United HealthCare Community Plan of Arizona policy

Maximum Dosage and Frequency – Community Plan Medical Benefit Drug Policy

Maximum Dosage and Frequency – Community Plan Medical Benefit Drug Policy is a public United HealthCare Community Plan of Arizona policy (policy CS2026D0034AV, effective Aug 1, 2026). It lists 129 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

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Payer
United HealthCare Community Plan of Arizona
Policy number
CS2026D0034AV
Effective
Aug 1, 2026
Line of business
Medicaid
Source
www.uhcprovider.com

Codes in this policy

The CPT and HCPCS codes the policy names. A policy can name a code it excludes.

CodeOther United HealthCare Community Plan of Arizona policies
C9399Policies naming C9399
J0129Policies naming J0129
J0177Policies naming J0177
J0178Policies naming J0178
J0179Policies naming J0179
J0222Policies naming J0222
J0225Policies naming J0225
J0517Policies naming J0517
J0585Policies naming J0585
J0586Policies naming J0586
J0587Policies naming J0587
J0588Policies naming J0588
J0589Policies naming J0589
J0638Policies naming J0638
J0717Policies naming J0717
J0897Policies naming J0897
J1071Policies naming J1071
J1073Policies naming J1073
J1299Policies naming J1299
J1301Policies naming J1301
J1303Policies naming J1303
J1304Policies naming J1304
J1306Policies naming J1306
J1307Policies naming J1307
J1449Policies naming J1449
J1602Policies naming J1602
J1628Policies naming J1628
J1745Policies naming J1745
J1747Policies naming J1747
J2182Policies naming J2182
J2267Policies naming J2267
J2327Policies naming J2327
J2350Policies naming J2350
J2351Policies naming J2351
J2356Policies naming J2356
J2357Policies naming J2357
J2506Policies naming J2506
J2507Policies naming J2507
J2777Policies naming J2777
J2778Policies naming J2778
J2779Policies naming J2779
J2781Policies naming J2781
J2786Policies naming J2786
J3032Policies naming J3032
J3121Policies naming J3121
J3145Policies naming J3145
J3245Policies naming J3245
J3262Policies naming J3262
J3263Policies naming J3263
J3357Policies naming J3357
J3358Policies naming J3358
J3380Policies naming J3380
J3489Policies naming J3489
J3490Policies naming J3490
J3590Policies naming J3590
J7170Policies naming J7170
J9022Policies naming J9022
J9023Policies naming J9023
J9024Policies naming J9024
J9035Policies naming J9035
J9038Policies naming J9038
J9119Policies naming J9119
J9173Policies naming J9173
J9228Policies naming J9228
J9271Policies naming J9271
J9272Policies naming J9272
J9275Policies naming J9275
J9277Policies naming J9277
J9289Policies naming J9289
J9298Policies naming J9298
J9299Policies naming J9299
J9311Policies naming J9311
J9312Policies naming J9312
J9329Policies naming J9329
J9332Policies naming J9332
J9333Policies naming J9333
J9334Policies naming J9334
J9345Policies naming J9345
J9355Policies naming J9355
J9999Policies naming J9999
Q5098Policies naming Q5098
Q5099Policies naming Q5099
Q5100Policies naming Q5100
Q5103Policies naming Q5103
Q5104Policies naming Q5104
Q5107Policies naming Q5107
Q5108Policies naming Q5108
Q5111Policies naming Q5111
Q5112Policies naming Q5112
Q5113Policies naming Q5113
Q5114Policies naming Q5114
Q5115Policies naming Q5115
Q5116Policies naming Q5116
Q5117Policies naming Q5117
Q5118Policies naming Q5118
Q5119Policies naming Q5119
Q5120Policies naming Q5120
Q5121Policies naming Q5121
Q5122Policies naming Q5122
Q5123Policies naming Q5123
Q5124Policies naming Q5124
Q5126Policies naming Q5126
Q5127Policies naming Q5127
Q5128Policies naming Q5128
Q5129Policies naming Q5129
Q5130Policies naming Q5130
Q5133Policies naming Q5133
Q5135Policies naming Q5135
Q5136Policies naming Q5136
Q5137Policies naming Q5137
Q5138Policies naming Q5138
Q5147Policies naming Q5147
Q5151Policies naming Q5151
Q5152Policies naming Q5152
Q5156Policies naming Q5156
Q5157Policies naming Q5157
Q5158Policies naming Q5158
Q5159Policies naming Q5159
Q5161Policies naming Q5161
Q5162Policies naming Q5162
Q5164Policies naming Q5164
Q5165Policies naming Q5165
Q5166Policies naming Q5166
Q5167Policies naming Q5167
Q5171Policies naming Q5171
Q9996Policies naming Q9996
Q9997Policies naming Q9997
Q9998Policies naming Q9998
Q9999Policies naming Q9999

All United HealthCare Community Plan of Arizona policies

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.