Posted in Insurance, Training, Updates

UHC Medicare Advantage Updated Policy for HCPCS code R0075

This policy applies to the HCPCS code R0075 and addresses the updates associated with the modifiers.

Effective 02/01/2021 for DOS on or the dates of services thereafter, the code R0075 will be DENIED if an appropriate modifier is billed with the code.

Definition: R0075- Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen


The applicable modifiers, according to CMS requirements, as follows:

UN, UP, UQ, US – these modifiers are used to report the number of patients served during a single trip that the portable x-ray supplier makes to a particular location.

The Policy Name: Procedure to Modifier Policy, Professional- https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medadv-reimbursement/MEDADV-Procedure-to-Modifier-Policy.pdf (the changes will take effect on 02/01/2021).

#portablex-ray, #uhcmedicareadvantage #R0075


Author:

My name is Kate Patskovska, CPB. I am an Independent Medical Biller CPB (AAPC) and an owner of KR2 Medical Billing. KR2 Medical Billing is a full service Consulting/Medical Billing Business that is dedicated to educating, consulting, and overall improving the "financial health" of your medical practice.

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