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UnitedHealthcare policy

Treatment of Temporomandibular Joint (TMJ)

Treatment of Temporomandibular Joint (TMJ) is a public UnitedHealthcare policy (policy MMP025.14, effective Aug 1, 2026). It lists 49 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

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Payer
UnitedHealthcare
Policy number
MMP025.14
Effective
Aug 1, 2026
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
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
21210Policies naming 21210
21215Policies naming 21215
21240Policies naming 21240
21242Policies naming 21242
21244Policies naming 21244
21245Policies naming 21245
21246Policies naming 21246
21247Policies naming 21247
97039Policies naming 97039
97139Policies naming 97139
E0849Policies naming E0849
E0855Policies naming E0855
E1700Policies naming E1700
E1702Policies naming E1702
J0585Policies naming J0585
J0586Policies naming J0586
J0587Policies naming J0587
J0588Policies naming J0588
J0589Policies naming J0589
J7320Policies naming J7320
J7321Policies naming J7321
J7322Policies naming J7322
J7323Policies naming J7323
J7324Policies naming J7324
J7326Policies naming J7326
J7327Policies naming J7327
J7329Policies naming J7329
J7331Policies naming J7331
J7332Policies naming J7332

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.

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