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June 15, 2026

New AMA codes for genetic and molecular prior auth requirements

Beginning Oct. 1, 2026, we’ll add the following recently issued American Medical Association (AMA) genetic and molecular test CPT codes to our genetic and molecular prior authorization requirements:

  • 0648U
  • 0651U

 

These codes are either new codes from the AMA or codes that were previously designated as unproven.

 

Affected plans

  • This affects the following plans in all states:
  • Neighborhood Health Partnership, Inc.
  • UnitedHealthcare Level Funded
  • UnitedHealthcare Oxford 
  • UnitedHealthcare of the River Valley
  • UnitedHealthcare exchange plans

 

How to submit and manage prior authorizations

 

For training, view our Prior Authorization and Notification Interactive Guide

If we don't receive a prior authorization request before the date of service, we'll deny the claim and you won't be able to balance bill members.

 

Resources

Questions? We’re here to help.

If you have questions, please visit our Prior Authorization and Notification resource.

PCA-1-26-01063-Clinical-NN_06102026

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