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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 97803? Open UnitedHealthcare’s official lists and confirm the member’s product there.

7 policies name 97803, those listing the fewest codes first. A policy that names a code may also list it as excluded.

UnitedHealthcare policies
PolicyDetailsCodesSource
[Reimbursement] 1/1/2025 – UnitedHealthcare Commercial Reimbursement Policy Update Bulletin: January 2025Commercial11Original policy ↗
[Reimbursement] 2/1/2025 – UnitedHealthcare Commercial Reimbursement Policy Update Bulletin: February 2025Commercial17Original policy ↗
[Reimbursement] 3/1/2025 – UnitedHealthcare Commercial Reimbursement Policy Update Bulletin: March 2025Commercial17Original policy ↗
Nonphysician Health Care Codes Policy, ProfessionalCommercial24Original policy ↗
Replacement Codes Policy, Professional2026R0128A · Commercial40Original policy ↗
Preventive Medicine and Screening Policy, Professional2026R0013C · Commercial92Original policy ↗
Preventive Care ServicesMP.016.60 · Effective Oct 1, 2026 · Commercial403Original policy ↗

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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.

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