Tag: #radiology

Starting Jan 1, 2026 certain nuclear imaging tests, OBGYN ultrasounds, and certain cardiology tests will no longer require a prior authorization for some of the  following plan types:

1.UnitedHealthcare Insurance Company
2.UnitedHealthcare Mid-Atlantic, inc. 
3.UnitedHealthcare Plan of the River Valley, Inc. and 4.UnitedHealthcare Insurance Company of the River Valley
5.Oxford Health Insurance, Inc.
United Healthcare Level Funded (formerly All Savers Life Insurance Company of California)
6.Neighborhood Health Partnership, Inc.
7.UnitedHealthcare Individual Exchange plans, also referred to as UnitedHealthcare Individual and Family ACA Marketplace plans
8.UnitedHealthcare Services, Inc.
9.UnitedHealthcare Community Plans

Some of the affected codes are:

For a full list of affected codes please click here: https://www.uhcprovider.com/en/resource-library/news/2025/removal-prior-auth-radiology-cardiology.html

---

Find this content useful? Follow my Blog!

---

• NYS Medicaid POC Syphilis testing coverage
• NYS Medicaid OBGYN CPT II codes reporting requirement
• NYS Medicaid: Bariatric Surgery Medical Policy Update
• NJ Medicaid: Sickle cell Disease Generally Therapy- billing and coding
• Hedis Measure: Controlling Blood Pressure Controlling Blood Pressure