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UHC - CPT codes not to be reported in CMS 1500 form


Effective for dates of service on or after Sept. 1, 2014, UnitedHealthcare will implement a new policy supported by the Centers for Medicare and Medicaid Services (CMS) and the American Medical Association (AMA). UnitedHealthcare will not reimburse the following codes when reported on a CMS-1500 form or its electronic equivalent by physicians or health care professionals:

G0129
G0175
G0176
G0177
G0302
G0303
G0304
G0305
G0333
G0337
G0378
G0379
G0380
G0381
G0382
G0383
G0384
G0390
G0410
G0411
G0463
G3001
Q0510
Q0511
Q0512
Q0513
Q0514
96376

In addition to the codes adjacent, UnitedHealthcare will also deny codes reported on a CMS-1500 form that are designated “for reporting purposes only” and identified by the designation of Status M or Status Q on the CMS National Physician Fee Schedule (NPFS) Relative Value File. 

Reference: https://www.unitedhealthcareonline.com/b2c/CmaAction.do?channelId=01af50581693b010VgnVCM100000c520720a____

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