UnitedHealthcare prior authorization, page 31

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
22800	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
22802	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
22804	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
22808	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
22810	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
22812	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
22818	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
22819	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
22830	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
22840	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
22841	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
22842	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
22843	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
22844	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
22845	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
22846	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
22847	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
22848	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
22849	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
22852	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
22853	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
22854	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
22856	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
22857	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
22858	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
22859	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
22861	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
22862	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
22899	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
27279	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
27280	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
63001	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
63003	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
63005	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
63011	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
63012	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
63015	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
63016	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
63017	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
63020	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
63030	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
63035	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
63040	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
63042	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
63043	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
63044	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
63045	Spinal surgery	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 29 Original policy
63046	Spinal surgery (cont.)	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63047	Spinal surgery (cont.)	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63048	Spinal surgery (cont.)	Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 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.