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Services and Modifiers Not Reimbursable to Healthcare Professionals Policy - Reimbursement Policy - UnitedHealthcare Commercial Plans

Overview

All codes published on the National Physician Fee Schedule (NPFS) by the Centers for Medicare and Medicaid Services (CMS) are assigned a status code. The status code indicates whether the code is separately payable if the service is covered.

Policy Codes

Find your specific codes below.

This policy contains more codes than can be displayed on one screen. Find your specific code below.

Enter your code here As you input 2 or more characters, a clear button becomes available, and codes will dynamically display below. The number of returned codes will decrease as you enter more characters.

  • 93000
  • 93015
  • 93040
  • 93224
  • 93268
  • 93784
  • 96376
  • G0129
  • G0175
  • G0176
  • G0177
  • G0299
  • G0300
  • G0302
  • G0303
  • G0304
  • G0305
  • G0333
  • G0337
  • G0378
  • G0379
  • G0380
  • G0381
  • G0382
  • G0383
  • G0384
  • G0390
  • G0410
  • G0411
  • G0463
  • G0491
  • G0492
  • G0493
  • G0494
  • G0495
  • G0496
  • G9473
  • G9474
  • G9475
  • G9476
  • G9477
  • G9478
  • G9479
  • G9480
  • G9873
  • G9874
  • G9875
  • G9876
  • G9877
  • G9878
  • G9879
  • G9880
  • G9881
  • G9882
  • G9883
  • G9884
  • G9885
  • G9890
  • G9891
  • Q0510
  • Q0511
  • Q0512
  • Q0513
  • Q0514
* COMM-Services-Modifiers-Not-Reimbursable-Healthcare-Professionals-Policy.pdf
Click to Download: Services and Modifiers Not Reimbursable to Healthcare Professionals Policy - Reimbursement Policy - UnitedHealthcare Commercial Plans

Questions & Answers

Q:  Why are only select Status E and X codes not reimbursed when reported by health care professionals?

A:  The codes are selected based on CMS or CPT coding direction or policy.