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Professional/Technical Component Policy, Professional

Commercial Reimbursement policy CMS 1500 policy Number 2023R0012A Proprietary information of UnitedHealthcare. Copyright 2023 United HealthCare Services, Inc. Professional / technical Component policy , Professional IMPORTANT NOTE ABOUT THIS REIMBURSEMENT policy You are responsible for submission of accurate claims.

The current splits are attached to this policy in the next section. Services assigned a PC/TC Indicator 1 that CMS indicates may be carrier-priced, or those for which CMS does not develop RVUs are considered Gap Fill Codes. When data is available for Gap Fill Codes, UnitedHealthcare uses the relative values published in the first quarter

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