Arizona: Changes to facet injection codes for prior authorization

Effective Feb. 1, 2022, we’re adding 6 facet injection procedure-related CPT® (64490‒64495) to the prior authorization list for UnitedHealthcare commercial plan members in Arizona.  These changes do not impact any site of service medical necessity review requirements for these codes. 

To submit prior authorizations online:

  1. Go to and click Sign In to access the UnitedHealthcare Provider Portal
  2. Select Prior Authorizations from the blue navigation bar at the top of the page
  3. Click Create New Submissions (located in the “Create a new notification or prior authorization request” box)

Training available

Check out the Prior Authorization and Notification interactive user guide to help you manage prior authorizations online.


Please contact your local network management representative or call UnitedHealthcare Provider Services at 877-842-3210, 7 a.m.–5 p.m. CT, Monday–Friday.

CPT® is a registered trademark of the American Medical Association.