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Optum Reimbursement Policies

Add-on Codes

Behavioral Health Services Documentation - Updated 5-24-2021

Bundle Codes Reimbursement Policy 

Consultation Services Reimbursement Policy

Drug Testing Reimbursement Policy - Updated 5-24-2021

Duplication of Claims Reimbursement Policy - Retired 5-24-2021

Electroconvulsive Therapy Reimbursement Policy - Updated 5-24-2021

Facility-Based Behavioral Health Program Professional Fees Reimbursement Policy

Facility-Based Behavioral Health Program Reimbursement Policy

Health and Behavior Assessment and Intervention Reimbursement Policy Commercial & Medicare

Inappropriate Primary Diagnosis Codes Reimbursement Policy

Incident to Billing Reimbursement Policy - Retired 5-24-2021

License Level Reimbursement Policy

Maximum Frequency Per Day

Medicare Incident to Bill - Updated 5-24-2021

National Correct Coding Initiative Reimbursement Policy

Non-Emergent Transport and Lodging

Non-Reimbursable HCPCS Codes

Non-Covered HCPCS Codes

Opioid Treatment Program Reimbursement Policy

Outpatient Family Therapy Reimbursement Policy

Outpatient Service Clean Claim Form Submission

Outpatient Services Outside A Program Reimbursement Policy

Procedure and Place of Service Reimbursement Policy

Professional Technical Component Reimbursement Policy

Psychological and Neuropsychological Testing Reimbursement Policy

Specimen Validity Testing Reimbursement Policy (Retired)

Spravato Reimbursement Policy

Telemental Health Services Reimbursement Policy - Commercial

Telemental Health Services Reimbursement Policy – Medicaid  - Updated 5-24-2021

Telemental Health Services Reimbursement Policy – Medicare