UnitedHealthcare policy

Prior authorization requirements for UnitedHealthcare Complete

Prior authorization requirements for UnitedHealthcare Complete is a public UnitedHealthcare policy (effective Jan 1, 2026). It lists 3,105 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

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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
0006MPolicies naming 0006M
0007MPolicies naming 0007M
0022UPolicies naming 0022U
0023UPolicies naming 0023U
0037UPolicies naming 0037U
0047UPolicies naming 0047U
0048UPolicies naming 0048U
0050UPolicies naming 0050U
0055UPolicies naming 0055U
0060UPolicies naming 0060U
0088UPolicies naming 0088U
0094UPolicies naming 0094U
0098TPolicies naming 0098T
0101UPolicies naming 0101U
0111UPolicies naming 0111U
0129UPolicies naming 0129U
0179UPolicies naming 0179U
01999Policies naming 01999
0209UPolicies naming 0209U
0211UPolicies naming 0211U
0212UPolicies naming 0212U
0213UPolicies naming 0213U
0216UPolicies naming 0216U
0217UPolicies naming 0217U
0237UPolicies naming 0237U
0238UPolicies naming 0238U
0239UPolicies naming 0239U
0242UPolicies naming 0242U
0244UPolicies naming 0244U
0250UPolicies naming 0250U
0253TPolicies naming 0253T
0288UPolicies naming 0288U
0289UPolicies naming 0289U
0307UPolicies naming 0307U
0318UPolicies naming 0318U
0321UPolicies naming 0321U
0323UPolicies naming 0323U
0326UPolicies naming 0326U
0334UPolicies naming 0334U
0341UPolicies naming 0341U
0364UPolicies naming 0364U
0379UPolicies naming 0379U
0388UPolicies naming 0388U
0389UPolicies naming 0389U
0391UPolicies naming 0391U
0395UPolicies naming 0395U
0398UPolicies naming 0398U
0417UPolicies naming 0417U
0425UPolicies naming 0425U
0426UPolicies naming 0426U
0444UPolicies naming 0444U
0449UPolicies naming 0449U
0465UPolicies naming 0465U
0471UPolicies naming 0471U
0473UPolicies naming 0473U
0474UPolicies naming 0474U
0475UPolicies naming 0475U
0478UPolicies naming 0478U
0480UPolicies naming 0480U
0481UPolicies naming 0481U
0483UPolicies naming 0483U
0484UPolicies naming 0484U
0485UPolicies naming 0485U
0487UPolicies naming 0487U
0493UPolicies naming 0493U
0495UPolicies naming 0495U
0499UPolicies naming 0499U
0500UPolicies naming 0500U
0502UPolicies naming 0502U
0504UPolicies naming 0504U
0505UPolicies naming 0505U
0506UPolicies naming 0506U
0523UPolicies naming 0523U
0529UPolicies naming 0529U
0530UPolicies naming 0530U
0536UPolicies naming 0536U
0538UPolicies naming 0538U
0539UPolicies naming 0539U
0540UPolicies naming 0540U
0543UPolicies naming 0543U
0552UPolicies naming 0552U
0554UPolicies naming 0554U
0562UPolicies naming 0562U
0567UPolicies naming 0567U
0570TPolicies naming 0570T
0571TPolicies naming 0571T
0571UPolicies naming 0571U
0609TPolicies naming 0609T
0610TPolicies naming 0610T
0611TPolicies naming 0611T
0612TPolicies naming 0612T
0614TPolicies naming 0614T
0633TPolicies naming 0633T
0634TPolicies naming 0634T
0635TPolicies naming 0635T
0636TPolicies naming 0636T
0637TPolicies naming 0637T
0638TPolicies naming 0638T
0697TPolicies naming 0697T
0698TPolicies naming 0698T
0710TPolicies naming 0710T
0711TPolicies naming 0711T
0712TPolicies naming 0712T
0713TPolicies naming 0713T
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
11980Policies naming 11980
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
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
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
15999Policies naming 15999
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
17380Policies naming 17380
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
19364Policies naming 19364
19367Policies naming 19367
19368Policies naming 19368
19369Policies naming 19369
19370Policies naming 19370
19371Policies naming 19371
19396Policies naming 19396
19499Policies naming 19499
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
20930Policies naming 20930
20931Policies naming 20931
20939Policies naming 20939
20974Policies naming 20974
20975Policies naming 20975
20979Policies naming 20979
20999Policies naming 20999
21010Policies naming 21010
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
21089Policies naming 21089
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

And 2,805 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.