Same Day/Same Service Policy, Professional

Commercial Reimbursement Policy CMS-1500 Policy Number 2022R0002A Proprietary information of UnitedHealthcare. Copyright 2022 United HealthCare Services, Inc. Same Day/Same Service 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.

A physician should not report multiple HCPCS/CPT codes when a single comprehensive HCPCS/CPT code describes these services." Consistent with Medicare, UnitedHealthcare's Same Day/Same Service policy recognizes physicians or other qualified health care professionals of the same group and specialty as the same physician; physician subspecialty is not

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