UnitedHealthcare policy

Prior Authorization Requirements for UnitedHealthcare

Prior Authorization Requirements for UnitedHealthcare is a public UnitedHealthcare policy (effective Jan 1, 2026). It lists 2,174 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
Effective
Jan 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
0071TPolicies naming 0071T
0072TPolicies naming 0072T
0098TPolicies naming 0098T
01315Policies naming 01315
0569TPolicies naming 0569T
0570TPolicies naming 0570T
10121Policies naming 10121
10180Policies naming 10180
11010Policies naming 11010
11012Policies naming 11012
11440Policies naming 11440
11441Policies naming 11441
11443Policies naming 11443
11444Policies naming 11444
11446Policies naming 11446
11450Policies naming 11450
11451Policies naming 11451
11462Policies naming 11462
11463Policies naming 11463
11470Policies naming 11470
11471Policies naming 11471
11601Policies naming 11601
11602Policies naming 11602
11603Policies naming 11603
11604Policies naming 11604
11620Policies naming 11620
11621Policies naming 11621
11622Policies naming 11622
11623Policies naming 11623
11624Policies naming 11624
11640Policies naming 11640
11641Policies naming 11641
11642Policies naming 11642
11643Policies naming 11643
11644Policies naming 11644
11750Policies naming 11750
11755Policies naming 11755
11760Policies naming 11760
11770Policies naming 11770
11772Policies naming 11772
11960Policies naming 11960
11970Policies naming 11970
11971Policies naming 11971
12031Policies naming 12031
12032Policies naming 12032
12034Policies naming 12034
12035Policies naming 12035
12041Policies naming 12041
12042Policies naming 12042
12051Policies naming 12051
12052Policies naming 12052
13100Policies naming 13100
13101Policies naming 13101
13120Policies naming 13120
13121Policies naming 13121
13131Policies naming 13131
13132Policies naming 13132
13151Policies naming 13151
14000Policies naming 14000
14001Policies naming 14001
14020Policies naming 14020
14021Policies naming 14021
14040Policies naming 14040
14041Policies naming 14041
14060Policies naming 14060
14061Policies naming 14061
14301Policies naming 14301
14302Policies naming 14302
15100Policies naming 15100
15120Policies naming 15120
15220Policies naming 15220
15240Policies naming 15240
15570Policies naming 15570
15572Policies naming 15572
15574Policies naming 15574
15576Policies naming 15576
15730Policies naming 15730
15733Policies naming 15733
15734Policies naming 15734
15738Policies naming 15738
15740Policies naming 15740
15750Policies naming 15750
15756Policies naming 15756
15757Policies naming 15757
15758Policies naming 15758
15760Policies naming 15760
15769Policies naming 15769
15770Policies naming 15770
15771Policies naming 15771
15773Policies naming 15773
15820Policies naming 15820
15821Policies naming 15821
15822Policies naming 15822
15823Policies naming 15823
15830Policies naming 15830
15847Policies naming 15847
15877Policies naming 15877
15878Policies naming 15878
15879Policies naming 15879
17000Policies naming 17000
17004Policies naming 17004
17106Policies naming 17106
17107Policies naming 17107
17108Policies naming 17108
17110Policies naming 17110
17111Policies naming 17111
17311Policies naming 17311
17313Policies naming 17313
17999Policies naming 17999
19101Policies naming 19101
19110Policies naming 19110
19112Policies naming 19112
19120Policies naming 19120
19125Policies naming 19125
19300Policies naming 19300
19303Policies naming 19303
19316Policies naming 19316
19318Policies naming 19318
19325Policies naming 19325
19328Policies naming 19328
19330Policies naming 19330
19340Policies naming 19340
19342Policies naming 19342
19350Policies naming 19350
19357Policies naming 19357
19361Policies naming 19361
19364Policies naming 19364
19367Policies naming 19367
19368Policies naming 19368
19369Policies naming 19369
19370Policies naming 19370
19371Policies naming 19371
19396Policies naming 19396
20200Policies naming 20200
20205Policies naming 20205
20220Policies naming 20220
20225Policies naming 20225
20240Policies naming 20240
20245Policies naming 20245
20520Policies naming 20520
20525Policies naming 20525
20526Policies naming 20526
20551Policies naming 20551
20600Policies naming 20600
20604Policies naming 20604
20605Policies naming 20605
20606Policies naming 20606
20610Policies naming 20610
20611Policies naming 20611
20612Policies naming 20612
20680Policies naming 20680
20693Policies naming 20693
20694Policies naming 20694
20912Policies naming 20912
20974Policies naming 20974
20975Policies naming 20975
20979Policies naming 20979
21011Policies naming 21011
21012Policies naming 21012
21013Policies naming 21013
21014Policies naming 21014
21030Policies naming 21030
21031Policies naming 21031
21040Policies naming 21040
21046Policies naming 21046
21048Policies naming 21048
21050Policies naming 21050
21060Policies naming 21060
21121Policies naming 21121
21123Policies naming 21123
21125Policies naming 21125
21127Policies naming 21127
21137Policies naming 21137
21138Policies naming 21138
21139Policies naming 21139
21141Policies naming 21141
21142Policies naming 21142
21143Policies naming 21143
21145Policies naming 21145
21146Policies naming 21146
21147Policies naming 21147
21150Policies naming 21150
21151Policies naming 21151
21154Policies naming 21154
21155Policies naming 21155
21159Policies naming 21159
21160Policies naming 21160
21172Policies naming 21172
21175Policies naming 21175
21179Policies naming 21179
21180Policies naming 21180
21181Policies naming 21181
21182Policies naming 21182
21183Policies naming 21183
21184Policies naming 21184
21188Policies naming 21188
21193Policies naming 21193
21194Policies naming 21194
21195Policies naming 21195
21196Policies naming 21196
21198Policies naming 21198
21199Policies naming 21199
21206Policies naming 21206
21208Policies naming 21208
21209Policies naming 21209
21210Policies naming 21210
21215Policies naming 21215
21230Policies naming 21230
21235Policies naming 21235
21240Policies naming 21240
21242Policies naming 21242
21243Policies naming 21243
21244Policies naming 21244
21245Policies naming 21245
21246Policies naming 21246
21247Policies naming 21247
21248Policies naming 21248
21249Policies naming 21249
21255Policies naming 21255
21256Policies naming 21256
21260Policies naming 21260
21261Policies naming 21261
21263Policies naming 21263
21267Policies naming 21267
21268Policies naming 21268
21275Policies naming 21275
21280Policies naming 21280
21282Policies naming 21282
21295Policies naming 21295
21296Policies naming 21296
21299Policies naming 21299
21315Policies naming 21315
21320Policies naming 21320
21325Policies naming 21325
21330Policies naming 21330
21335Policies naming 21335
21336Policies naming 21336
21337Policies naming 21337
21356Policies naming 21356
21550Policies naming 21550
21552Policies naming 21552
21555Policies naming 21555
21556Policies naming 21556
21557Policies naming 21557
21685Policies naming 21685
21920Policies naming 21920
21930Policies naming 21930
21931Policies naming 21931
21932Policies naming 21932
21933Policies naming 21933
22802Policies naming 22802
22804Policies naming 22804
22808Policies naming 22808
22810Policies naming 22810
22812Policies naming 22812
22818Policies naming 22818
22819Policies naming 22819
22830Policies naming 22830
22840Policies naming 22840
22841Policies naming 22841
22842Policies naming 22842
22843Policies naming 22843
22844Policies naming 22844
22845Policies naming 22845
22846Policies naming 22846
22847Policies naming 22847
22848Policies naming 22848
22849Policies naming 22849
22850Policies naming 22850
22852Policies naming 22852
22853Policies naming 22853
22854Policies naming 22854
22855Policies naming 22855
22856Policies naming 22856
22857Policies naming 22857
22858Policies naming 22858
22859Policies naming 22859
22861Policies naming 22861
22862Policies naming 22862
22899Policies naming 22899
22900Policies naming 22900
22901Policies naming 22901
22902Policies naming 22902
22903Policies naming 22903
23071Policies naming 23071
23075Policies naming 23075
23076Policies naming 23076
23120Policies naming 23120
23140Policies naming 23140
23150Policies naming 23150
23405Policies naming 23405
23415Policies naming 23415
23430Policies naming 23430
23440Policies naming 23440
23470Policies naming 23470
23472Policies naming 23472
23473Policies naming 23473
23474Policies naming 23474
23480Policies naming 23480
23615Policies naming 23615

And 1,874 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.