Prior authorization code updates for commercial plans

Effective Nov. 1, 2021, we are adding new codes to the prior authorization list for UnitedHealthcare commercial, plans including All Savers, River Valley, Neighborhood Health Partnership, UnitedHealthcare West, MidAtlantic Health Plans.

Updated codes

• Arthroplasty
• Breast reconstruction – gynecomastia: 19300
• Cartilage implants: 27415, 27416
• Cosmetic & reconstructive
• Hysterectomy (In-patient only): 58267, 58280
• Orthognathic surgery
• Pain injections and management
• Potentially unproven: 0376T
• Prostate procedures
• Spine surgery
• Stimulators – neuro: L8679, L8683
• Transplant
• Vein procedures

What codes are being added?

Additional reference can be found in the 2021 Summary of Changes to Advance Notification and Prior Authorization Requirements.

Learn more

• Applicable commercial policies
• Current prior authorization requirements
• Check requirements, submit new authorizations/notifications, check status and submit updates by registering for live training or using the Prior Authorization and Notification Interactive User Guide

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