CurrentColorado Rocky Mountain Health PlansPolicy 2025R8016A

Homocysteine testing reimbursement

Defines UnitedHealthcare Commercial and Individual Exchange reimbursement methodology for homocysteine testing billed on CMS-1500 or UB04 forms and applies to all products, network and non-network providers.

Policy Summary

PayerColorado Rocky Mountain Health Plans

PolicyHomocysteine testing reimbursement

Policy CodePolicy 2025R8016A

Change TypeNo material change

Effective Date

Next Review Date

Key ActionSubmit accurate claims using the code(s) that correctly describe services.

SourceLink

POLICY UPDATE CHANGES

No material clinical or coverage changes in this revision.

1procedure code listed (83090)

3listed conditions for reimbursement

CMS-1500/UB04claim forms covered

Commercial & Exchangeapplicable benefit lines

Coverage Criteria for Homocysteine Testing

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Claims Submission and Policy Modification Note

Documentation Required

Submit accurate claims; policy may be modified

You are responsible for submission of accurate claims using the code or codes that correctly describe the health care services provided. UnitedHealthcare may interpret and apply this policy with reasonable discretion and may modify the policy at any time by publishing a new version on its website.

Reimbursement Methodology and Claim Form Applicability

Homocysteine testing reimbursement

Scope of methodologyDescribes reimbursement methodology for homocysteine testing associated with metabolism-related conditions.

Applicable claim formsCMS-1500 (1500 Health Insurance Claim Form) and UB04 claim form, including electronic equivalents or successor forms.

Applicable products and providersUnitedHealthcare Commercial and Individual Exchange products; applies to all products and all network and non-network physicians and other qualified health care professionals, outpatient facilities, ASCs, OSCs.

Use of procedure codesProcedure codes in the policy are provided for reference to identify covered services billed under this methodology (see coding section for specific codes).

Policy application settingApplies to outpatient facility claims and ambulatory/outpatient surgical centers as noted in the policy application.

Policy Summary

PayerColorado Rocky Mountain Health Plans

PolicyHomocysteine testing reimbursement

Policy CodePolicy 2025R8016A

Change TypeNo material change

Effective Date

Next Review Date

Key ActionSubmit accurate claims using the code(s) that correctly describe services.

SourceLink

On This Page

OpenPayer

Homocysteine testing reimbursement

Coverage Criteria for Homocysteine Testing

Codes and Coding Guidance

Claims Submission and Policy Modification Note

Reimbursement Methodology and Claim Form Applicability