October 20, 2022
Tennessee Medicaid: Prior authorization updates for abortion services
Effective Nov. 1, 2022, UnitedHealthcare Community Plan of Tennessee will require prior authorization for several abortion Current Procedural Terminology (CPT®) codes.
View the table below for the list of impacted codes.
| Code | Description |
|---|---|
| 59840 | Induced abortion, by dilation and curettage |
| 59841 | Induced abortion, by dilation and evacuation |
| 59850 | Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines |
| 59851 | Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections) including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacuation |
| 59852 | Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines, with hysterotomy (failed intra-amniotic injection) |
| 59855 | Induced abortion, by 1 or more vaginal suppositories (e.g., prostaglandin) with or without cervical dilation (e.g., laminaria), including hospital admission and visits, delivery of fetus and secundines |
| 59856 | Induced abortion, by 1 or more vaginal suppositories (e.g., prostaglandin) with or without cervical dilation (e.g., laminaria), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacuation |
| 59857 | Induced abortion, by 1 or more vaginal suppositories (e.g., prostaglandin) with or without cervical dilation (e.g., laminaria), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed medical evacuation) |
| 59866 | Multifetal pregnancy reduction(s) (MPR) |
How to submit prior authorization
Submit your prior authorization request on the UnitedHealthcare Provider Portal using your One Healthcare ID. For more information about the process and resources, visit the Prior Authorization and Notification page.
Questions?
Call Provider Services at 800-690-1606.
