Modifier SU Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans

Overview

This policy sets forth UnitedHealthcare’s policy regarding reimbursement for claims appended with modifier SU, Procedure performed in physician’s office (to denote use of facility and equipment), in an office place of service.

Policy Codes

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* COMM-Modifier-SU-Policy.pdf
Click to Download: Modifier SU Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans

Questions and Answers

Q: Does UnitedHealthcare provide reimbursement for modifier SU to denote use of facility and equipment?

A: No. When billed in an office place of service, UnitedHealthcare does not reimburse any service appended with modifier SU since the costs associated with operating an office are included in the reimbursement to the physician performing the service.