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Maximum Frequency Per Day Policy, Professional

Commercial Reimbursement Policy CMS 1500 Policy Number 2023R0060G Proprietary information of UnitedHealthcare. Copyright 2023 United HealthCare Services, Inc. Maximum Frequency Per Day Policy, Professional IMPORTANT NOTE ABOUT THIS REIMBURSEMENT POLICY You are responsible for submission of accurate claims. This reimbursement policy is intended to ensure that you are reimbursed based on the code or codes that correctly describe the health care services provided. UnitedHealthcare reimbursement policies may use Current Procedural Terminology (CPT *), Centers for Medicare and Medicaid Services (CMS) or other coding guidelines. References to CPT or other sources are for definitional purposes only and do not imply any right to reimbursement.

Maximum Frequency per Day CPT Policy List Maximum Frequency per Day HCPCS Policy List Reimbursement The MFD values apply whether a physician or other qualified health care professional submits one CPT or HCPCS code with multiple units on a single claim line or multiple claim lines with one or more unit(s) on each line. It is common

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