UnitedHealthcare (UHC) Individual Exchange Plan has announced they will begin requiring additional modifiers be appended to CPT codes on both the 1500-claim form and UB-04 claim form in order for outpatient therapy services to be reimbursed. Failure to append the new modifiers on each CPT code will result in those claim lines being rejected.
The new modifiers that are required beginning with dates of service on and after
If additional modifiers are required to be appended to a CPT code on the claim form in addition to Modifier 96 or 97, then those additional modifiers must also be reported. This may include the discipline specific modifier (GN, GO, GP) or modifier 59.
Click HERE to read it straight from UHC.[restrict]
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