UHC to pay for modifier 25 - but only 50%

Article Overview

This article covers a payer policy update from UnitedHealthcare affecting same-day well and sick office visits in pediatrics, with commentary from coding and specialty organization voices. It discusses the timing of the policy, the reimbursement approach, and the practical documentation and claims-processing implications for practices that bill these services. The article is relevant to pediatric coders, billers, and clinicians who need to understand how payer policy can affect payment for combined visits and related documentation expectations.