Radiologic Diagnostic Procedures
This policy governs coverage and medical necessity requirements for radiologic diagnostic imaging procedures (CT, MRI, PET, SPECT, nuclear medicine, 3D rendering, etc.) for UnitedHealthcare Medicare Advantage members and references applicable Medicare NCDs, LCDs/LCAs and nationally recognized guidelines; it affects providers ordering, performing, and billing these diagnostic imaging services.
Added non-covered diagnosis code Z83.72 to the Non-Covered Diagnosis Codes list.
Removed diagnosis code Z59.1 from the Non-Covered Diagnosis Codes list.
Added reference link to the UnitedHealthcare Medicare Advantage Medical Policy titled Gastroesophageal and Gastrointestinal (GI) Services and Procedures.
Updated list of CMS-related documents in the Medicare Coverage Database to reflect the most current information.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.