UnitedHealthcare prior authorization, page 32

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
CodeDescriptionSource
63050Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63051Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63055Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63056Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63057Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63064Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63066Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63075Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63076Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63077Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63078Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63081Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63082Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63085Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63086Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63087Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63088Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63090Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63091Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63101Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63102Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63103Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63185Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63190Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63266Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63267Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63268Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63270Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63271Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63272Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63275Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63276Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63277Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63280Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63282Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63285Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63287Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63290Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63300Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63301Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63302Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63303Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63304Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63305Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63306Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63307Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
63308Spinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
0098TSpinal surgery (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
22513Stimulators – not related to spinePrior authorization requirements for UnitedHealthcare commercial plans, Pg 30 Original policy
22514Stimulators – not related to spinePrior 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
CodeLong descriptorCode systemPlan scopeOutcomeSource
0006MCPTCommercial plans covered by the October removal supplementRemovedNo 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.

Sources

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.