UnitedHealthcare policy
Durable Medical Equipment (DME), Prosthetics, Orthotics (Non-Foot Orthotics), Nutritional Therapy, and Medical Supplies Grid
Durable Medical Equipment (DME), Prosthetics, Orthotics (Non-Foot Orthotics), Nutritional Therapy, and Medical Supplies Grid is a public UnitedHealthcare policy (policy MMP028.23, effective Oct 1, 2025). It lists 178 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Payer
- UnitedHealthcare
- Policy number
- MMP028.23
- Effective
- Oct 1, 2025
- 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.
All UnitedHealthcare policies · UnitedHealthcare prior authorization CPT list