UnitedHealthcare · PayerPolicy · UHC-POL-oncology-medication-clinical-coverage-policy
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 |
|---|---|---|
| A9513 | HCPCS | Covered |
| A9590 | HCPCS | Covered |
| A9606 | HCPCS | Covered |
| A9607 | HCPCS | Covered |
| A9699 | HCPCS | Covered |
| J0185 | HCPCS | Covered |
| J0640 | HCPCS | Covered |
| J0641 | HCPCS | Covered |
| J0642 | HCPCS | Covered |
| J0897 | HCPCS | Covered |
| J1323 | HCPCS | Covered |
| J1453 | HCPCS | Covered |
| J1454 | HCPCS | Covered |
| J1456 | HCPCS | Covered |
| J1626 | HCPCS | Covered |
|---|
| J1627 | HCPCS | Covered |
|---|
| J1950 | HCPCS | Covered |
|---|
| J1954 | HCPCS | Covered |
|---|
| J2405 | HCPCS | Covered |
|---|
| J2468 | HCPCS | Covered |
|---|
| J2469 | HCPCS | Covered |
|---|
| J3263 | HCPCS | Covered |
|---|
| J8501 | HCPCS | Covered |
|---|
| J8655 | HCPCS | Covered |
|---|
| J8670 | HCPCS | Covered |
|---|
| J9022 | HCPCS | Covered |
|---|
| J9024 | HCPCS | Covered |
|---|
| J9035 | HCPCS | Covered |
|---|
| J9041 | HCPCS | Covered |
|---|
| J9049 | HCPCS | Covered |
|---|
| J9051 | HCPCS | Covered |
|---|
| J9054 | HCPCS | Covered |
|---|
| J9071 | HCPCS | Covered |
|---|
| J9072 | HCPCS | Covered |
|---|
| J9073 | HCPCS | Covered |
|---|
| J9074 | HCPCS | Covered |
|---|
| J9075 | HCPCS | Covered |
|---|
| J9076 | HCPCS | Covered |
|---|
| J9119 | HCPCS | Covered |
|---|
| J9171 | HCPCS | Covered |
|---|
| J9172 | HCPCS | Covered |
|---|
| J9196 | HCPCS | Covered |
|---|
| J9201 | HCPCS | Covered |
|---|
| J9202 | HCPCS | Covered |
|---|
| J9205 | HCPCS | Covered |
|---|
| J9206 | HCPCS | Covered |
|---|
| J9217 | HCPCS | Covered |
|---|
| J9228 | HCPCS | Covered |
|---|
| J9271 | HCPCS | Covered |
|---|
| J9275 | HCPCS | Covered |
|---|
| J9289 | HCPCS | Covered |
|---|
| J9292 | HCPCS | Covered |
|---|
| J9294 | HCPCS | Covered |
|---|
| J9296 | HCPCS | Covered |
|---|
| J9297 | HCPCS | Covered |
|---|
| J9299 | HCPCS | Covered |
|---|
| J9304 | HCPCS | Covered |
|---|
| J9305 | HCPCS | Covered |
|---|
| J9310 | HCPCS | Covered |
|---|
| J9311 | HCPCS | Covered |
|---|
| J9312 | HCPCS | Covered |
|---|
| J9314 | HCPCS | Covered |
|---|
| J9316 | HCPCS | Covered |
|---|
| J9322 | HCPCS | Covered |
|---|
| J9324 | HCPCS | Covered |
|---|
| J9329 | HCPCS | Covered |
|---|
| J9355 | HCPCS | Covered |
|---|
| J9356 | HCPCS | Covered |
|---|
| J9380 | HCPCS | Covered |
|---|
| Q0162 | HCPCS | Covered |
|---|
| Q0166 | HCPCS | Covered |
|---|
| Q5107 | HCPCS | Covered |
|---|
| Q5112 | HCPCS | Covered |
|---|
| Q5113 | HCPCS | Covered |
|---|
| Q5114 | HCPCS | Covered |
|---|
| Q5115 | HCPCS | Covered |
|---|
| Q5116 | HCPCS | Covered |
|---|
| Q5117 | HCPCS | Covered |
|---|
| Q5118 | HCPCS | Covered |
|---|
| Q5119 | HCPCS | Covered |
|---|
| Q5123 | HCPCS | Covered |
|---|
| Q5126 | HCPCS | Covered |
|---|
| Q5129 | HCPCS | Covered |
|---|
| Q5136 | HCPCS | Covered |
|---|
| Q5146 | HCPCS | Covered |
|---|
| Q5160 | HCPCS | Covered |
|---|