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UnitedHealthcare policy

Omnibus Codes

Omnibus Codes is a public UnitedHealthcare policy (policy MMP107.09, effective Jun 1, 2026). It lists 176 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

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Payer
UnitedHealthcare
Policy number
MMP107.09
Effective
Jun 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
0061UPolicies naming 0061U
0075TPolicies naming 0075T
0076TPolicies naming 0076T
0100TPolicies naming 0100T
0163UPolicies naming 0163U
0174TPolicies naming 0174T
0175TPolicies naming 0175T
0207TPolicies naming 0207T
0208TPolicies naming 0208T
0209TPolicies naming 0209T
0210TPolicies naming 0210T
0211TPolicies naming 0211T
0212TPolicies naming 0212T
0234TPolicies naming 0234T
0235TPolicies naming 0235T
0236TPolicies naming 0236T
0247UPolicies naming 0247U
0266TPolicies naming 0266T
0267TPolicies naming 0267T
0268TPolicies naming 0268T
0269TPolicies naming 0269T
0270TPolicies naming 0270T
0271TPolicies naming 0271T
0272TPolicies naming 0272T
0273TPolicies naming 0273T
0330TPolicies naming 0330T
0331TPolicies naming 0331T
0332TPolicies naming 0332T
0333TPolicies naming 0333T
0335TPolicies naming 0335T
0338TPolicies naming 0338T
0339TPolicies naming 0339T
0347TPolicies naming 0347T
0348TPolicies naming 0348T
0349TPolicies naming 0349T
0350TPolicies naming 0350T
0358TPolicies naming 0358T
0397TPolicies naming 0397T
0408TPolicies naming 0408T
0409TPolicies naming 0409T
0410TPolicies naming 0410T
0411TPolicies naming 0411T
0412TPolicies naming 0412T
0413TPolicies naming 0413T
0414TPolicies naming 0414T
0415TPolicies naming 0415T
0416TPolicies naming 0416T
0417TPolicies naming 0417T
0418TPolicies naming 0418T
0444TPolicies naming 0444T
0445TPolicies naming 0445T
0472TPolicies naming 0472T
0473TPolicies naming 0473T
0485TPolicies naming 0485T
0486TPolicies naming 0486T
0506TPolicies naming 0506T
0507TPolicies naming 0507T
0510TPolicies naming 0510T
0511TPolicies naming 0511T
0515TPolicies naming 0515T
0516TPolicies naming 0516T
0517TPolicies naming 0517T
0518TPolicies naming 0518T
0519TPolicies naming 0519T
0520TPolicies naming 0520T
0521TPolicies naming 0521T
0522TPolicies naming 0522T
0525TPolicies naming 0525T
0526TPolicies naming 0526T
0527TPolicies naming 0527T
0528TPolicies naming 0528T
0529TPolicies naming 0529T
0530TPolicies naming 0530T
0531TPolicies naming 0531T
0532TPolicies naming 0532T
0559TPolicies naming 0559T
0560TPolicies naming 0560T
0561TPolicies naming 0561T
0562TPolicies naming 0562T
0563TPolicies naming 0563T
0567TPolicies naming 0567T
0568TPolicies naming 0568T
0571TPolicies naming 0571T
0572TPolicies naming 0572T
0573TPolicies naming 0573T
0574TPolicies naming 0574T
0575TPolicies naming 0575T
0576TPolicies naming 0576T
0577TPolicies naming 0577T
0578TPolicies naming 0578T
0579TPolicies naming 0579T
0580TPolicies naming 0580T
0581TPolicies naming 0581T
0583TPolicies naming 0583T
05901Policies naming 05901
0594TPolicies naming 0594T
0600TPolicies naming 0600T
0601TPolicies naming 0601T
0607TPolicies naming 0607T
0608TPolicies naming 0608T
0614TPolicies naming 0614T
0615TPolicies naming 0615T
0616TPolicies naming 0616T
0617TPolicies naming 0617T
0618TPolicies naming 0618T
0631TPolicies naming 0631T
0640TPolicies naming 0640T
0647TPolicies naming 0647T
0651TPolicies naming 0651T
0658TPolicies naming 0658T
0659TPolicies naming 0659T
0664TPolicies naming 0664T
0665TPolicies naming 0665T
0666TPolicies naming 0666T
0667TPolicies naming 0667T
0668TPolicies naming 0668T
0669TPolicies naming 0669T
0670TPolicies naming 0670T
0692TPolicies naming 0692T
0694TPolicies naming 0694T
0695TPolicies naming 0695T
0696TPolicies naming 0696T
0735TPolicies naming 0735T
0766TPolicies naming 0766T
0767TPolicies naming 0767T
0859TPolicies naming 0859T
0861TPolicies naming 0861T
0862TPolicies naming 0862T
0863TPolicies naming 0863T
0870TPolicies naming 0870T
0871TPolicies naming 0871T
0872TPolicies naming 0872T
0873TPolicies naming 0873T
0874TPolicies naming 0874T
0875TPolicies naming 0875T
1020TPolicies naming 1020T
17999Policies naming 17999
19105Policies naming 19105
19294Policies naming 19294
27458Policies naming 27458
27713Policies naming 27713
43206Policies naming 43206
43252Policies naming 43252
47384Policies naming 47384
53451Policies naming 53451
53452Policies naming 53452
53453Policies naming 53453
53454Policies naming 53454
63268Policies naming 63268
64654Policies naming 64654
64655Policies naming 64655
64656Policies naming 64656
64657Policies naming 64657
64658Policies naming 64658
64659Policies naming 64659
64728Policies naming 64728
66683Policies naming 66683
80145Policies naming 80145
80230Policies naming 80230
80280Policies naming 80280
81599Policies naming 81599
88375Policies naming 88375
90999Policies naming 90999
92288Policies naming 92288
93145Policies naming 93145
93146Policies naming 93146
93998Policies naming 93998
94011Policies naming 94011
94012Policies naming 94012
94013Policies naming 94013
C1839Policies naming C1839
E1399Policies naming E1399
K1007Policies naming K1007
K1030Policies naming K1030
L8608Policies naming L8608
L8699Policies naming L8699

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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