UnitedHealthcare policy

Preventive Care Services

Preventive Care Services is a public UnitedHealthcare policy (policy MP.016.60, effective Oct 1, 2026). It lists 403 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

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Payer
UnitedHealthcare
Policy number
MP.016.60
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.

CodeOther UnitedHealthcare policies
0064UPolicies naming 0064U
0065UPolicies naming 0065U
00811Policies naming 00811
00812Policies naming 00812
00851Policies naming 00851
00940Policies naming 00940
00942Policies naming 00942
00950Policies naming 00950
00952Policies naming 00952
0141APolicies naming 0141A
0151APolicies naming 0151A
0164APolicies naming 0164A
0172APolicies naming 0172A
01960Policies naming 01960
01961Policies naming 01961
01965Policies naming 01965
01966Policies naming 01966
01967Policies naming 01967
01968Policies naming 01968
0210UPolicies naming 0210U
0403TPolicies naming 0403T
0464UPolicies naming 0464U
0502UPolicies naming 0502U
0857TPolicies naming 0857T
11976Policies naming 11976
11981Policies naming 11981
11982Policies naming 11982
11983Policies naming 11983
19081Policies naming 19081
19082Policies naming 19082
19083Policies naming 19083
19084Policies naming 19084
19085Policies naming 19085
19086Policies naming 19086
19100Policies naming 19100
19101Policies naming 19101
19281Policies naming 19281
19282Policies naming 19282
19283Policies naming 19283
19284Policies naming 19284
19285Policies naming 19285
19286Policies naming 19286
19287Policies naming 19287
19288Policies naming 19288
36415Policies naming 36415
36416Policies naming 36416
44388Policies naming 44388
44389Policies naming 44389
44392Policies naming 44392
44394Policies naming 44394
45330Policies naming 45330
45331Policies naming 45331
45333Policies naming 45333
45338Policies naming 45338
45346Policies naming 45346
45378Policies naming 45378
45380Policies naming 45380
45381Policies naming 45381
45384Policies naming 45384
45385Policies naming 45385
45388Policies naming 45388
57170Policies naming 57170
58300Policies naming 58300
58301Policies naming 58301
58340Policies naming 58340
58562Policies naming 58562
58600Policies naming 58600
58605Policies naming 58605
58611Policies naming 58611
58615Policies naming 58615
58661Policies naming 58661
58670Policies naming 58670
58671Policies naming 58671
59400Policies naming 59400
59425Policies naming 59425
59426Policies naming 59426
59430Policies naming 59430
59510Policies naming 59510
59610Policies naming 59610
59618Policies naming 59618
71271Policies naming 71271
74263Policies naming 74263
74740Policies naming 74740
76014Policies naming 76014
76015Policies naming 76015
76016Policies naming 76016
76017Policies naming 76017
76018Policies naming 76018
76019Policies naming 76019
76641Policies naming 76641
76642Policies naming 76642
76706Policies naming 76706
76942Policies naming 76942
77002Policies naming 77002
77046Policies naming 77046
77047Policies naming 77047
77048Policies naming 77048
77049Policies naming 77049
77061Policies naming 77061
77062Policies naming 77062
77063Policies naming 77063
77065Policies naming 77065
77066Policies naming 77066
77067Policies naming 77067
77080Policies naming 77080
80061Policies naming 80061
81007Policies naming 81007
81025Policies naming 81025
81162Policies naming 81162
81163Policies naming 81163
81164Policies naming 81164
81165Policies naming 81165
81166Policies naming 81166
81167Policies naming 81167
81212Policies naming 81212
81215Policies naming 81215
81216Policies naming 81216
81217Policies naming 81217
81528Policies naming 81528
82017Policies naming 82017
82136Policies naming 82136
82261Policies naming 82261
82270Policies naming 82270
82274Policies naming 82274
82465Policies naming 82465
82565Policies naming 82565
82575Policies naming 82575
82775Policies naming 82775
82947Policies naming 82947
82948Policies naming 82948
82950Policies naming 82950
82951Policies naming 82951
82952Policies naming 82952
83020Policies naming 83020
83021Policies naming 83021
83030Policies naming 83030
83033Policies naming 83033
83036Policies naming 83036
83051Policies naming 83051
83498Policies naming 83498
83516Policies naming 83516
83655Policies naming 83655
83718Policies naming 83718
83719Policies naming 83719
83721Policies naming 83721
83722Policies naming 83722
84030Policies naming 84030
84437Policies naming 84437
84443Policies naming 84443
84478Policies naming 84478
84702Policies naming 84702
84703Policies naming 84703
85014Policies naming 85014
85018Policies naming 85018
86480Policies naming 86480
86481Policies naming 86481
86580Policies naming 86580
86592Policies naming 86592
86593Policies naming 86593
86631Policies naming 86631
86632Policies naming 86632
86689Policies naming 86689
86701Policies naming 86701
86702Policies naming 86702
86703Policies naming 86703
86704Policies naming 86704
86706Policies naming 86706
86780Policies naming 86780
86803Policies naming 86803
86804Policies naming 86804
86850Policies naming 86850
86901Policies naming 86901
87086Policies naming 87086
87088Policies naming 87088
87110Policies naming 87110
87270Policies naming 87270
87320Policies naming 87320
87340Policies naming 87340
87341Policies naming 87341
87389Policies naming 87389
87390Policies naming 87390
87391Policies naming 87391
87467Policies naming 87467
87490Policies naming 87490
87491Policies naming 87491
87492Policies naming 87492
87494Policies naming 87494
87534Policies naming 87534
87535Policies naming 87535
87536Policies naming 87536
87537Policies naming 87537
87538Policies naming 87538
87539Policies naming 87539
87590Policies naming 87590
87591Policies naming 87591
87592Policies naming 87592
87624Policies naming 87624
87625Policies naming 87625
87626Policies naming 87626
87801Policies naming 87801
87806Policies naming 87806
87810Policies naming 87810
87850Policies naming 87850
88141Policies naming 88141
88142Policies naming 88142
88143Policies naming 88143
88147Policies naming 88147
88148Policies naming 88148
88150Policies naming 88150
88152Policies naming 88152
88153Policies naming 88153
88155Policies naming 88155
88164Policies naming 88164
88165Policies naming 88165
88166Policies naming 88166
88167Policies naming 88167
88172Policies naming 88172
88173Policies naming 88173
88174Policies naming 88174
88175Policies naming 88175
88177Policies naming 88177
88304Policies naming 88304
88305Policies naming 88305
90482Policies naming 90482
90483Policies naming 90483
90484Policies naming 90484
92551Policies naming 92551
92552Policies naming 92552
92553Policies naming 92553
92558Policies naming 92558
92587Policies naming 92587
92588Policies naming 92588
92650Policies naming 92650
92651Policies naming 92651
93000Policies naming 93000
93005Policies naming 93005
93010Policies naming 93010
93784Policies naming 93784
93786Policies naming 93786
93788Policies naming 93788
93790Policies naming 93790
96041Policies naming 96041
96110Policies naming 96110
96127Policies naming 96127
96161Policies naming 96161
96372Policies naming 96372
96374Policies naming 96374
97802Policies naming 97802
97803Policies naming 97803
97804Policies naming 97804
98960Policies naming 98960
98961Policies naming 98961
98962Policies naming 98962
99078Policies naming 99078
99152Policies naming 99152
99153Policies naming 99153
99156Policies naming 99156
99157Policies naming 99157
99173Policies naming 99173
99174Policies naming 99174
99177Policies naming 99177
99188Policies naming 99188
99202Policies naming 99202
99203Policies naming 99203
99204Policies naming 99204
99205Policies naming 99205
99211Policies naming 99211
99212Policies naming 99212
99213Policies naming 99213
99214Policies naming 99214
99215Policies naming 99215
99242Policies naming 99242
99243Policies naming 99243
99244Policies naming 99244
99245Policies naming 99245
99341Policies naming 99341
99342Policies naming 99342
99344Policies naming 99344
99345Policies naming 99345
99347Policies naming 99347
99348Policies naming 99348
99349Policies naming 99349
99350Policies naming 99350
99381Policies naming 99381
99382Policies naming 99382
99383Policies naming 99383
99384Policies naming 99384
99385Policies naming 99385
99386Policies naming 99386
99387Policies naming 99387
99391Policies naming 99391
99392Policies naming 99392
99393Policies naming 99393
99394Policies naming 99394
99395Policies naming 99395
99396Policies naming 99396
99397Policies naming 99397
99401Policies naming 99401
99402Policies naming 99402
99403Policies naming 99403

And 103 more in the original policy.

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.