Alpha1-Proteinase Inhibitors

UMR (UnitedHealthcare) · PayerPolicy · UMR-POL-UMR-alpha1-proteinase-inhibitors

Summary of the payer’s published policy. Not a coverage determination — confirm with UMR (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
J0256	HCPCS	Covered
J0257	HCPCS	Covered