Outpatient Procedure Grouper (OPG)

The UnitedHealthcare Outpatient Procedure Grouper (OPG) Exhibit is the basis for determining reimbursement for outpatient procedures. The OPG Exhibit lists all valid CPT/HCPCS codes and indicates which codes are eligible for reimbursement for outpatient procedures. If the code is eligible for reimbursement, then the grouper level is listed. The first tab is the complete OPG Exhibit and the second tab lists the changes to impacted codes from one period to another.

 
UnitedHealthcare Outpatient Procedure Grouper Mapping Exhibit (effective July 1, 2017 annual notification published March 2017) 
UnitedHealthcare Outpatient Procedure Grouper Exhibit (effective July 1 2016 with Code Updates for January 1 2017) 
UnitedHealthcare Outpatient Procedure Grouper Exhibit (effective July 1, 2016 with Code Updates for October 1, 2016) 
UnitedHealthcare Outpatient Procedure Grouper Exhibit (effective July 1, 2016) Annual Notification Published March, 2016 
UnitedHealthcare Outpatient Procedure Grouper Exhibit (effective July 1, 2015 with Code Updates for April 1, 2016) 
UnitedHealthcare Outpatient Procedure Grouper Exhibit (effective July 1, 2015 with Code Updates for January 1, 2016)