Lab Test Registration Requirement — Delay and Scope Update

Implementation Delay

We delayed implementation of the Laboratory Test Registry protocol until Apr. 1, 2021, due to the national public health emergency.

These requirements apply to most commercial, UnitedHealthcare Medicare Advantage and UnitedHealthcare Community Plan networks.

Effective Apr. 1, 2021, claims for most laboratory test services must contain your laboratory’s unique test code for each service. In addition, each test code submitted on a claim must match a corresponding laboratory test registration provided to us by Mar. 1, 2021.

UnitedHealthcare Oxford In Scope

Effective Apr. 1, 2021, UnitedHealthcare Oxford plans will be included in the laboratory test registration protocol.

Overview of Protocol

When a laboratory test CPT. code or Healthcare Common Procedure Coding System (HCPCS) code is billed, a corresponding test code with a matching test registration will be required for each claim line submitted, or we’ll deny the claim.

Registering your laboratory services and placing the test code on your laboratory claim doesn’t necessarily guarantee that UnitedHealthcare will pay the claim. Payment for covered services is based on the member’s eligibility on the date of the service, any claim processing requirements,  and the terms of your Participation Agreement.

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