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Effective September 1, 2019: UHC Claims Will Require GP Modifier for Therapy Codes



According to the most recent United Healthcare Network Bulletin, to align with Medicare billing protocols, ALL United Healthcare (UHC) claims, including those sent to UHC subsidiaries like Optum and UMR, will require the GP Modifier on therapy codes for payment to be considered for these services.


EFFECTIVE SEPTEMBER 1, 2019


Effective September 1, 2019 UHC and subsidiaries will require that the GP Modifier be appended to the following CPT codes.


Please update your Billing/Practice Management software to reflect this change.



Therapy CPT codes per Medicare:


92507; 92508; 92526; 92608; 92609; 96125; 97012; 97016; 97018; 97022; 97024; 97026; 97028; 97032; 97033; 97034; 97035; 97036; 97039; 97110; 97112; 97113; 97116; 97124; 97139; 97140; 97150; 97530; 97533; 97535; 97537; 97542; 97750; 97755; 97761; 97763; 97799; G0281; G0283; G0329


Excerpt of Policy Change


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