UnitedHealthcare policy

Category III Codes

Category III Codes is a public UnitedHealthcare policy (policy 2026T0644R, effective Oct 1, 2026). It lists 184 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

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Payer
UnitedHealthcare
Policy number
2026T0644R
Effective
Oct 1, 2026
Line of business
Commercial
Source
www.uhcprovider.com

Codes in this policy

The CPT and HCPCS codes the policy names. A policy can name a code it excludes. Open official prior authorization lists to check the member’s product.

CodeOther UnitedHealthcare policies
0419TPolicies naming 0419T
0420TPolicies naming 0420T
0524TPolicies naming 0524T
0541TPolicies naming 0541T
0542TPolicies naming 0542T
0546TPolicies naming 0546T
0547TPolicies naming 0547T
0554TPolicies naming 0554T
0555TPolicies naming 0555T
0556TPolicies naming 0556T
0557TPolicies naming 0557T
0558TPolicies naming 0558T
0587TPolicies naming 0587T
0588TPolicies naming 0588T
0589TPolicies naming 0589T
0590TPolicies naming 0590T
0602TPolicies naming 0602T
0603TPolicies naming 0603T
0604TPolicies naming 0604T
0605TPolicies naming 0605T
0606TPolicies naming 0606T
0620TPolicies naming 0620T
0643TPolicies naming 0643T
0644TPolicies naming 0644T
0648TPolicies naming 0648T
0649TPolicies naming 0649T
0652TPolicies naming 0652T
0653TPolicies naming 0653T
0654TPolicies naming 0654T
0661TPolicies naming 0661T
0673TPolicies naming 0673T
0689TPolicies naming 0689T
0691TPolicies naming 0691T
0699TPolicies naming 0699T
0707TPolicies naming 0707T
0708TPolicies naming 0708T
0721TPolicies naming 0721T
0723TPolicies naming 0723T
0733TPolicies naming 0733T
0734TPolicies naming 0734T
0740TPolicies naming 0740T
0741TPolicies naming 0741T
0743TPolicies naming 0743T
0748TPolicies naming 0748T
0765TPolicies naming 0765T
0771TPolicies naming 0771T
0773TPolicies naming 0773T
0791TPolicies naming 0791T
0792TPolicies naming 0792T
0794TPolicies naming 0794T
0807TPolicies naming 0807T
0808TPolicies naming 0808T
0811TPolicies naming 0811T
0812TPolicies naming 0812T
0815TPolicies naming 0815T
0820TPolicies naming 0820T
0869TPolicies naming 0869T
0877TPolicies naming 0877T
0878TPolicies naming 0878T
0879TPolicies naming 0879T
0880TPolicies naming 0880T
0884TPolicies naming 0884T
0885TPolicies naming 0885T
0886TPolicies naming 0886T
0893TPolicies naming 0893T
0894TPolicies naming 0894T
0895TPolicies naming 0895T
0896TPolicies naming 0896T
0897TPolicies naming 0897T
0898TPolicies naming 0898T
0903TPolicies naming 0903T
0904TPolicies naming 0904T
0905TPolicies naming 0905T
0906TPolicies naming 0906T
0907TPolicies naming 0907T
0908TPolicies naming 0908T
0909TPolicies naming 0909T
0910TPolicies naming 0910T
0911TPolicies naming 0911T
0912TPolicies naming 0912T
0913TPolicies naming 0913T
0914TPolicies naming 0914T
0915TPolicies naming 0915T
0916TPolicies naming 0916T
0917TPolicies naming 0917T
0918TPolicies naming 0918T
0919TPolicies naming 0919T
0920TPolicies naming 0920T
0921TPolicies naming 0921T
0922TPolicies naming 0922T
0923TPolicies naming 0923T
0924TPolicies naming 0924T
0925TPolicies naming 0925T
0926TPolicies naming 0926T
0927TPolicies naming 0927T
0928TPolicies naming 0928T
0929TPolicies naming 0929T
0930TPolicies naming 0930T
0931TPolicies naming 0931T
0933TPolicies naming 0933T
0934TPolicies naming 0934T
0935TPolicies naming 0935T
0936TPolicies naming 0936T
0941TPolicies naming 0941T
0942TPolicies naming 0942T
0943TPolicies naming 0943T
0944TPolicies naming 0944T
0946TPolicies naming 0946T
0947TPolicies naming 0947T
0948TPolicies naming 0948T
0949TPolicies naming 0949T
0950TPolicies naming 0950T
0956TPolicies naming 0956T
0957TPolicies naming 0957T
0958TPolicies naming 0958T
0959TPolicies naming 0959T
0960TPolicies naming 0960T
0962TPolicies naming 0962T
0963TPolicies naming 0963T
0967TPolicies naming 0967T
0968TPolicies naming 0968T
0969TPolicies naming 0969T
0970TPolicies naming 0970T
0971TPolicies naming 0971T
0972TPolicies naming 0972T
0973TPolicies naming 0973T
0974TPolicies naming 0974T
0975TPolicies naming 0975T
0976TPolicies naming 0976T
0977TPolicies naming 0977T
0978TPolicies naming 0978T
0979TPolicies naming 0979T
0980TPolicies naming 0980T
0981TPolicies naming 0981T
0982TPolicies naming 0982T
0983TPolicies naming 0983T
0990TPolicies naming 0990T
0991TPolicies naming 0991T
0992TPolicies naming 0992T
0993TPolicies naming 0993T
0994TPolicies naming 0994T
0995TPolicies naming 0995T
0996TPolicies naming 0996T
0997TPolicies naming 0997T
0998TPolicies naming 0998T
1002TPolicies naming 1002T
1003TPolicies naming 1003T
1004TPolicies naming 1004T
1005TPolicies naming 1005T
1006TPolicies naming 1006T
1007TPolicies naming 1007T
1008TPolicies naming 1008T
1009TPolicies naming 1009T
1010TPolicies naming 1010T
1013TPolicies naming 1013T
1014TPolicies naming 1014T
1015TPolicies naming 1015T
1016TPolicies naming 1016T
1017TPolicies naming 1017T
1018TPolicies naming 1018T
1025TPolicies naming 1025T
1026TPolicies naming 1026T
1036TPolicies naming 1036T
1038TPolicies naming 1038T
1039TPolicies naming 1039T
1040TPolicies naming 1040T
1041TPolicies naming 1041T
1042TPolicies naming 1042T
1043TPolicies naming 1043T
1044TPolicies naming 1044T
1045TPolicies naming 1045T
1046TPolicies naming 1046T
1047TPolicies naming 1047T
1048TPolicies naming 1048T
1049TPolicies naming 1049T
1050TPolicies naming 1050T
1051TPolicies naming 1051T
1052TPolicies naming 1052T
1053TPolicies naming 1053T
1069TPolicies naming 1069T
1070TPolicies naming 1070T
1071TPolicies naming 1071T
1080TPolicies naming 1080T
1091TPolicies naming 1091T

All UnitedHealthcare policies · UnitedHealthcare prior authorization CPT list

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.