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UnitedHealthcare Commercial in New Jersey and UnitedHealthcare Oxford of New Jersey will stop reimbursement of HCPC code S9083 as of January 1, 2018, according to a letter sent to providers. Instead, the plans are advising providers to “only report the evaluation and management and/or procedure code(s) that specifically describe the service(s) performed.”  S9083, they say, is “informational” and relates to a type of reimbursement rather than a specific service. Charges billed for S9083 will be denied once the policy takes effect. They will continue to reimburse providers for all services based on the contracted rates per existing agreements.

UnitedHealthcare Plans Nix Code S9083 Global Fee Urgent Care Center in New Jersey