On Sept. 1 and Nov. 1, codes will be eliminated for UnitedHealthcare Medicare Advantage, UnitedHealthcare commercial, UnitedHealthcare Oxford and UnitedHealthcare Individual Exchange plans. On Nov. 1, codes will be eliminated for the UnitedHealthcare Community Plan as well.
Here are the three orthopedic surgery codes that will be eliminated from prior authorization requirements for UHC’s Oxford plan holders, according to lists published on UHC’s website:
25320: Capsulorrhaphy, reconstruction of the wrist, any method
26260: Radical resection ostectomy for tumor, proximal or middle phalanx of finger
27350: Patellectomy/hemipatellectomy
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