Effective Jan. 1, 2021, we are updating the procedure code list for the Radiology Notification and Prior Authorization Programs, based on code changes made by the American Medical Association (AMA). Claims with dates of service on or after Jan. 1, 2021, are subject to these changes. The following CPT® codes are being added to the Radiology Notification and Prior Authorization list.
For the most current listing of CPT codes for which notification and prior authorization is required, go to UHCprovider.com/Radiology > Specific Radiology Programs. These requirements do not apply to advanced imaging procedures provided in the emergency room, urgent care center, observation unit or during an inpatient stay.
For complete details on this radiology protocol, refer to the current UnitedHealthcare Administrative Guide.
CPT® is a registered trademark of the American Medical Association.