BILLING NEWS

UHC – COVID-19 Billing Updates

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

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.


INDUSTRY NEWS TAGS: Payor


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