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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, 2018 PDL Updates
The following updates will take effect for the OptumRx direct Prescription Drug Lists (PDLs) on January 1, 2018. Learn more
New Sales Automation Management Tool
Check out our new Sales Automation Management (SAM). Learn more
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