United HealthCare Community Plan of Arizona policy
Proton Beam Radiation Therapy
Proton Beam Radiation Therapy is a public United HealthCare Community Plan of Arizona policy (policy CS105.U, effective May 1, 2026). It lists 8 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
- Policy number
- CS105.U
- Effective
- May 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.
| Code | Other United HealthCare Community Plan of Arizona policies |
|---|---|
| 00001 | Policies naming 00001 |
| 77301 | Policies naming 77301 |
| 77338 | Policies naming 77338 |
| 77387 | Policies naming 77387 |
| 77520 | Policies naming 77520 |
| 77522 | Policies naming 77522 |
| 77523 | Policies naming 77523 |
| 77525 | Policies naming 77525 |