On Jan. 1, 2021, the following code updates will be made to the current plan 2020 UnitedHealthcare Outpatient Procedure Grouper (OPG) mapping:
Newly published codes
There are no other grouper level assignment changes to existing codes.
For reimbursement under the OPG, we require the appropriate line level CPT®/Healthcare Common Procedure Coding System (HCPCS) code, in addition to the revenue code, when billing for outpatient procedures.
Our updated 2020 UnitedHealthcare OPG Exhibit is available at UHCprovider.com/claims under View UnitedHealthcare Outpatient Procedure Grouper (OPG) Exhibits.