UnitedHealthcare · PayerPolicy · UHC-POL-provider-administered-drugs-soc
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 |
|---|---|---|
| 90283 | CPT | Covered |
| 90284 | CPT | Covered |
| C9399 | HCPCS | Covered |
| J0129 | HCPCS | Covered |
| J0180 | HCPCS | Covered |
| J0217 | HCPCS | Covered |
| J0218 | HCPCS | Covered |
| J0219 | HCPCS | Covered |
| J0221 | HCPCS | Covered |
| J0222 | HCPCS | Covered |
| J0223 | HCPCS | Covered |
| J0224 | HCPCS | Covered |
| J0225 | HCPCS | Covered |
| J0256 | HCPCS | Covered |
| J0257 | HCPCS | Covered |
| J0490 |
| HCPCS |
| Covered |
| J0491 | HCPCS | Covered |
|---|
| J0517 | HCPCS | Covered |
|---|
| J0584 | HCPCS | Covered |
|---|
| J0638 | HCPCS | Covered |
|---|
| J0717 | HCPCS | Covered |
|---|
| J0791 | HCPCS | Covered |
|---|
| J1072 | HCPCS | Covered |
|---|
| J1203 | HCPCS | Covered |
|---|
| J1299 | HCPCS | Covered |
|---|
| J1301 | HCPCS | Covered |
|---|
| J1302 | HCPCS | Covered |
|---|
| J1303 | HCPCS | Covered |
|---|
| J1305 | HCPCS | Covered |
|---|
| J1306 | HCPCS | Covered |
|---|
| J1307 | HCPCS | Covered |
|---|
| J1322 | HCPCS | Covered |
|---|
| J1426 | HCPCS | Covered |
|---|
| J1427 | HCPCS | Covered |
|---|
| J1428 | HCPCS | Covered |
|---|
| J1429 | HCPCS | Covered |
|---|
| J1458 | HCPCS | Covered |
|---|
| J1459 | HCPCS | Covered |
|---|
| J1551 | HCPCS | Covered |
|---|
| J1552 | HCPCS | Covered |
|---|
| J1554 | HCPCS | Covered |
|---|
| J1555 | HCPCS | Covered |
|---|
| J1556 | HCPCS | Covered |
|---|
| J1557 | HCPCS | Covered |
|---|
| J1558 | HCPCS | Covered |
|---|
| J1559 | HCPCS | Covered |
|---|
| J1561 | HCPCS | Covered |
|---|
| J1566 | HCPCS | Covered |
|---|
| J1568 | HCPCS | Covered |
|---|
| J1569 | HCPCS | Covered |
|---|
| J1572 | HCPCS | Covered |
|---|
| J1575 | HCPCS | Covered |
|---|
| J1576 | HCPCS | Covered |
|---|
| J1599 | HCPCS | Covered |
|---|
| J1602 | HCPCS | Covered |
|---|
| J1628 | HCPCS | Covered |
|---|
| J1743 | HCPCS | Covered |
|---|
| J1745 | HCPCS | Covered |
|---|
| J1747 | HCPCS | Covered |
|---|
| J1786 | HCPCS | Covered |
|---|
| J1809 | HCPCS | Covered |
|---|
| J1823 | HCPCS | Covered |
|---|
| J1931 | HCPCS | Covered |
|---|
| J2182 | HCPCS | Covered |
|---|
| J2267 | HCPCS | Covered |
|---|
| J2327 | HCPCS | Covered |
|---|
| J2329 | HCPCS | Covered |
|---|
| J2350 | HCPCS | Covered |
|---|
| J2351 | HCPCS | Covered |
|---|
| J2356 | HCPCS | Covered |
|---|
| J2357 | HCPCS | Covered |
|---|
| J2508 | HCPCS | Covered |
|---|
| J2786 | HCPCS | Covered |
|---|
| J2840 | HCPCS | Covered |
|---|
| J2998 | HCPCS | Covered |
|---|
| J3032 | HCPCS | Covered |
|---|
| J3060 | HCPCS | Covered |
|---|
| J3241 | HCPCS | Covered |
|---|
| J3245 | HCPCS | Covered |
|---|
| J3247 | HCPCS | Covered |
|---|
| J3262 | HCPCS | Covered |
|---|
| J3357 | HCPCS | Covered |
|---|
| J3358 | HCPCS | Covered |
|---|
| J3380 | HCPCS | Covered |
|---|
| J3385 | HCPCS | Covered |
|---|
| J3397 | HCPCS | Covered |
|---|
| J3401 | HCPCS | Covered |
|---|
| J3490 | HCPCS | Covered |
|---|
| J3590 | HCPCS | Covered |
|---|
| J7171 | HCPCS | Covered |
|---|
| J9256 | HCPCS | Covered |
|---|
| J9332 | HCPCS | Covered |
|---|
| J9333 | HCPCS | Covered |
|---|
| J9334 | HCPCS | Covered |
|---|
| J9376 | HCPCS | Covered |
|---|
| Q5098 | HCPCS | Covered |
|---|
| Q5099 | HCPCS | Covered |
|---|
| Q5100 | HCPCS | Covered |
|---|
| Q5103 | HCPCS | Covered |
|---|
| Q5104 | HCPCS | Covered |
|---|
| Q5121 | HCPCS | Covered |
|---|
| Q5133 | HCPCS | Covered |
|---|
| Q5135 | HCPCS | Covered |
|---|
| Q5136 | HCPCS | Covered |
|---|
| Q5137 | HCPCS | Covered |
|---|
| Q5138 | HCPCS | Covered |
|---|
| Q5151 | HCPCS | Covered |
|---|
| Q5152 | HCPCS | Covered |
|---|
| Q9996 | HCPCS | Covered |
|---|
| Q9997 | HCPCS | Covered |
|---|
| Q9998 | HCPCS | Covered |
|---|
| Q9999 | HCPCS | Covered |
|---|