UnitedHealthcare · PayerPolicy · UHC-POL-chromosome-microarray-testing
Summary of the payer’s published policy. Not a coverage determination — confirm with UnitedHealthcare before submitting.
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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.
| Code | Code system | Status in this policy |
|---|---|---|
| 0156U | CPT | Covered |
| 0209U | CPT | Covered |
| 81228 | CPT | Covered |
| 81229 | CPT | Covered |
| 81349 | CPT | Covered |
| 81479 | CPT | Covered |
| S3870 | HCPCS | Covered |
| F70 | ICD10CM | Covered |
| F71 | ICD10CM | Covered |
| F72 | ICD10CM | Covered |
| F73 | ICD10CM | Covered |
| F78.A1 | ICD10CM | Covered |
| F78.A9 | ICD10CM | Covered |
| F79 | ICD10CM | Covered |
| F80.0 |
|---|
| ICD10CM |
| Covered |
| F80.1 | ICD10CM | Covered |
|---|
| F80.2 | ICD10CM | Covered |
|---|
| F80.4 | ICD10CM | Covered |
|---|
| F80.81 | ICD10CM | Covered |
|---|
| F80.82 | ICD10CM | Covered |
|---|
| F80.89 | ICD10CM | Covered |
|---|
| F80.9 | ICD10CM | Covered |
|---|
| F81.0 | ICD10CM | Covered |
|---|
| F81.2 | ICD10CM | Covered |
|---|
| F81.81 | ICD10CM | Covered |
|---|
| F81.89 | ICD10CM | Covered |
|---|
| F81.9 | ICD10CM | Covered |
|---|
| F82 | ICD10CM | Covered |
|---|
| F84.0 | ICD10CM | Covered |
|---|
| F84.3 | ICD10CM | Covered |
|---|
| F84.5 | ICD10CM | Covered |
|---|
| F84.8 | ICD10CM | Covered |
|---|
| F84.9 | ICD10CM | Covered |
|---|
| F88 | ICD10CM | Covered |
|---|
| F89 | ICD10CM | Covered |
|---|
| H93.25 | ICD10CM | Covered |
|---|
| N96 | ICD10CM | Covered |
|---|
| O02.1 | ICD10CM | Covered |
|---|