Effective for dates of service beginning Sept. 1, 2020, our prior authorization and notification program will include codes related to lower extremity vascular interventions for UnitedHealthcare Medicare Advantage and UnitedHealthcare Community Plan members. For Medicare Advantage members in Iowa, this change will go into effect Nov. 1, 2020.
The following CPT® codes will require prior authorization: 37220, 37221 and 37224– 37229
How to Request Prior Authorization and Notification
Complete the prior authorization and authorization process online or by phone:
We’ll contact the requesting provider and member with our coverage decision within 15 calendar days, or sooner based on regulations. If we deny coverage, we’ll include appeal information in the denial letter.
If you don’t complete a prior authorization and notification before performing a procedure, we’ll deny the claim, and you won’t be able to bill the member for the services.
Questions? Please contact your local Network Management representative or call the Provider Services number on the back of the member’s ID card.