Pain Management | UnitedHealthcare Medicare Advantage

Pain Management

UnitedHealthcare Medicare Advantage · PayerPolicy · UHCMA-POL-UHC_MA-pain-management-rehabilitation

Status: Active
Last reviewed by UnitedHealthcare Medicare Advantage: September 1, 2026
Last checked by Backwork: October 1, 2026

Summary of the payer’s published policy. Not a coverage determination — confirm with UnitedHealthcare Medicare Advantage 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
0440T	CPT	Covered
0441T	CPT	Covered
0442T	CPT	Covered
22899	CPT	Covered
64405	CPT	Covered
64454	CPT	Covered
64624	CPT	Covered
64625	CPT	Covered
64628	CPT	Covered
64629	CPT	Covered
64722	CPT	Covered
64744	CPT	Covered
64999	CPT	Covered