Administrative Policy effective January 1, 2020

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Reminder: Update to NYS Government Programs Coverage of Urinalysis Code G0480

Audience: Providers, Facilities

Univera Healthcare reminds you that effective for dates of service on or after February 20, 2020, billing for HCPCS code G0480 will be limited to once per date of service, and this code may be billed up to a maximum of six (6) times within 365 days. In addition, G0480 may not be billed in conjunction with CPT codes 80305, 80306 or 80307.

This update is in line with billing guidance from the Centers for Medicare & Medicaid Services and pertains to New York state government programs products (i.e., Child Health Plus, Univera Healthcare MyHealthSM, and MyHealth PlusSM). 

Please refer to our bulletin issued November 20, 2019 for additional information. If you have any questions, please contact your Provider Relations representative.

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