Denosumab | UMR (UnitedHealthcare) | Backwork

Denosumab

UMR (UnitedHealthcare) · PayerPolicy · UMR-POL-UMR-denosumab-prolia-xgeva

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

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
J0897	HCPCS	Covered
Q5136	HCPCS	Covered
Q5157	HCPCS	Covered
Q5158	HCPCS	Covered
Q5159	HCPCS	Covered
Q5161	HCPCS	Covered
Q5162	HCPCS	Covered
Q5166	HCPCS	Covered
Q5167	HCPCS	Covered
Q5171	HCPCS	Covered
Q5173	HCPCS	Covered