As per UHC Community Health NY bulletin- the following changes will take place, effective 05/01/2021 for allergy testing codes:
The frequency (Medically Unlikely Units Policy) will reflect the policy enhancements over 5-year period, in accordance with NY State Policy Requirements.
**If you ever watched my BC Advantage presentation on Allergy Tests (2020) – please update your records. Note: I always state that you should check the policies discussed in all of my webinars/presentations at least 6 months after you watch them.
What does this mean for the provider?
If the provider will bill over the maximum allowed amount for each of above listed code, those “extra” units will be denied.
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