UnitedHealthcare prior authorization, page 6

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
33697Congenital heart diseasePrior authorization requirements for UnitedHealthcare commercial plans, Pg 7 Original policy
33702Congenital heart diseasePrior authorization requirements for UnitedHealthcare commercial plans, Pg 7 Original policy
33710Congenital heart diseasePrior authorization requirements for UnitedHealthcare commercial plans, Pg 7 Original policy
33720Congenital heart diseasePrior authorization requirements for UnitedHealthcare commercial plans, Pg 7 Original policy
33724Congenital heart diseasePrior authorization requirements for UnitedHealthcare commercial plans, Pg 7 Original policy
33726Congenital heart diseasePrior authorization requirements for UnitedHealthcare commercial plans, Pg 7 Original policy
33730Congenital heart diseasePrior authorization requirements for UnitedHealthcare commercial plans, Pg 7 Original policy
33732Congenital heart diseasePrior authorization requirements for UnitedHealthcare commercial plans, Pg 7 Original policy
33735Congenital heart diseasePrior authorization requirements for UnitedHealthcare commercial plans, Pg 7 Original policy
33736Congenital heart diseasePrior authorization requirements for UnitedHealthcare commercial plans, Pg 7 Original policy
33741Congenital heart diseasePrior authorization requirements for UnitedHealthcare commercial plans, Pg 7 Original policy
33745Congenital heart diseasePrior authorization requirements for UnitedHealthcare commercial plans, Pg 7 Original policy
33746Congenital heart diseasePrior authorization requirements for UnitedHealthcare commercial plans, Pg 7 Original policy
33750Congenital heart diseasePrior authorization requirements for UnitedHealthcare commercial plans, Pg 7 Original policy
33755Congenital heart diseasePrior authorization requirements for UnitedHealthcare commercial plans, Pg 7 Original policy
33762Congenital heart diseasePrior authorization requirements for UnitedHealthcare commercial plans, Pg 7 Original policy
33764Congenital heart diseasePrior authorization requirements for UnitedHealthcare commercial plans, Pg 7 Original policy
33766Congenital heart diseasePrior authorization requirements for UnitedHealthcare commercial plans, Pg 7 Original policy
33767Congenital heart diseasePrior authorization requirements for UnitedHealthcare commercial plans, Pg 7 Original policy
33768Congenital heart diseasePrior authorization requirements for UnitedHealthcare commercial plans, Pg 7 Original policy
33770Congenital heart diseasePrior authorization requirements for UnitedHealthcare commercial plans, Pg 7 Original policy
33771Congenital heart diseasePrior authorization requirements for UnitedHealthcare commercial plans, Pg 7 Original policy
33774Congenital heart diseasePrior authorization requirements for UnitedHealthcare commercial plans, Pg 7 Original policy
33775Congenital heart diseasePrior authorization requirements for UnitedHealthcare commercial plans, Pg 7 Original policy
33776Congenital heart diseasePrior authorization requirements for UnitedHealthcare commercial plans, Pg 7 Original policy
33777Congenital heart diseasePrior authorization requirements for UnitedHealthcare commercial plans, Pg 7 Original policy
33778Congenital heart diseasePrior authorization requirements for UnitedHealthcare commercial plans, Pg 7 Original policy
33779Congenital heart diseasePrior authorization requirements for UnitedHealthcare commercial plans, Pg 7 Original policy
33780Congenital heart diseasePrior authorization requirements for UnitedHealthcare commercial plans, Pg 7 Original policy
33781Congenital heart disease (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 8 Original policy
33782Congenital heart disease (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 8 Original policy
33783Congenital heart disease (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 8 Original policy
33786Congenital heart disease (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 8 Original policy
33788Congenital heart disease (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 8 Original policy
33802Congenital heart disease (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 8 Original policy
33803Congenital heart disease (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 8 Original policy
33814Congenital heart disease (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 8 Original policy
33820Congenital heart disease (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 8 Original policy
33822Congenital heart disease (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 8 Original policy
33824Congenital heart disease (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 8 Original policy
33840Congenital heart disease (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 8 Original policy
33845Congenital heart disease (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 8 Original policy
33851Congenital heart disease (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 8 Original policy
33852Congenital heart disease (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 8 Original policy
33853Congenital heart disease (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 8 Original policy
33894Congenital heart disease (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 8 Original policy
33895Congenital heart disease (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 8 Original policy
33897Congenital heart disease (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 8 Original policy
33917Congenital heart disease (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 8 Original policy
33920Congenital heart disease (cont.)Prior authorization requirements for UnitedHealthcare commercial plans, Pg 8 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.