On February 7, United Healthcare (UHC) published updated reimbursement policies indicating that effective with dates of service on or after May 1, 2020, UHC will “align with the CMS National Correct Coding Initiative (NCCI) Procedure to Procedure (PTP) edits for outpatient claims submitted on the CMS UB04 claim form or its electronic equivalent.” This policy applies to UHC Commercial plans, and includes outpatient PT, OT, and SLP services provided in non-private practice settings.
For more information, access the provider bulletin here.