United HealthCare Community Plan of Arizona policy
Treatment of Temporomandibular Joint Disorders
Treatment of Temporomandibular Joint Disorders is a public United HealthCare Community Plan of Arizona policy (policy CS195.J, effective Jun 1, 2026). It lists 25 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
- Policy number
- CS195.J
- Effective
- Jun 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 |
|---|---|
| 20552 | Policies naming 20552 |
| 20553 | Policies naming 20553 |
| 20605 | Policies naming 20605 |
| 20606 | Policies naming 20606 |
| 21010 | Policies naming 21010 |
| 21050 | Policies naming 21050 |
| 21060 | Policies naming 21060 |
| 21070 | Policies naming 21070 |
| 21085 | Policies naming 21085 |
| 21110 | Policies naming 21110 |
| 21240 | Policies naming 21240 |
| 21242 | Policies naming 21242 |
| 21243 | Policies naming 21243 |
| 21247 | Policies naming 21247 |
| 21299 | Policies naming 21299 |
| 29800 | Policies naming 29800 |
| 29804 | Policies naming 29804 |
| 90901 | Policies naming 90901 |
| 97039 | Policies naming 97039 |
| 97139 | Policies naming 97139 |
| E0746 | Policies naming E0746 |
| E1399 | Policies naming E1399 |
| E1700 | Policies naming E1700 |
| E1701 | Policies naming E1701 |
| E1702 | Policies naming E1702 |