June 1, 2021, UnitedHealthcare will update the Laboratory Services Policy, Professional.

The policy lab panel bundling criteria will require all individual component lab codes to be present, as set forth in CPT.

A lab panel code should only be reported if all components of the lab panel are rendered.

Consistent with guidelines included in CMS Local Coverage Determinations, the policy will deny certain multiplex PCR respiratory viral panels of 6 or more pathogens.

Source: https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-reimbursement/rpub/UHC-COMM-RPUB-March-2021.pdf