CurrentUnitedHealthcarePolicy N/A

UnitedHealthcare Community Plan of Maryland radiology prior authorization CPT/HCPCS code list

Lists CPT and HCPCS radiology codes that require prior authorization for UnitedHealthcare Community Plan of Maryland members and explains how to verify or initiate authorization.

Policy Summary

PayerUnitedHealthcare

PolicyCommunity Plan of Maryland radiology prior authorization CPT/HCPCS code list

Policy CodePolicy N/A

Change TypeNo material change

Effective DateN/A

Next Review DateN/A

Key ActionProviders must verify if prior authorization is required or initiate a request by calling 866-889-8054.

SourceLink

POLICY UPDATE CHANGES

No material clinical or coverage changes in this revision.

dozenscodes requiring prior authorization

866-889-8054phone to verify/initiate

UHCprovider.com/radiologyprogram details

Codes Requiring Prior Authorization

Sample CPT/HCPCS Codes and Policy Notes

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Prior authorization required — verification methods

Applies toThe CPT and HCPCS codes listed for UnitedHealthcare Community Plan of Maryland members

How to verify or initiate prior authorizationCall 866-889-8054 to verify if prior authorization is required or to initiate a request

Where to find program effective dates/detailsVisit UHCprovider.com/radiology and select Community Plan (Medicaid) under Specific Radiology Programs

ScopeRadiology CPT/HCPCS codes for UnitedHealthcare Community Plan of Maryland

How to Verify or Initiate Prior Authorization

Prior Authorization

Verify requirement and initiate prior authorization via phone

Verify whether prior authorization is required for the member and, if needed, initiate the authorization by calling 866-889-8054. For program effective dates and state-specific details, refer to UHCprovider.com/radiology and select Community Plan (Medicaid).

Call 866-889-8054 to verify or begin a prior authorization request.
Check program effective dates and state details at UHCprovider.com/radiology (select Community Plan (Medicaid)).