Radiology prior authorization CPT code list for commercial and Individual Exchange plans
Lists CPT codes that require prior authorization for UnitedHealthcare commercial and Individual & Family (ACA Marketplace) plans; prior authorizations are valid 45 calendar days. Applies to prior authorization verification via provider portal or phone.
No material clinical or coverage changes in this revision.
Policy Snapshot
This code list identifies CPT codes that require prior authorization for UnitedHealthcare commercial plans and UnitedHealthcare Individual & Family (ACA Marketplace) plans. Prior authorization numbers are valid for 45 calendar days from the date issued. Providers should verify prior authorization requirements and status via the UnitedHealthcare Provider Portal or by calling 866-889-8054.
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