Confirmation of Services (COS)
If study team will be obtaining the COS, study team requests COS using the following form(s):
- COS UFHP Clinics Request Form – Version 09/04/19
- Use this form if the clinic manager has asked you to complete a UFHP COS form for study-funded research services to take place in their clinic OR if you need budgeting pricing estimates for UFHP study-funded research services to take place in a UFHP clinic.
The UF Health Eye Center REQUIRES a UFHP Clinic COS.
If your study involves study-paid UF Eye Center services, you MUST contact Christina Kuruppacherry email@example.com to complete the COS.
For more information, see Set Up Research Services in the UF Health Eye Center
UFHP Clinic Research U Codes
UFHP Clinic Research U codes have been created to replace billable CPT codes for study-funded professional services in order to reduce billing risk (U codes will “edit out” of Epic claims workflows). Some U codes require Confirmation of Services; others do not (see tables below).
For study-funded standalone clinic visits with SALARY-SUPPORTED provider or study team member use:
|Code||Description||Price||Clinic COS Requred?|
|U0891||Salary Supported Provider/Non-Provider Visit (> 30 Minutes)||$0.00||No|
|U0892||Salary Supported Provider/Non-Provider Visit (1-30 Minutes)||$0.00||No|
For study-funded E&M clinic visits (99201-99215) performed by a provider who is NOT on the study staff use:
|Code||Description||Price||Clinic COS required?|
|U0889||Provider Visit ( > 30 Minutes)||$100.00||No|
|U0890||Provider Visit (1-30 Minutes)||$50.00||No|
For any other study-funded non-E&M clinic visits performed by a provider who is NOT on the study staff use:
|Code||Description||Price||Clinic COS Required?|
|CPT Per COS||Appropriate CPT Code Description||Per COS||Yes|
|CPT Per COS||Eye Exams in any UFHP Eye Clinic||Per COS||Yes|