Erythropoiesis-Stimulating Agents | UnitedHealthcare

Erythropoiesis-Stimulating Agents

UnitedHealthcare · PayerPolicy · UHC-POL-erythropoiesis-stimulating-agents

Status: Active
Effective: April 1, 2026
Last reviewed by UnitedHealthcare: April 1, 2026
Last checked by Backwork: October 1, 2026

Summary of the payer’s published policy. Not a coverage determination — confirm with 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
J0881	HCPCS	Covered
J0882	HCPCS	Covered
J0885	HCPCS	Covered
J0887	HCPCS	Covered
J0888	HCPCS	Covered
Q4081	HCPCS	Covered
Q5105	HCPCS	Covered
Q5106	HCPCS	Covered
B12	ICD10CM	Covered