UnitedHealthcare prior authorization, page 11

Requirements

Commercial, Medicare Advantage, Community Plan, and Exchange each need their own source. This page does not use one requirement sentence for all four. The long descriptor is blank because no AMA-licensed CPT file was available to copy.

Commercial

Prior authorization codes

Prior authorization codes
Code	Description	Source
81459	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
81460	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
81462	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
81463	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
81464	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
81465	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
81471	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
81479	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
81518	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
81519	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
81520	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
81521	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
81522	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
81523	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
81541	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
81542	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
81546	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
81552	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
81558	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
81595	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
81599	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
87505	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
87506	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
0018U	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
0022U	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
0023U	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
0026U	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
0037U	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
0047U	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
0048U	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
0050U	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
0087U	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
0088U	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
0094U	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
0101U	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
0102U	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
0103U	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
0118U	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
0129U	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
0171U	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
0179U	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
0209U	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
0211U	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
0212U	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
0213U	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
0214U	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
0215U	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
0216U	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
0217U	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy
0237U	Genetic and molecular testing to include BRCA gene testing	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 12 Original policy

UnitedHealthcare commercial advance notification and prior authorization requirements

Medicare Advantage

No reviewed Medicare Advantage code row is on this page. Medicare Advantage does not inherit the commercial row above.

Community Plan

No reviewed Community Plan code row is on this page. Community Plan does not inherit the commercial row above.

Exchange

No reviewed Exchange code row is on this page. Exchange does not inherit the commercial row above.

Forms

UnitedHealthcare prior authorization and advance notification plan requirements

Updates

Commercial removal supplement
Code	Long descriptor	Code system	Plan scope	Outcome	Source
0006M		CPT	Commercial plans covered by the October removal supplement	RemovedNo under this removal notice, effective October 1, 2026Removal does not establish coverage or code billability; check member-specific exceptions.	p. 1, Global CPT codes; introduction establishes removal of PA.