UHC – COVID-19 Billing Updates
April 13, 2021Urgent care testing: Effective March 26, 2021, UnitedHealthcare will reimburse COVID-19 testing by urgent care facilities only when billed with a COVID-19 testing procedure code along with one of the appropriate Z codes. This applies to claims for Individual and Group Market health plans. Reimbursement will be 100% of the CMS allowable rate.
Specimen collection codes: Claims for Individual and Group Market health plans should use either CPT codes 99000 or 99001, so that cost share waivers for COVID-19 testing are appropriately applied.
New codes for monoclonal antibody treatments: Bill using HCPCS code Q0245 and administration code M0245 for Bamlanivimab+Etesvimab treatment.
Services received during vaccination appointments: Members will not have any out-of-pocket cost share for the COVID-19 vaccine or vaccine administration. They may be responsible for the copays, coinsurance, deductibles
Urgent care testing: Effective March 26, 2021, UnitedHealthcare will reimburse COVID-19 testing by urgent care facilities only when billed with a COVID-19 testing procedure code along with one of the appropriate Z codes. This applies to claims for Individual and Group Market health plans. Reimbursement will be 100% of the CMS allowable rate.
Specimen collection codes: Claims for Individual and Group Market health plans should use either CPT codes 99000 or 99001, so that cost share waivers for COVID-19 testing are appropriately applied.
New codes for monoclonal antibody treatments: Bill using HCPCS code Q0245 and administration code M0245 for Bamlanivimab+Etesvimab treatment.
Services received during vaccination appointments: Members will not have any out-of-pocket cost share for the COVID-19 vaccine or vaccine administration. They may be responsible for the copays, coinsurance, deductibles or out of-network changes for any additional services received during the vaccination appointment.
Mass vaccination programs: We are accepting roster billing for COVID-19 mass vaccination sites for multi-tax identifier number (TIN) health care professionals. This applies to claims for Individual and Group Market fully insured health plans only.