Surgery Elbow Pa Cs
Defines UnitedHealthcare Pennsylvania-specific medical policy for surgical procedures of the elbow, referencing InterQual CP procedural criteria for medical necessity and listing applicable CPT codes; documents required medical record documentation standards. Applies only to Pennsylvania.
Added language clarifying medical records documentation used for reviews and detailing required documentation elements supporting medical necessity.
Coverage Summary
Coverage is determined by meeting the InterQual CP: Procedures criteria for the listed procedures. Surgery of the elbow is proven and medically necessary in certain circumstances when InterQual criteria are met.
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