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United HealthCare Community Plan of Arizona policy

Medically Unlikely Edits (MUE) Policy, Professional and Facility

Medically Unlikely Edits (MUE) Policy, Professional and Facility is a public United HealthCare Community Plan of Arizona policy (policy 2026R7117I). It lists 261 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

View the original policy (PDF) ↗

Payer
United HealthCare Community Plan of Arizona
Policy number
2026R7117I
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
0362TPolicies naming 0362T
0373TPolicies naming 0373T
0403TPolicies naming 0403T
0792TPolicies naming 0792T
11045Policies naming 11045
63650Policies naming 63650
80305Policies naming 80305
82075Policies naming 82075
86305Policies naming 86305
87481Policies naming 87481
87798Policies naming 87798
90460Policies naming 90460
90472Policies naming 90472
90474Policies naming 90474
90486Policies naming 90486
90487Policies naming 90487
90791Policies naming 90791
90792Policies naming 90792
90840Policies naming 90840
90846Policies naming 90846
90847Policies naming 90847
90849Policies naming 90849
90853Policies naming 90853
90863Policies naming 90863
90870Policies naming 90870
90899Policies naming 90899
92507Policies naming 92507
92508Policies naming 92508
92557Policies naming 92557
92609Policies naming 92609
95004Policies naming 95004
95027Policies naming 95027
95044Policies naming 95044
95165Policies naming 95165
95170Policies naming 95170
95870Policies naming 95870
96110Policies naming 96110
96116Policies naming 96116
96121Policies naming 96121
96125Policies naming 96125
96127Policies naming 96127
96131Policies naming 96131
96133Policies naming 96133
96137Policies naming 96137
96139Policies naming 96139
96153Policies naming 96153
96154Policies naming 96154
96155Policies naming 96155
96156Policies naming 96156
96158Policies naming 96158
96159Policies naming 96159
96164Policies naming 96164
96165Policies naming 96165
96167Policies naming 96167
96168Policies naming 96168
96170Policies naming 96170
96171Policies naming 96171
97110Policies naming 97110
97129Policies naming 97129
97150Policies naming 97150
97151Policies naming 97151
97152Policies naming 97152
97153Policies naming 97153
97154Policies naming 97154
97155Policies naming 97155
97156Policies naming 97156
97157Policies naming 97157
97158Policies naming 97158
97530Policies naming 97530
97535Policies naming 97535
97537Policies naming 97537
99001Policies naming 99001
99082Policies naming 99082
99199Policies naming 99199
99234Policies naming 99234
99236Policies naming 99236
99341Policies naming 99341
99355Policies naming 99355
99429Policies naming 99429
99445Policies naming 99445
99451Policies naming 99451
99458Policies naming 99458
99470Policies naming 99470
99509Policies naming 99509
99600Policies naming 99600
99607Policies naming 99607
A0120Policies naming A0120
A0425Policies naming A0425
A4238Policies naming A4238
A4253Policies naming A4253
A4271Policies naming A4271
A4281Policies naming A4281
A4282Policies naming A4282
A4284Policies naming A4284
A4286Policies naming A4286
A4287Policies naming A4287
A4332Policies naming A4332
A4363Policies naming A4363
A4575Policies naming A4575
A4625Policies naming A4625
A7004Policies naming A7004
A7007Policies naming A7007
A7012Policies naming A7012
A7015Policies naming A7015
A7048Policies naming A7048
B4035Policies naming B4035
B4088Policies naming B4088
B4150Policies naming B4150
G0151Policies naming G0151
G0152Policies naming G0152
G0153Policies naming G0153
G0155Policies naming G0155
G0156Policies naming G0156
G0317Policies naming G0317
G0318Policies naming G0318
G0378Policies naming G0378
G0480Policies naming G0480
G0481Policies naming G0481
G0495Policies naming G0495
G2212Policies naming G2212
H0001Policies naming H0001
H0002Policies naming H0002
H0003Policies naming H0003
H0004Policies naming H0004
H0005Policies naming H0005
H0006Policies naming H0006
H0007Policies naming H0007
H0010Policies naming H0010
H0011Policies naming H0011
H0014Policies naming H0014
H0015Policies naming H0015
H0016Policies naming H0016
H0019Policies naming H0019
H0020Policies naming H0020
H0022Policies naming H0022
H0023Policies naming H0023
H0024Policies naming H0024
H0025Policies naming H0025
H0028Policies naming H0028
H0031Policies naming H0031
H0032Policies naming H0032
H0033Policies naming H0033
H0034Policies naming H0034
H0035Policies naming H0035
H0036Policies naming H0036
H0038Policies naming H0038
H0044Policies naming H0044
H0046Policies naming H0046
H0047Policies naming H0047
H0048Policies naming H0048
H0050Policies naming H0050
H2000Policies naming H2000
H2010Policies naming H2010
H2011Policies naming H2011
H2012Policies naming H2012
H2013Policies naming H2013
H2014Policies naming H2014
H2015Policies naming H2015
H2016Policies naming H2016
H2017Policies naming H2017
H2019Policies naming H2019
H2020Policies naming H2020
H2021Policies naming H2021
H2023Policies naming H2023
H2025Policies naming H2025
H2027Policies naming H2027
H2028Policies naming H2028
H2030Policies naming H2030
H2032Policies naming H2032
H2033Policies naming H2033
H2035Policies naming H2035
J7175Policies naming J7175
J7178Policies naming J7178
J7179Policies naming J7179
J7180Policies naming J7180
J7181Policies naming J7181
J7182Policies naming J7182
J7183Policies naming J7183
J7185Policies naming J7185
J7186Policies naming J7186
J7187Policies naming J7187
J7188Policies naming J7188
J7189Policies naming J7189
J7190Policies naming J7190
J7191Policies naming J7191
J7192Policies naming J7192
J7193Policies naming J7193
J7194Policies naming J7194
J7195Policies naming J7195
J7198Policies naming J7198
J7200Policies naming J7200
J7201Policies naming J7201
J7202Policies naming J7202
J7205Policies naming J7205
J7207Policies naming J7207
J7209Policies naming J7209
J7295Policies naming J7295
K1005Policies naming K1005
L8627Policies naming L8627
L8628Policies naming L8628
L8629Policies naming L8629
S0109Policies naming S0109
S0316Policies naming S0316
S5100Policies naming S5100
S5101Policies naming S5101
S5102Policies naming S5102
S5125Policies naming S5125
S5126Policies naming S5126
S5130Policies naming S5130
S5140Policies naming S5140
S5141Policies naming S5141
S5150Policies naming S5150
S5151Policies naming S5151
S5160Policies naming S5160
S5161Policies naming S5161
S5165Policies naming S5165
S5170Policies naming S5170
S8990Policies naming S8990
S9125Policies naming S9125
S9430Policies naming S9430
S9442Policies naming S9442
S9445Policies naming S9445
S9446Policies naming S9446
S9460Policies naming S9460
S9484Policies naming S9484
S9976Policies naming S9976
T1001Policies naming T1001
T1005Policies naming T1005
T1007Policies naming T1007
T1009Policies naming T1009
T1012Policies naming T1012
T1013Policies naming T1013
T1015Policies naming T1015
T1016Policies naming T1016
T1017Policies naming T1017
T1019Policies naming T1019
T1020Policies naming T1020
T1021Policies naming T1021
T1023Policies naming T1023
T1024Policies naming T1024
T1026Policies naming T1026
T1027Policies naming T1027
T1028Policies naming T1028
T1030Policies naming T1030
T1031Policies naming T1031
T1032Policies naming T1032
T1502Policies naming T1502
T2001Policies naming T2001
T2002Policies naming T2002
T2003Policies naming T2003
T2004Policies naming T2004
T2005Policies naming T2005
T2007Policies naming T2007
T2022Policies naming T2022
T2025Policies naming T2025
T2029Policies naming T2029
T2031Policies naming T2031
T2033Policies naming T2033
T2038Policies naming T2038
T2039Policies naming T2039
T2046Policies naming T2046

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.

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