UnitedHealthcare policies

Search UnitedHealthcare's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

Checking prior authorization for 05901? Open UnitedHealthcare’s official lists and confirm the member’s product there.

17 policies name 05901, those listing the fewest codes first. A policy that names a code may also list it as excluded.

UnitedHealthcare policies
PolicyDetailsCodesSource
Corneal TopographyMMP062.16 · Effective Oct 1, 20262Original policy ↗
Capsule EndoscopyMMP036.15 · Effective Sep 1, 20265Original policy ↗
Urogenital/Anogenital (UG/AG) PanelsMMP373.34 · Effective Aug 1, 20265Original policy ↗
Tier 2 Molecular Pathology ProceduresMMP381.26 · Effective Sep 1, 202611Original policy ↗
Percutaneous Coronary InterventionsMMP235.16 · Effective Oct 1, 202619Original policy ↗
Ambulatory Electrocardiographic (AECG) MonitoringMMP109.19 · Effective Sep 1, 202625Original policy ↗
Ambulatory EEG MonitoringMMP379.12 · Effective Sep 1, 202626Original policy ↗
Ear, Nose, and Throat ProceduresMMP060.18 · Effective Oct 1, 202627Original policy ↗
Joint ProceduresMMP052.14 · Effective Oct 1, 202652Original policy ↗
Radiologic Diagnostic ProceduresMMP076.18 · Effective Sep 1, 202652Original policy ↗
Spine ProceduresMMP089.18 · Effective Aug 1, 202679Original policy ↗
Cosmetic and Reconstructive ProceduresMMP022.16 · Effective Sep 1, 2026100Original policy ↗
Molecular Pathology/Molecular Diagnostics/Genetic TestingMMP210.36 · Effective Sep 1, 2026108Original policy ↗
Category III CPT CodesMMP043.50 · Effective Oct 1, 2026116Original policy ↗
Gender Dysphoria and Gender Reassignment SurgeryMMP365.15 · Effective Oct 1, 2026146Original policy ↗
Omnibus CodesMMP107.09 · Effective Jun 1, 2026176Original policy ↗
Skin Substitutes Grafts/Cellular and Tissue-Based Products (Injections and/or Applications)MMP105.22 · Effective Aug 1, 2026347Original policy ↗

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