Manipulation Under Anesthesia | Surest (UnitedHealthcare)

Manipulation Under Anesthesia

Surest (UnitedHealthcare) · PayerPolicy · SUREST-POL-SUREST-manipulation-under-anesthesia

Status: Active
Effective: February 1, 2026
Last reviewed by Surest (UnitedHealthcare): February 1, 2026
Last checked by Backwork: October 1, 2026

Summary of the payer’s published policy. Not a coverage determination — confirm with Surest (UnitedHealthcare) before submitting.

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Codes in this policy

Each code’s status is what the policy records for it. This page does not show the policy’s criteria. Read them in the payer’s source.

Codes this policy lists and each code’s status in the policy
Code	Code system	Status in this policy
21073	CPT	Covered
22505	CPT	Covered
23700	CPT	Covered
25259	CPT	Covered
26340	CPT	Covered
27198	CPT	Covered
27275	CPT	Covered
27570	CPT	Covered
27860	CPT	Covered
D7830	HCPCS	Covered