UnitedHealthcare policy
Treatment of Temporomandibular Joint Disorders
Treatment of Temporomandibular Joint Disorders is a public UnitedHealthcare policy (policy 2026T0079SS, effective Oct 1, 2026). It lists 19 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Payer
- UnitedHealthcare
- Policy number
- 2026T0079SS
- 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.
| Code | Other UnitedHealthcare policies |
|---|---|
| 20552 | Policies naming 20552 |
| 20553 | Policies naming 20553 |
| 20605 | Policies naming 20605 |
| 20606 | Policies naming 20606 |
| 21010 | Policies naming 21010 |
| 21050 | Policies naming 21050 |
| 21070 | Policies naming 21070 |
| 21085 | Policies naming 21085 |
| 21110 | Policies naming 21110 |
| 21240 | Policies naming 21240 |
| 21242 | Policies naming 21242 |
| 21243 | Policies naming 21243 |
| 21299 | Policies naming 21299 |
| 90901 | Policies naming 90901 |
| 97039 | Policies naming 97039 |
| 97139 | Policies naming 97139 |
| E1700 | Policies naming E1700 |
| E1701 | Policies naming E1701 |
| E1702 | Policies naming E1702 |
All UnitedHealthcare policies · UnitedHealthcare prior authorization CPT list