| West Virginia Oncology Society |
For UnitedHealthcare commercial plans, there will be no change in reimbursement for CPT codes
99241-99245 and 99251-99255 at this time. Physicians may continue to submit claims for these
services, and will be reimbursed according to UnitedHealthcare payment policies.
For UnitedHealthcare Medicare Solutions, including SecureHorizons®, AARP® MedicareComplete®,
Evercare®, and AmeriChoice® Medicare Advantage benefit plans, these plans will follow CMS
regulations and implement the change, effective January 1, 2010. The change also includes the
revalued relative-value units (RVUs) for E&M CPT codes and a new coding edit, consistent with
CMS, to deny the CPT consult code as a non-payable service.
For AmeriChoice Medicaid health plans, in state Medicaid plans that follow Medicare rules for their
fee schedules, AmeriChoice will be aligning with CMS and implement the change, effective January
1, 2010. For all other Medicaid states, AmeriChoice will follow the UnitedHealthcare commercial
position and continue.
99241-99245 and 99251-99255 at this time. Physicians may continue to submit claims for these
services, and will be reimbursed according to UnitedHealthcare payment policies.
For UnitedHealthcare Medicare Solutions, including SecureHorizons®, AARP® MedicareComplete®,
Evercare®, and AmeriChoice® Medicare Advantage benefit plans, these plans will follow CMS
regulations and implement the change, effective January 1, 2010. The change also includes the
revalued relative-value units (RVUs) for E&M CPT codes and a new coding edit, consistent with
CMS, to deny the CPT consult code as a non-payable service.
For AmeriChoice Medicaid health plans, in state Medicaid plans that follow Medicare rules for their
fee schedules, AmeriChoice will be aligning with CMS and implement the change, effective January
1, 2010. For all other Medicaid states, AmeriChoice will follow the UnitedHealthcare commercial
position and continue.
What's New. . . . .
| UPDATE FROM UNITED HEALTHCARE |
