UnitedHealthcare · PayerPolicy · UHC-POL-intravitreal-corticosteroid-implants
Summary of the payer’s published policy. Not a coverage determination — confirm with UnitedHealthcare before submitting.
Free account. Policy pages stay open to everyone.
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 |
|---|---|---|
| J1096 | HCPCS | Covered |
| J7311 | HCPCS | Covered |
| J7312 | HCPCS | Covered |
| J7313 | HCPCS | Covered |
| J7314 | HCPCS | Covered |
| E08. | ICD10CM | Covered |
| E08.311 | ICD10CM | Covered |
| E08.3211 | ICD10CM | Covered |
| E08.3212 | ICD10CM | Covered |
| E08.3213 | ICD10CM | Covered |
| E08.3219 | ICD10CM | Covered |
| E08.3311 | ICD10CM | Covered |
| E08.3312 | ICD10CM | Covered |
| E08.3313 | ICD10CM |
| Covered |
| E08.3319 | ICD10CM | Covered |
|---|
| E08.3411 | ICD10CM | Covered |
|---|
| E08.3412 | ICD10CM | Covered |
|---|
| E08.3413 | ICD10CM | Covered |
|---|
| E08.3419 | ICD10CM | Covered |
|---|
| E08.3511 | ICD10CM | Covered |
|---|
| E08.3512 | ICD10CM | Covered |
|---|
| E08.3513 | ICD10CM | Covered |
|---|
| E08.3519 | ICD10CM | Covered |
|---|
| E09 | ICD10CM | Covered |
|---|
| E10 | ICD10CM | Covered |
|---|
| E11 | ICD10CM | Covered |
|---|
| E13 | ICD10CM | Covered |
|---|
| H10.45 | ICD10CM | Covered |
|---|
| H20.041 | ICD10CM | Covered |
|---|
| H20.042 | ICD10CM | Covered |
|---|
| H20.043 | ICD10CM | Covered |
|---|
| H20.049 | ICD10CM | Covered |
|---|
| H30.001 | ICD10CM | Covered |
|---|
| H30.002 | ICD10CM | Covered |
|---|
| H30.003 | ICD10CM | Covered |
|---|
| H30.009 | ICD10CM | Covered |
|---|
| H30.011 | ICD10CM | Covered |
|---|
| H30.012 | ICD10CM | Covered |
|---|
| H30.013 | ICD10CM | Covered |
|---|
| H30.019 | ICD10CM | Covered |
|---|
| H30.021 | ICD10CM | Covered |
|---|
| H30.022 | ICD10CM | Covered |
|---|
| H30.023 | ICD10CM | Covered |
|---|
| H30.029 | ICD10CM | Covered |
|---|
| H30.031 | ICD10CM | Covered |
|---|
| H30.032 | ICD10CM | Covered |
|---|
| H30.033 | ICD10CM | Covered |
|---|
| H30.039 | ICD10CM | Covered |
|---|
| H30.041 | ICD10CM | Covered |
|---|
| H30.042 | ICD10CM | Covered |
|---|
| H30.043 | ICD10CM | Covered |
|---|
| H30.049 | ICD10CM | Covered |
|---|
| H30.101 | ICD10CM | Covered |
|---|
| H30.102 | ICD10CM | Covered |
|---|
| H30.103 | ICD10CM | Covered |
|---|
| H30.109 | ICD10CM | Covered |
|---|
| H30.111 | ICD10CM | Covered |
|---|
| H30.112 | ICD10CM | Covered |
|---|
| H30.113 | ICD10CM | Covered |
|---|
| H30.119 | ICD10CM | Covered |
|---|
| H30.121 | ICD10CM | Covered |
|---|
| H30.122 | ICD10CM | Covered |
|---|
| H30.123 | ICD10CM | Covered |
|---|
| H30.129 | ICD10CM | Covered |
|---|
| H30.131 | ICD10CM | Covered |
|---|
| H30.132 | ICD10CM | Covered |
|---|
| H30.133 | ICD10CM | Covered |
|---|
| H30.139 | ICD10CM | Covered |
|---|
| H30.141 | ICD10CM | Covered |
|---|
| H30.142 | ICD10CM | Covered |
|---|
| H30.143 | ICD10CM | Covered |
|---|
| H30.149 | ICD10CM | Covered |
|---|
| H30.21 | ICD10CM | Covered |
|---|
| H30.22 | ICD10CM | Covered |
|---|
| H30.23 | ICD10CM | Covered |
|---|
| H30.811 | ICD10CM | Covered |
|---|
| H30.812 | ICD10CM | Covered |
|---|
| H30.813 | ICD10CM | Covered |
|---|
| H30.819 | ICD10CM | Covered |
|---|
| H34.8110 | ICD10CM | Covered |
|---|
| H34.8120 | ICD10CM | Covered |
|---|
| H34.8130 | ICD10CM | Covered |
|---|
| H34.8190 | ICD10CM | Covered |
|---|
| H34.8310 | ICD10CM | Covered |
|---|
| H34.8320 | ICD10CM | Covered |
|---|
| H34.8330 | ICD10CM | Covered |
|---|
| H34.8390 | ICD10CM | Covered |
|---|
| H57.10 | ICD10CM | Covered |
|---|
| H57.11 | ICD10CM | Covered |
|---|
| H57.12 | ICD10CM | Covered |
|---|
| H57.13 | ICD10CM | Covered |
|---|