Billing Beat

UHC – August 2021 Network Bulletin

August 12, 2021

OMNIBUS Codes – Revision Update 10/1/2021 / Prior Authorization updates 8/1/2021:

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/index/commercial/omnibus-codes-10012021.pdf

Laboratory Updates:

  • Updated list of applicable CPT/HCPCS codes for:

Laboratory Measurment of Antibodies and Serum Levels Related to Biologic Agents for Treating Inflammatory Bowel Disease (CPT codes 80145, 80230, 80280, 80299, and 84999

  • Added CPT codes 80145, 80230, and 80299

Prior Authorization Requirements for UnitedHealthcare Effective Aug. 1, 2021:

https://www.uhcprovider.com/content/dam/provider/docs/public/prior-auth/pa-requirements/commercial/UHC-Commercial-Advance-Notification-Prior-Authorization-Requirements-8-1-2021.pdf

  • Genetic and molecular testing to include BRCA gene testing
  • Infertility Diagnostic and treatment services related to the inability to achieve pregnancy

Source: https://www.uhcprovider.com/en/resource-library/news/2021-network-bulletin-featured-articles/0821-network-bulletin-overview.html?cid=em-providernews-aug21nb-aug21

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