Standby Services Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans

Overview

This reimbursement policy addresses reimbursement for standby services and hospital mandated on call services.

Policy Codes

Find your specific codes below.

This policy contains more codes than can be displayed on one screen. Find your specific code below.

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  • 88331
  • 99026
  • 99027
  • 99360
  • 99464
* COMM-Standby-Services-Policy.pdf
Click to Download: Standby Services Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans

Questions & Answers

Q: If a pediatrician or other physician is requested by the delivering physician to attend at delivery and provide services to stabilize a newborn, are those services considered standby services? 

A: No. If a physician is requested by the delivering physician to attend at delivery and to provide stabilization of a newborn, the physician may bill for those direct face-to-face services provided to the newborn using CPT code 99464.