Transcription of Professional/Technical Component Policy, Professional
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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. 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.
specific professional and technical fees contained within the contract's fee schedules or are paid at the percentage of charge level in the fee schedule. Professional/Technical Component Split Codes (PC/TC Indicator 1 Diagnostic Tests) When eligible for reimbursement, Professional Component/Technical Component codes with a CMS PC/TC Indicator 2,
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