UnitedHealthcare policy
Radiation Therapy: Fractionation, Image-Guidance, and Special Services
Radiation Therapy: Fractionation, Image-Guidance, and Special Services is a public UnitedHealthcare policy (policy 2026T0613L, effective Mar 1, 2026). It lists 18 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Payer
- UnitedHealthcare
- Policy number
- 2026T0613L
- Effective
- Mar 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.
| Code | Other UnitedHealthcare policies |
|---|---|
| 77280 | Policies naming 77280 |
| 77301 | Policies naming 77301 |
| 77331 | Policies naming 77331 |
| 77370 | Policies naming 77370 |
| 77387 | Policies naming 77387 |
| 77399 | Policies naming 77399 |
| 77402 | Policies naming 77402 |
| 77407 | Policies naming 77407 |
| 77412 | Policies naming 77412 |
| 77436 | Policies naming 77436 |
| 77437 | Policies naming 77437 |
| 77438 | Policies naming 77438 |
| 77439 | Policies naming 77439 |
| 77470 | Policies naming 77470 |
| 77520 | Policies naming 77520 |
| 77522 | Policies naming 77522 |
| 77523 | Policies naming 77523 |
| 77525 | Policies naming 77525 |
All UnitedHealthcare policies · UnitedHealthcare prior authorization CPT list