As of December 1,2021 the following codes will be added to the radiology prior authorization list. These codes will require an authorization for DOS 12/01/2021 and thereafter.
The prior authorization for these codes WILL NOT APPLY TO The following situations: if the advanced imaging is done in-
- Emergency room
- Urgent care center
- Observation unit
- Inpatient stay
In case you missed it:
In June 2021, UHC also added more Radiology and Cardiology codes on the Prior Authorization List. These codes apply to UnitedHealthCare Community Plan, Medicare Advantage, commercial and exchange Plans
For complete details on the radiology protocol, refer to the current UnitedHealthcare Administrative Guide
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