UnitedHealthcare policy

Category III CPT Codes

Category III CPT Codes is a public UnitedHealthcare policy (policy MMP043.50, effective Oct 1, 2026). It lists 116 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

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Payer
UnitedHealthcare
Policy number
MMP043.50
Effective
Oct 1, 2026
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
0106TPolicies naming 0106T
0107TPolicies naming 0107T
0108TPolicies naming 0108T
0109TPolicies naming 0109T
0110TPolicies naming 0110T
0202TPolicies naming 0202T
0263TPolicies naming 0263T
0264TPolicies naming 0264T
0265TPolicies naming 0265T
0278TPolicies naming 0278T
0342TPolicies naming 0342T
0422TPolicies naming 0422T
0464TPolicies naming 0464T
0483TPolicies naming 0483T
0484TPolicies naming 0484T
0489TPolicies naming 0489T
0490TPolicies naming 0490T
0512TPolicies naming 0512T
0513TPolicies naming 0513T
0543TPolicies naming 0543T
0544TPolicies naming 0544T
0545TPolicies naming 0545T
0564TPolicies naming 0564T
0565TPolicies naming 0565T
0566TPolicies naming 0566T
0569TPolicies naming 0569T
0570TPolicies naming 0570T
0582TPolicies naming 0582T
05901Policies naming 05901
0598TPolicies naming 0598T
0599TPolicies naming 0599T
0619TPolicies naming 0619T
0627TPolicies naming 0627T
0628TPolicies naming 0628T
0629TPolicies naming 0629T
0630TPolicies naming 0630T
0633TPolicies naming 0633T
0634TPolicies naming 0634T
0635TPolicies naming 0635T
0636TPolicies naming 0636T
0637TPolicies naming 0637T
0638TPolicies naming 0638T
0646TPolicies naming 0646T
0655TPolicies naming 0655T
0687TPolicies naming 0687T
0688TPolicies naming 0688T
0693TPolicies naming 0693T
0704TPolicies naming 0704T
0705TPolicies naming 0705T
0706TPolicies naming 0706T
0714TPolicies naming 0714T
0717TPolicies naming 0717T
0718TPolicies naming 0718T
0719TPolicies naming 0719T
0720TPolicies naming 0720T
0736TPolicies naming 0736T
0737TPolicies naming 0737T
0738TPolicies naming 0738T
0739TPolicies naming 0739T
0744TPolicies naming 0744T
0778TPolicies naming 0778T
0779TPolicies naming 0779T
0783TPolicies naming 0783T
0795TPolicies naming 0795T
0796TPolicies naming 0796T
0797TPolicies naming 0797T
0798TPolicies naming 0798T
0799TPolicies naming 0799T
0800TPolicies naming 0800T
0801TPolicies naming 0801T
0802TPolicies naming 0802T
0803TPolicies naming 0803T
0804TPolicies naming 0804T
0805TPolicies naming 0805T
0806TPolicies naming 0806T
0813TPolicies naming 0813T
0814TPolicies naming 0814T
0823TPolicies naming 0823T
0824TPolicies naming 0824T
0825TPolicies naming 0825T
0826TPolicies naming 0826T
0858TPolicies naming 0858T
0864TPolicies naming 0864T
0867TPolicies naming 0867T
0868TPolicies naming 0868T
0889TPolicies naming 0889T
0890TPolicies naming 0890T
0891TPolicies naming 0891T
0892TPolicies naming 0892T
0902TPolicies naming 0902T
0999TPolicies naming 0999T
1000TPolicies naming 1000T
1001TPolicies naming 1001T
1019TPolicies naming 1019T
11457Policies naming 11457
11472Policies naming 11472
12053Policies naming 12053
12077Policies naming 12077
12122Policies naming 12122
12665Policies naming 12665
12673Policies naming 12673
12697Policies naming 12697
12761Policies naming 12761
12765Policies naming 12765
12773Policies naming 12773
13210Policies naming 13210
13216Policies naming 13216
13258Policies naming 13258
13344Policies naming 13344
13632Policies naming 13632
13656Policies naming 13656
14091Policies naming 14091
14101Policies naming 14101
52443Policies naming 52443
64567Policies naming 64567
89240Policies naming 89240

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.