UHC – Molecular Pathology Policy, Professional and Facility

Summary of Changes:

• UnitedHealthcare previously communicated a new Molecular Pathology Policy, Professional and Facility in the May 2023 Network News. UnitedHealthcare is delaying the policy in order to allow additional time for providers to complete their molecular pathology test registrations for Z-Codes on tests. The new Policy date will be communicated in the Network News prior to the publication of the Policy.
• In order to be prepared for the Molecular Pathology Policy, Professional and Facility, providers should continue to register their Phase 1 tests and complete the steps to obtain a Z-code.
• Providers who have obtained Z-codes are encouraged to submit them on their claims; however, claims for molecular pathology tests will not be denied at this time if they do not contain a Z-code

Source: https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-reimbursement/rpub/UHC-COMM-RPUB-September-2023.pdf