In-Office Laboratory Testing and Procedures List
Lists laboratory testing and procedure codes UnitedHealthcare (Oxford Commercial) will consider for reimbursement when performed in a network physician's office and describes limiting conditions such as specialty and benefit plan applicability.
Replaced language to specify that the policy applies to network physicians, physician assistants, and nurse practitioners providing laboratory testing/procedures in an office setting.
Replaced reimbursement language to indicate network physicians, physician assistants, and nurse practitioners are eligible to be reimbursed for listed in‑office laboratory testing/procedures.
Added notation that physician assistants and nurse practitioners are eligible to bill for all specialties listed in the policy.
Removed prior limitation that certain CPT codes would be limited to one procedure within the same code family per visit.
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.