UHC: new genetic and molecular codes prior auth requirenment

Payers periodically update their prior authorization grids for various services.

Recently there was an update to the genetic and molecular testing which in turn get added or deleted from that particular prior authorization grid.


In addition to the current prior auth list for genetic and molecular testing the following codes will be added:

  • 0616U
  • 0618U
  • 0619U
  • 0622U
  • 0623U
  • 0624U
  • 0625U
  • 0626U
  • 0627U
  • 0628U

Affected UHC plans:

  • Neighborhood Health Partnership, Inc.
  • UnitedHealthcare Level Funded
  • UnitedHealthcare Oxford 
  • UnitedHealthcare of the River Valley
  • UnitedHealthcare Individual Exchange Plans

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