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UHC to Remove Prior Authorization for Some Radiology and Cardiology Tests

Coding

UHC to Remove Prior Authorization for Some Radiology and Cardiology Tests

Starting January 1, 2026, certain nuclear imaging tests, OB/GYN ultrasounds, and cardiology tests will no longer require prior authorization.

 

These changes fall under the  following plan types:

 

  • UnitedHealthcare Insurance Company
  • UnitedHealthcare Mid-Atlantic, Inc. 
  • UnitedHealthcare Plan of the River Valley, Inc. and UnitedHealthcare Insurance Company of the River Valley 
  • Oxford Health Insurance, Inc.
  • United Healthcare Level Funded (formerly All Savers Life Insurance Company of California)
  • Neighborhood Health Partnership, Inc.
  • UnitedHealthcare Individual Exchange plans, also referred to as UnitedHealthcare Individual and Family ACA Marketplace plans
  • UnitedHealthcare Services, Inc.
  • UnitedHealthcare Community Plans

 

Some of the affected codes:

(Source: UHC.com) 

 

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

 

Source: Kateryna Patskovska, CPB, AAPC Approved Instructor (CPB-I), has over 17 years of experience in the healthcare field, serving in various positions, including medical receptionist, medical biller, supervisor, and practice manager.

 

https://kr2billing.com/

 
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