Private Duty Nursing Services (for North Carolina Only)
This UnitedHealthcare Medical Policy governs Private Duty Nursing (PDN) services for members in North Carolina and defers detailed medical necessity criteria to North Carolina Medicaid Clinical Coverage Policies for beneficiaries age 21+ and under 21. It provides applicable CPT/HCPCS code reference and related policy links.
Removed HCPCS codes S9123, S9124, and T1002 from Applicable Codes effective 11/01/2025.
Removed reference link to Home Hemodialysis (for North Carolina Only) policy (retired May 1, 2026) as of 05/01/2026.
Archived previous policy version CSNC.MP.017.07 on 11/01/2025.
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