UnitedHealthcare Introduces a Diagnosis Code Requirement Policy

May 6, 2024
 / 
Rick Gawenda
 / 

UnitedHealthcare (UHC)has introduced a comprehensive diagnosis code requirement policy for both professional and facility services. This new policy will combine 3 existing diagnosis policies into this new comprehensive diagnosis policy. The effective date of the new policy is

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To access this new policy as it applies to UHC Medicare Advantage, click

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To access this new policy as it applies to UHC Community Plans, click

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To access this new policy as it applies to UHC Individual Exchange Plans, click

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  1. Is there something in the article that that relates to PT/OT? I read it and don’t see anything different than what we’re doing. A.k.a. using a therapy code such as difficulty with gate, pain in the elbow, etc.
    thanks