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


Posted in Training, Updates

UHC Radiology Code List Expanded for 2021

According UHC October Provider Updates- there are several new codes that are being added to the Radiology Prior Authorization List. This list applies to ALL plan types: Medicare Advantage, Community, and Commercial.

The change will go into an effect for Dates of Service on 01/01/2021 and thereafter.

Below is the list of new added codes: