UnitedHealthcare policy

Prior authorization requirements for UnitedHealthcare Complete

Prior authorization requirements for UnitedHealthcare Complete is a public UnitedHealthcare policy (effective May 1, 2026). It lists 2,151 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
May 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
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
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
0571TPolicies naming 0571T
0571UPolicies naming 0571U
0605UPolicies naming 0605U
0614TPolicies naming 0614T
0795TPolicies naming 0795T
0796TPolicies naming 0796T
0801TPolicies naming 0801T
0802TPolicies naming 0802T
0803TPolicies naming 0803T
0823TPolicies naming 0823T
0825TPolicies naming 0825T
11402Policies naming 11402
11403Policies naming 11403
11404Policies naming 11404
11406Policies naming 11406
11420Policies naming 11420
11421Policies naming 11421
11422Policies naming 11422
11423Policies naming 11423
11424Policies naming 11424
11426Policies naming 11426
11442Policies naming 11442
11980Policies naming 11980
11981Policies naming 11981
14000Policies naming 14000
14001Policies naming 14001
15734Policies naming 15734
15738Policies naming 15738
15750Policies naming 15750
15758Policies naming 15758
15769Policies naming 15769
15771Policies naming 15771
15773Policies naming 15773
15830Policies naming 15830
15999Policies naming 15999
17999Policies naming 17999
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
20552Policies naming 20552
20553Policies naming 20553
20974Policies naming 20974
20975Policies naming 20975
20979Policies naming 20979
20999Policies naming 20999
21010Policies naming 21010
21050Policies naming 21050
21060Policies naming 21060
21089Policies naming 21089
21121Policies naming 21121
21123Policies naming 21123
21125Policies naming 21125
21127Policies naming 21127
21137Policies naming 21137
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
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
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
21296Policies naming 21296
21299Policies naming 21299
21499Policies naming 21499
21685Policies naming 21685
21899Policies naming 21899
22899Policies naming 22899
22999Policies naming 22999
23470Policies naming 23470
23472Policies naming 23472
23473Policies naming 23473
23474Policies naming 23474
23929Policies naming 23929
24360Policies naming 24360
24361Policies naming 24361
24362Policies naming 24362
24363Policies naming 24363
24365Policies naming 24365
24366Policies naming 24366
24370Policies naming 24370
24371Policies naming 24371
24999Policies naming 24999
25441Policies naming 25441
25442Policies naming 25442
25443Policies naming 25443
25444Policies naming 25444
25445Policies naming 25445
25446Policies naming 25446
25449Policies naming 25449
25999Policies naming 25999
26530Policies naming 26530
26531Policies naming 26531
26535Policies naming 26535
26536Policies naming 26536
26989Policies naming 26989
27120Policies naming 27120
27125Policies naming 27125
27130Policies naming 27130
27132Policies naming 27132
27134Policies naming 27134
27137Policies naming 27137
27138Policies naming 27138
27299Policies naming 27299
27412Policies naming 27412
27415Policies naming 27415
27416Policies naming 27416
27437Policies naming 27437
27438Policies naming 27438
27440Policies naming 27440
27441Policies naming 27441
27442Policies naming 27442
27443Policies naming 27443
27445Policies naming 27445
27446Policies naming 27446
27447Policies naming 27447
27486Policies naming 27486
27487Policies naming 27487
27599Policies naming 27599
27702Policies naming 27702
27899Policies naming 27899
28285Policies naming 28285
28289Policies naming 28289
28291Policies naming 28291
28292Policies naming 28292
28295Policies naming 28295
28296Policies naming 28296
28297Policies naming 28297
28298Policies naming 28298
28299Policies naming 28299
28899Policies naming 28899
29799Policies naming 29799
29848Policies naming 29848
29866Policies naming 29866
29867Policies naming 29867
29868Policies naming 29868
29999Policies naming 29999
30999Policies naming 30999
31299Policies naming 31299
31579Policies naming 31579
31599Policies naming 31599
31899Policies naming 31899
32999Policies naming 32999
33202Policies naming 33202
33206Policies naming 33206
33207Policies naming 33207
33208Policies naming 33208
33212Policies naming 33212
33213Policies naming 33213
33214Policies naming 33214
33221Policies naming 33221
33224Policies naming 33224
33225Policies naming 33225
33227Policies naming 33227
33228Policies naming 33228
33229Policies naming 33229
33230Policies naming 33230
33231Policies naming 33231
33240Policies naming 33240
33249Policies naming 33249
33251Policies naming 33251
33254Policies naming 33254
33255Policies naming 33255
33256Policies naming 33256
33257Policies naming 33257
33258Policies naming 33258
33259Policies naming 33259
33261Policies naming 33261
33262Policies naming 33262
33263Policies naming 33263
33264Policies naming 33264
33270Policies naming 33270
33274Policies naming 33274
33390Policies naming 33390
33391Policies naming 33391
33404Policies naming 33404

And 1,851 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.