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Addition to the Drug Testing Policy

December 8, 2017

Effective for claims with dates of service on or after Jan. 1, 2018 there will be an addition to the Drug Testing Policy that will apply an annual limit for presumptive and definitive drug tests.  The policy will apply a frequency limitation of 18 dates of service for presumptive drug tests (80305, 80306, 80307) and 18 dates of service for definitive drug tests (G0480, G0481, G0482, G0483, G0659) submitted by the same or different provider. The revision will apply to UnitedHealthcare Commercial members.

Drug testing services that are determined to be court ordered and/or funded by a county, state or federal agency will continue to be denied. For additional information refer to the Services and Modifiers Not Reimbursable to Healthcare Professionals Policy.

January 1, 2017 PDL Updates


The following updates will take effect for the OptumRx direct Prescription Drug Lists (PDLs) on January 1, 2017. Learn more

New Sales Automation Management Tool


Check out our new Sales Automation Management (SAM). Learn more

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