United Healthcare (UHC) Medical Policy Updates – July 2021

Click here to view the United Healthcare (UHC) Medical Policy Updates »

• Abnormal Uterine Bleeding and Uterine Fibroids
• Airway Clearance Devices
• Amondys 45  (Casimersen)
• Antiemetics for Oncology
• Articular Cartilage Defect Repairs
• Athletic Pubalgia Surgery
• Attended Polysomnography for Evaluation of Sleep Disorders
• Beds and Mattresses
• Breast Reconstruction Post Mastectomy
• Cardiac Event Monitoring
• Carrier Testing for Genetic Dise
• Catheter Ablation for Atrial Fibrillation
• Cell-Free Fetal DNA Testing
• Chemotherapy Observation or Inpatient Hospitalization
• Cochlear Implants
• Cognitive Rehabilitation
• Continuous Glucose Monitoring and Insulin Delivery for Managing Diabetes
• Cosmetic and Reconstructive Procedures
• Deep Brain and Cortical Stimulation
• Durable Medical Equipment, Orthotics, Ostomy Supplies, Medical Supplies and Repairs/Replacements
• Elective Inpatient Services
• Electroencephalographic (EEG) Monitoring and Video Recording
• Emergency Health Care Services and Urgent Care Center Services
• Enteral Nutrition
• Enzyme Replacement Therapy
• Evkeeza (Evinacumab-Dgnb)
• Fertility Preservation for Iatrogenic Infertility
• Gastrointestinal Motility Disorders, Diagnosis and Treatment
• Genetic Testing for Cardiac Disease
• Gonadotropin Releasing Hormone Analogs
• Home Traction Therapy
• Hysterectomy
• Implanted Electrical Stimulator for Spinal Cord
• Infertility Diagnosis and Treatment
• Infertility Services
• Inpatient Pediatric Feeding Programs
• Intravenous Iron Replacement Therapy (Feraheme®, Injectafer®, & Monoferric®)
• Intravitreal Corticosteroid Implants
• Laser Interstitial Thermal Therapy
• Long-Acting Injectable Antiretroviral Agents for HIV
• Lower Extremity Vascular Angiography
• Macular Degeneration Treatment Procedures
• Manipulative Therapy
• Manual Wheelchairs
• Maximum Dosage
• Medical Records Requirements for Pre-Service
• Minimally Invasive Procedures for Gastroesophageal  Reflux Disease (GERD) and Achalasia
• Molecular Oncology Testing for Cancer Diagnosis, Prognosis, and Treatment Decisions
• Motorized Spinal Traction
• Observation Services
• Obstructive Sleep Apnea Treatment
• Oncology Medication Clinical Coverage
• Ophthalmologic Policy: Vascular Endothelial Growth Factor (VEGF) Inhibitors
• Orthognathic (Jaw) Surgery
• Oxlumo  (Lumasiran)
• Patient Lifts
• Pectus Deformity Repair
• Pediatric Gait Trainers, Standing Systems and Walkers
• Pediatric Outpatient Intensive Feeding Programs
• Plagiocephaly and Craniosynstosis Treatment
• Pneumatic Compression Devices
• Power Mobility Devices
• Preimplantation Genetic Testing
• Preimplantation Genetic Testing (PGT) and Related Services
• Preventive Care Services
• Private Duty Nursing Services (PDN)
• Provider Administered Drugs – Site of Care
• Review at Launch for New to Market Medications
• Rhinoplasty and Other Nasal Surgeries
• Rituxan ®(Rituximab)
• Self-Administered Medications
• Skilled Care and Custodial Care Services
• Soliris (eculizumab), Ultomiris (ravulizumab-cwvz)
• Speech Generating Devices
• Spinraza ™(Nusinersen)
• Surgery of the Elbow
• Surgery of the Foot
• Surgery of the Hip
• Surgery of the Knee
• Surgery of the Shoulder
• Surgical and Ablative Procedures for Venous Insufficiency and Varicose Veins
• Temporomandibular Joint Disorders
• Therapeutic Shoes and Inserts for Diabetics
• Total Artificial Disc Replacement for the Spine
• Total Artificial Heart
• Transcatheter Heart Valve Procedures
• Transcutaneous Electrical Nerve/Joint Stimulators
• Umbilical Cord Blood Harvesting and Storage for Future Use
• Vertebral Body Tethering for Scoliosis
• Wheelchair Options and Accessories
• Wheelchair Seating
• White Blood Cell Colony Stimulating Factors
• Zolgensma  ® (Onasemnogene  Abeparvovec-Xioi)

Click here to view the United Healthcare (UHC) Medical Policy Updates »

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