March 01, 2022

Radiology and cardiology CPT® codes added to prior authorization and notification list, effective June 1

Effective June 1, 2022, procedure codes will be updated for the radiology notification and prior authorization and cardiology prior authorization programs for UnitedHealthcare Community Plan, Commercial and Exchange.

These requirements do not apply to advanced imaging services provided in an:

  • Emergency room
  • Urgent care center
  • Observation unit
  • Inpatient stay

Radiology notification and prior authorization code updates
Claims with dates of service on or after June 1, 2022 that are subject to the following CPT codes are being added to the Radiology notification and prior authorization list.

CPT code Description
New codes

0697T

Quantitative magnetic resonance for analysis of tissue composition (e.g., fat, iron, water content), including multiparametric data acquisition, data preparation and transmission, interpretation and report, obtained without diagnostic MRI examination of the same anatomy (e.g., organ, gland, tissue, target structure) during the same session; multiple organs

0698T

Quantitative magnetic resonance for analysis of tissue composition (e.g., fat, iron, water content), including multiparametric data acquisition, data preparation and transmission, interpretation and report, obtained with diagnostic MRI examination of the same anatomy (e.g., organ, gland, tissue, target structure); multiple organs (List separately in addition to code for primary procedure)

0710T

Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography angiography; including data preparation and transmission, quantification of the structure and composition of the vessel wall and assessment for lipid-rich necrotic core plaque to assess atherosclerotic plaque stability, data review, interpretation and report

0711T

Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography angiography; data preparation and transmission

0712T

Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography angiography; quantification of the structure and composition of the vessel wall and assessment for lipid-rich necrotic core plaque to assess atherosclerotic plaque stability

0713T

Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography angiography; data review, interpretation and report

Cardiology prior authorization code updates
Claims with dates of service on or after June 1, 2022 that are subject to the following CPT codes are being added to the Cardiology prior authorization list.

CPT code Description
New codes

93319

3D echocardiographic imaging and postprocessing during transesophageal echocardiography, or during transthoracic echocardiography for congenital cardiac anomalies, for the assessment of cardiac structure(s) (e.g., cardiac chambers and valves, left atrial appendage, interatrial septum, interventricular septum) and function, when performed (List separately in addition to code for echocardiographic imaging)

Questions?
If you are unsure if prior authorization is required for a patient or service, use our Prior Authorization and Notification Tool.

For complete details on radiology and cardiology policies and protocol, refer to the current UnitedHealthcare administrative guide.

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