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UnitedHealthcare policy

Medicare Part B Step Therapy Programs

Medicare Part B Step Therapy Programs is a public UnitedHealthcare policy (policy IAP.001.31, effective Oct 1, 2026). It lists 211 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

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Payer
UnitedHealthcare
Policy number
IAP.001.31
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
90283Policies naming 90283
90284Policies naming 90284
C9257Policies naming C9257
H0251Policies naming H0251
H0294Policies naming H0294
H0321Policies naming H0321
H0421Policies naming H0421
H1045Policies naming H1045
H1537Policies naming H1537
H1889Policies naming H1889
H2001Policies naming H2001
H2226Policies naming H2226
H2247Policies naming H2247
H2385Policies naming H2385
H2406Policies naming H2406
H2445Policies naming H2445
H2509Policies naming H2509
H3113Policies naming H3113
H3387Policies naming H3387
H3868Policies naming H3868
H4032Policies naming H4032
H4610Policies naming H4610
H5420Policies naming H5420
H5435Policies naming H5435
H6824Policies naming H6824
H7464Policies naming H7464
J0177Policies naming J0177
J0178Policies naming J0178
J0179Policies naming J0179
J0185Policies naming J0185
J0225Policies naming J0225
J0490Policies naming J0490
J0491Policies naming J0491
J0517Policies naming J0517
J0585Policies naming J0585
J0586Policies naming J0586
J0587Policies naming J0587
J0588Policies naming J0588
J0589Policies naming J0589
J0641Policies naming J0641
J0642Policies naming J0642
J0643Policies naming J0643
J0644Policies naming J0644
J0897Policies naming J0897
J1299Policies naming J1299
J1303Policies naming J1303
J1306Policies naming J1306
J1307Policies naming J1307
J1323Policies naming J1323
J1434Policies naming J1434
J1437Policies naming J1437
J1439Policies naming J1439
J1442Policies naming J1442
J1447Policies naming J1447
J1449Policies naming J1449
J1453Policies naming J1453
J1454Policies naming J1454
J1456Policies naming J1456
J1459Policies naming J1459
J1551Policies naming J1551
J1552Policies naming J1552
J1553Policies naming J1553
J1554Policies naming J1554
J1555Policies naming J1555
J1556Policies naming J1556
J1557Policies naming J1557
J1558Policies naming J1558
J1559Policies naming J1559
J1561Policies naming J1561
J1566Policies naming J1566
J1568Policies naming J1568
J1569Policies naming J1569
J1572Policies naming J1572
J1575Policies naming J1575
J1576Policies naming J1576
J1577Policies naming J1577
J1599Policies naming J1599
J1626Policies naming J1626
J1627Policies naming J1627
J1628Policies naming J1628
J1745Policies naming J1745
J1750Policies naming J1750
J1756Policies naming J1756
J1950Policies naming J1950
J1954Policies naming J1954
J2182Policies naming J2182
J2267Policies naming J2267
J2327Policies naming J2327
J2329Policies naming J2329
J2350Policies naming J2350
J2351Policies naming J2351
J2361Policies naming J2361
J2405Policies naming J2405
J2468Policies naming J2468
J2469Policies naming J2469
J2506Policies naming J2506
J2507Policies naming J2507
J2777Policies naming J2777
J2778Policies naming J2778
J2779Policies naming J2779
J2786Policies naming J2786
J2916Policies naming J2916
J3032Policies naming J3032
J3111Policies naming J3111
J3262Policies naming J3262
J3263Policies naming J3263
J3358Policies naming J3358
J3380Policies naming J3380
J7318Policies naming J7318
J7320Policies naming J7320
J7321Policies naming J7321
J7322Policies naming J7322
J7323Policies naming J7323
J7324Policies naming J7324
J7325Policies naming J7325
J7326Policies naming J7326
J7327Policies naming J7327
J7328Policies naming J7328
J7329Policies naming J7329
J7331Policies naming J7331
J7332Policies naming J7332
J7999Policies naming J7999
J9022Policies naming J9022
J9024Policies naming J9024
J9035Policies naming J9035
J9119Policies naming J9119
J9184Policies naming J9184
J9196Policies naming J9196
J9201Policies naming J9201
J9205Policies naming J9205
J9206Policies naming J9206
J9217Policies naming J9217
J9228Policies naming J9228
J9256Policies naming J9256
J9271Policies naming J9271
J9277Policies naming J9277
J9289Policies naming J9289
J9292Policies naming J9292
J9294Policies naming J9294
J9296Policies naming J9296
J9297Policies naming J9297
J9299Policies naming J9299
J9304Policies naming J9304
J9305Policies naming J9305
J9311Policies naming J9311
J9312Policies naming J9312
J9314Policies naming J9314
J9324Policies naming J9324
J9329Policies naming J9329
J9332Policies naming J9332
J9333Policies naming J9333
J9334Policies naming J9334
J9355Policies naming J9355
J9356Policies naming J9356
J9361Policies naming J9361
J9380Policies naming J9380
J9999Policies naming J9999
Q0138Policies naming Q0138
Q0162Policies naming Q0162
Q0166Policies naming Q0166
Q5098Policies naming Q5098
Q5099Policies naming Q5099
Q5100Policies naming Q5100
Q5101Policies naming Q5101
Q5103Policies naming Q5103
Q5104Policies naming Q5104
Q5107Policies naming Q5107
Q5108Policies naming Q5108
Q5110Policies naming Q5110
Q5111Policies naming Q5111
Q5112Policies naming Q5112
Q5113Policies naming Q5113
Q5114Policies naming Q5114
Q5115Policies naming Q5115
Q5116Policies naming Q5116
Q5117Policies naming Q5117
Q5118Policies naming Q5118
Q5119Policies naming Q5119
Q5120Policies naming Q5120
Q5121Policies naming Q5121
Q5122Policies naming Q5122
Q5123Policies naming Q5123
Q5124Policies naming Q5124
Q5125Policies naming Q5125
Q5126Policies naming Q5126
Q5127Policies naming Q5127
Q5128Policies naming Q5128
Q5129Policies naming Q5129
Q5130Policies naming Q5130
Q5133Policies naming Q5133
Q5135Policies naming Q5135
Q5136Policies naming Q5136
Q5138Policies naming Q5138
Q5146Policies naming Q5146
Q5147Policies naming Q5147
Q5148Policies naming Q5148
Q5151Policies naming Q5151
Q5152Policies naming Q5152
Q5156Policies naming Q5156
Q5157Policies naming Q5157
Q5158Policies naming Q5158
Q5159Policies naming Q5159
Q5160Policies naming Q5160
Q5162Policies naming Q5162
Q5164Policies naming Q5164
Q5167Policies naming Q5167
Q5169Policies naming Q5169
Q5172Policies naming Q5172
Q9997Policies naming Q9997
Q9998Policies naming Q9998
Q9999Policies naming Q9999

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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