UHC Delays DEX Z-Code Identifier Policy Associated with Molecular Pathology Diagnostic Test

In March 2021, United Healthcare announced an updated policy for Medicare Advantage plans, whereas they will be requiring providers to include the appropriate DEX Z-Code identifier on claims beginning June 1, 2021. United Healthcare has announced this policy update has been delayed and will not be implemented on June 1, 2021. Further communication will be provided prior to the new implementation date.

The policy will be applicable to both Facility and Professional Claims

• Professional Lab Claims 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.

XiFin will continue to provide updates as information becomes available. You can read XiFin’s original coverage on the update policy here.

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