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KZA Alert: 2026 UnitedHealthcare Policy Changes

UnitedHealthcare has announced three major policy changes taking effect in early 2026 that will directly impact claim submission, documentation, and reimbursement for medical practices.

In this KZA Alert, we break down:

New mandatory anatomical modifier requirements for surgical and radiology claims

Enforcement of ICD-10-CM Excludes1 coding rules across outpatient and professional services

Updated radiology interpretation documentation standards required for professional component reimbursement

This rapid-response update is designed to help practice leaders, coders, billers, and compliance…

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