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UnitedHealthcare policy

Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) Scan – Site of Service

Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) Scan – Site of Service is a public UnitedHealthcare policy (policy MP.13.20, effective Sep 1, 2026). It lists 122 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

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Payer
UnitedHealthcare
Policy number
MP.13.20
Effective
Sep 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
70336Policies naming 70336
70450Policies naming 70450
70460Policies naming 70460
70470Policies naming 70470
70471Policies naming 70471
70480Policies naming 70480
70481Policies naming 70481
70482Policies naming 70482
70486Policies naming 70486
70487Policies naming 70487
70488Policies naming 70488
70490Policies naming 70490
70491Policies naming 70491
70492Policies naming 70492
70496Policies naming 70496
70498Policies naming 70498
70540Policies naming 70540
70542Policies naming 70542
70543Policies naming 70543
70544Policies naming 70544
70545Policies naming 70545
70546Policies naming 70546
70547Policies naming 70547
70548Policies naming 70548
70549Policies naming 70549
70551Policies naming 70551
70552Policies naming 70552
70553Policies naming 70553
70554Policies naming 70554
70555Policies naming 70555
71250Policies naming 71250
71260Policies naming 71260
71270Policies naming 71270
71271Policies naming 71271
71275Policies naming 71275
71550Policies naming 71550
71551Policies naming 71551
71552Policies naming 71552
71555Policies naming 71555
72125Policies naming 72125
72126Policies naming 72126
72127Policies naming 72127
72128Policies naming 72128
72129Policies naming 72129
72130Policies naming 72130
72131Policies naming 72131
72132Policies naming 72132
72133Policies naming 72133
72141Policies naming 72141
72142Policies naming 72142
72146Policies naming 72146
72147Policies naming 72147
72148Policies naming 72148
72149Policies naming 72149
72156Policies naming 72156
72157Policies naming 72157
72158Policies naming 72158
72159Policies naming 72159
72191Policies naming 72191
72192Policies naming 72192
72193Policies naming 72193
72194Policies naming 72194
72195Policies naming 72195
72196Policies naming 72196
72197Policies naming 72197
72198Policies naming 72198
73200Policies naming 73200
73201Policies naming 73201
73202Policies naming 73202
73206Policies naming 73206
73218Policies naming 73218
73219Policies naming 73219
73220Policies naming 73220
73221Policies naming 73221
73222Policies naming 73222
73223Policies naming 73223
73225Policies naming 73225
73700Policies naming 73700
73701Policies naming 73701
73702Policies naming 73702
73706Policies naming 73706
73718Policies naming 73718
73719Policies naming 73719
73720Policies naming 73720
73721Policies naming 73721
73722Policies naming 73722
73723Policies naming 73723
73725Policies naming 73725
74150Policies naming 74150
74160Policies naming 74160
74170Policies naming 74170
74174Policies naming 74174
74175Policies naming 74175
74176Policies naming 74176
74177Policies naming 74177
74178Policies naming 74178
74181Policies naming 74181
74182Policies naming 74182
74183Policies naming 74183
74185Policies naming 74185
74261Policies naming 74261
74262Policies naming 74262
74263Policies naming 74263
75557Policies naming 75557
75559Policies naming 75559
75561Policies naming 75561
75563Policies naming 75563
75571Policies naming 75571
75572Policies naming 75572
75573Policies naming 75573
75574Policies naming 75574
75635Policies naming 75635
76380Policies naming 76380
76390Policies naming 76390
76497Policies naming 76497
76498Policies naming 76498
77046Policies naming 77046
77047Policies naming 77047
77048Policies naming 77048
77049Policies naming 77049
77084Policies naming 77084
S8037Policies naming S8037

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.

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