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UnitedHealthcareMedicare Advantage · Billing Codes · Medical Policy · PM&R (Physical Medicine & Rehab), Physical Therapy, Occupational Therapy +3 moreLow impact

Skilled Nursing Facility, Rehabilitation, Long-Term Acute Care Hospital, and Private Duty Nursing

Effective date
Nov 1, 2026
Identified
Nov 7, 2026

Summary

UnitedHealthcare's Medicare Advantage medical policy bulletin for November 2026 updates the skilled nursing facility, rehabilitation, long-term acute care hospital, and private duty nursing policy, effective 2026-11-01. The update notes that CPT codes 92507, 92508, and 92526 were deleted September 30, 2026, and refreshes the list of related CMS documents in the Medicare Coverage Database.

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What to do

Action · 3 steps
01Already effective 2026-11-01: Billing team should update charge master and encounter forms in the practice's charge entry system to remove CPT 92507, 92508, and 92526 for Medicare Advantage members, since the codes were deleted September 30, 2026.
02Providers and front desk staff should be told these codes are no longer valid for scheduling or charge capture.
03Claims submitted with these codes after their deletion will not be accepted as valid CPT entries, so verify claim edits so they are not generated from legacy templates.

Codes mentioned

925079250892526

Original notice

Skilled Nursing Facility, Rehabilitation, Long-Term Acute Care Hospital, and Private Duty Nursing
uhcprovider.com · Always check the source before changing claims.
View original ↗

Related policy hubs

UnitedHealthcare policiesPM&R (Physical Medicine & Rehab)Physical TherapyOccupational TherapySpeech TherapyGeriatricsPalliative CareCode 92507Code 92508Code 92526

Summaries are AI-assisted. Always confirm against the original payer notice.

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