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 4. 2022 News
 5. Outpatient Procedure Grouper mapping update

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January 21, 2022


OUTPATIENT PROCEDURE GROUPER MAPPING UPDATE

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We have updated codes for the Outpatient Procedure Grouper (OPG) mapping. The
updated 2021 UnitedHealthcare OPG Exhibit is available at
UHCprovider.com/claims. Select the dropdown for View Outpatient Procedure
Grouper (OPG) Exhibits.

Expired codes

 * On Jan. 1, 2022, we’ll delete 30 OPG 0–10 codes that expire on Dec. 31, 2021
 * We’ll delete 16 OPG unlisted codes that are expired

Newly published codes

 * On Jan. 1, 2022, we’ll add 31 OPG 0–10 codes
 * We’ll add 27 OPG unlisted codes

There are no other grouper level assignment changes to existing codes.

We require the appropriate line-level CPT® Healthcare Common Procedure Coding
System (HCPCS) code, in addition to the revenue code, when billing for
outpatient procedures.

CPT® IS A REGISTERED TRADEMARK OF THE AMERICAN MEDICAL ASSOCIATION.

PCA-1-21-04592-E&I-NEWS_01032022

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