Billing Beat

Reimbursement Policy Update – Molecular Pathology Policy

April 13, 2021

In accordance with CMS guidelines UnitedHealthcare Medicare Advantage, will require Providers to submit claims with an appropriate unique test identifier associated with the Molecular Diagnostic Test Services provided.. This policy will apply to both Facility and Professional Claims. Professional Lab Services should fill out Loop 2400/ SV101-7 for electronic or Box 19 for paper claims ▪ Facility Lab Services should fill out Line SV202-7 for electronic claims or Block 80 for paper claims.

Source: https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medadv-reimbursement/rpub/UHC-MEDADV-RPUB-MAR-2021.pdf

Sign up for Billing Beat