Changes to lower extremity vascular angiography and endovascular revascularization procedures
Effective Jan. 1, 2023, we’re making the following changes to the prior authorization requirements for Lower Extremity Vascular Angiography and Endovascular Revascularization procedures:
We’re removing the following radiology CPT® codes from the prior authorization and notification program:
Additions to prior authorization requirements
We’ll require prior authorization for the following endovascular revascularization CPT codes:
If you don’t obtain a prior authorization online before performing the service, we’ll deny your claim and you can’t bill the patient for the service.
We’ll no longer require prior authorization for endovascular revascularization with limb-threatening diagnoses and the following CPT codes:
These diagnosis codes have been detailed in the Lower Extremity Endovascular Procedures medical policy.
These changes apply to UnitedHealthcare commercial plan, UnitedHealthcare® Medicare Advantage and UnitedHealthcare Community Plan members except for:
Request prior authorization and notification
Use the Prior Authorization and Notification Tool on the UnitedHealthcare Provider Portal to submit your request. Please include all relevant clinical information, which will be subject to medical necessity review.
Contact Provider Services at 866-416-6594 if you have any questions.