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United Healthcare (UHC) Medical Policy Updates – January 2025
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Click here to view the United Healthcare (UHC) Medical Policy Updates »
January 2025 United Healthcare (UHC) Medical Policy Updates:
- Ablative Treatment for Spinal Pain
- Abnormal Uterine Bleeding and Uterine Fibroids
- Airway Clearance Devices
- Ambulance Services
- Antiemetics for Oncology
- Apheresis
- Athletic Pubalgia Surgery
- Autologous Cellular Therapy
- Bariatric Surgery
- Beds and Mattresses
- Breast Imaging for Screening and Diagnosing Cancer
- Breast Reconstruction
- Breast Reduction Surgery
- Briumvi® (Ublituximab-Xiiy)
- Bronchial Thermoplasty
- Brow Ptosis and Eyelid Repair
- Cardiac Event Monitoring
- Cardiovascular Disease Risk Tests
- Carrier Testing for Genetic Diseases
- Category III Codes
- Catheter Ablation for Atrial Fibrillation
- Cell-Free Fetal DNA Testing
- Chelation Therapy for Non-Overload Conditions
- Chemotherapy Observation or Inpatient Hospitalization
- Chromosome Microarray Testing
- Clinical Trials
- Cochlear Implants
- Cognitive Rehabilitation
- Collagen Crosslinks and Biochemical Markers of Bone Turnover
- Computer-Assisted Surgical Navigation for Musculoskeletal Procedures
- Computerized Dynamic Posturography
- Continuous Glucose Monitoring and Insulin Delivery for Managing Diabetes
- Core Decompression for Avascular Necrosis
- Cosmetic and Reconstructive Procedures
- Crysvita (Burosumab-Twza)
- Cytological Examination of Breast Fluids for Cancer Screening
- Deep Brain and Cortical Stimulation
- Diagnostic Dynamic Spinal Visualization and Vertebral Motion Analysis
- Diagnostic Spinal Ultrasonography
- Discogenic Pain Treatment
- Durable Medical Equipment, Orthotics, Ostomy Supplies, Medical Supplies and Repairs/Replacements
- Elective Inpatient Services
- Electric Tumor Treatment Field Therapy
- Electrical and Ultrasound Bone Growth Stimulators
- Electrical Stimulation and Electromagnetic Therapy for Wounds
- Electrical Stimulation for the Treatment of Pain and Muscle Rehabilitation
- Electroretinography
- Embolization of the Ovarian and Iliac Veins for Pelvic Congestion Syndrome
- Enteral Nutrition
- Enzyme Replacement Therapy
- Epidural Steroid Injections for Spinal Pain
- Epiduroscopy, Epidural Lysis of Adhesions and Discography
- Erythropoiesis-Stimulating Agents
- Extracorporeal Shock Wave Therapy (ESWT)
- Facet Joint Injections for Spinal Pain
- Fecal Microbiota Transplantation
- Gastrointestinal Motility Disorders, Diagnosis and Treatment
- Gastrointestinal Pathogen Nucleic Acid Detection Panel Testing for Infectious Diarrhea
- Gender Dysphoria Treatment
- Gene Therapies for Hemophilia B
- Genetic Testing for Cardiac Disease
- Genetic Testing for Hereditary Cancer
- Genetic Testing for Neuromuscular Disorders
- Glaucoma Surgical Treatments
- Gynecomastia Surgery
- Habilitative Services and Outpatient Rehabilitation Therapy
- Hearing Aids and Devices Including Wearable, Bone-Anchored and Semi-Implantable
- Home Health Care
- Home Hemodialysis
- Home Traction Therapy
- Hospital Services: Observation and Inpatient
- Hyperbaric Oxygen Therapy and Topical Oxygen Therapy
- Hysterectomy
- Ilumya™ (Tildrakizumab-Asmn)
- Immune Globulin (IVIG and SCIG)
- Implanted Electrical Stimulator for Spinal Cord
- Implanted Spinal Drug Delivery Systems
- Infertility Diagnosis and Treatment
- Infliximab (Remicade®, Inflectra™, Renflexis™)
- Inhaled Nitric OxideTherapy
- Injectables for Reconstructive Procedures
- Intensity-Modulated Radiation Therapy
- Interspinous Fusion and DecompressionDevices
- Intrauterine Fetal Surgery
- Intravenous Iron Replacement Therapy (Feraheme®, Injectafer®, & Monoferric®)
- Kisunla™ (Donanemab-Azbt)
- Krystexxa (Pegloticase)
- Left Atrial Appendage Closure (Occlusion)
- Leqvio (Inclisiran)
- Light and Laser Therapy
- Liposuction for Lipedema
- Lithotripsy for Salivary Stones
- Long-Acting Injectable Antiretroviral Agents for HIV
- Lower Extremity Endovascular Procedures
- Lower Extremity Prosthetics
- Macular Degeneration Treatment Procedures
- Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) Scan –Site of Service
- Manipulation Under Anesthesia
- Manipulative Therapy
- Maximum Dosage
- Mechanical Stretching Devices
- Medical Records Requirements for Pre-Service
- Minimally Invasive Procedures for Gastroesophageal Reflux Disease (GERD) and Achalasia
- Minimally Invasive Spine Surgery Procedures
- Mobility Devices, Options, and Accessories
- Molecular Oncology Companion Diagnostic Testing
- Molecular Oncology Testing for Cancer Diagnosis, Prognosis, and Treatment Decisions
- MolecularOncology Testing for HematologicCancer Diagnosis, Prognosis, and Treatment Decisions
- Motorized Spinal Traction
- Negative Pressure Wound Therapy
- Nerve Graft to Restore Erectile Function During Radical Prostatectomy
- Neurophysiologic Testing
- Neuropsychological Testing Under the Medical Benefit
- Noncontact Warming Therapy, Ultrasound Therapy and Fluorescence Imaging for Wounds
- Obstructive Sleep Apnea Treatment
- Occipital Neuralgia and Headache Treatment
- Ocrevus™ (Ocrelizumab)
- Office Based Procedures – Site of Service
- Omnibus Codes
- Omvoh (Mirikizumab-Mrkz)
- Oncology Medication Clinical Coverage
- Orthognathic (Jaw) Surgery
- Outpatient Surgical Procedures – Site of Service
- Panniculectomy and Body Contouring Procedures
- Patient Lifts
- Pectus Deformity Repair
- Pediatric Gait Trainers and Standing Systems
- Percutaneous Neuroablation for Severe Cancer Pain and Trigeminal Neuralgia
- Percutaneous Patent Foramen Ovale (PFO) Closure
- Percutaneous Vertebroplasty and Kyphoplasty
- Pharmacogenetic Testing
- Plagiocephaly and Craniosynstosis Treatment
- Pneumatic Compression Devices
- Preimplantation Genetic Testing
- Preventive Care Services
- Private Duty Nursing Services (PDN)
- Prolotherapy and Platelet Rich Plasma Therapies
- Prostate Surgeries and Interventions
- Proton Beam Radiation Therapy
- Provider Administered Drugs – Site of Care
- Radiation Therapy: Fractionation, Image-Guidance, and Special Services
- Rebyota™ (Fecal Microbiota, Live-Jslm)
- Respiratory Interleukins (Cinqair®, Fasenra®, and Nucala )®
- Review at Launch for New to Market Medications
- Rhinoplasty and Other Nasal Surgeries
- Rituxan ®(Rituximab)
- Sacral Nerve Stimulation for Urinary and FecalIndications
- Sacroiliac Joint Interventions
- Saphnelo (Anifrolumab-Fnia)
- Screening Colonoscopy Procedures – Site of Service
- Sensory Integration Therapy and Auditory Integration Training
- Sinus Surgeries and Interventions
- Skin and Soft Tissue Substitutes
- Sleep Studies
- Sodium Hyaluronate
- Soliris (eculizumab), Ultomiris (ravulizumab-cwvz)
- Speech Generating Devices
- Spinal Fusion and Bone Healing Enhancement Products
- Spinal Fusionand Decompression
- Stereotactic Body Radiation Therapy and Stereotactic Radiosurgery
- Subcutaneous Implantable Naltrexone Pellets
- Surgery of the Ankle
- Surgery of the Elbow
- Surgery of the Foot
- Surgery of the Hand or Wrist
- Surgery of the Hip
- Surgery of the Knee
- Surgery of the Shoulder
- Surgical and Ablative Procedures for Venous Insufficiency and Varicose Veins
- Surgical Treatment of Lymphedema
- Sympathetic Blockade
- Temporomandibular Joint Disorders
- Total Artificial Disc Replacement for the Spine
- Transanal Endoscopic Microsurgery(TEMS)
- Transarterial Radioembolization (TARE)/Selective Internal Radiation Therapy (SIRT) for the Treatment of Malignant Cancers of the Liver
- Transcatheter Heart Valve Procedures
- Transcranial Magnetic Stimulation
- Transpupillary Thermotherapy
- Umbilical Cord Blood Harvesting and Storage for Future Use
- Unicondylar Spacer Devices for Treatment of Pain or Disability
- UnitedHealthcare® Commercial Medical Policy Update Bulletin Archives
- Upper ExtremityMyoelectricProsthetic Devices
- Vagus Nerve Stimulation
- Vascular Endothelial Growth Factor (VEGF) Inhibitors
- Vertebral Body Tethering for Scoliosis
- Video Electroencephalographic (vEEG) Monitoring and Recording
- Virtual Upper Gastrointestinal Endoscopy
- Visual Information Processing Evaluation and Orthoptic and Vision Therapy
- Vyepti™ (Eptinezumab)
- Walkers
- White Blood Cell Colony Stimulating Factors
- Whole Exome and Whole Genome Sequencing
- Xiaflex (Collagenase Clostridium Histolyticum)
- Xolair ®(Omalizumab)
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