UnitedHealthcare policy
Immune Globulin (IVIG and SCIG) – Commercial Medical Benefit Drug Policy
Immune Globulin (IVIG and SCIG) – Commercial Medical Benefit Drug Policy is a public UnitedHealthcare policy (policy 2026D0035AV, effective Oct 1, 2026). It lists 21 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
Check eligibility for free
No account required. Sign a BAA to see plan details, coordination of benefits and more
- Payer
- UnitedHealthcare
- Policy number
- 2026D0035AV
- 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.
| Code | Other UnitedHealthcare policies |
|---|---|
| 90283 | Policies naming 90283 |
| 90284 | Policies naming 90284 |
| J1459 | Policies naming J1459 |
| J1551 | Policies naming J1551 |
| J1552 | Policies naming J1552 |
| J1553 | Policies naming J1553 |
| J1554 | Policies naming J1554 |
| J1555 | Policies naming J1555 |
| J1556 | Policies naming J1556 |
| J1557 | Policies naming J1557 |
| J1558 | Policies naming J1558 |
| J1559 | Policies naming J1559 |
| J1561 | Policies naming J1561 |
| J1566 | Policies naming J1566 |
| J1568 | Policies naming J1568 |
| J1569 | Policies naming J1569 |
| J1572 | Policies naming J1572 |
| J1575 | Policies naming J1575 |
| J1576 | Policies naming J1576 |
| J1577 | Policies naming J1577 |
| J1599 | Policies naming J1599 |
All UnitedHealthcare policies · UnitedHealthcare prior authorization CPT list