UnitedHealthcare · PayerPolicy · UHC-POL-susvimo
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 |
|---|---|---|
| J2779 | HCPCS | Covered |
| E08.311 | ICD10CM | Covered |
| E08.319 | ICD10CM | Covered |
| E08.3211 | ICD10CM | Covered |
| E08.3212 | ICD10CM | Covered |
| E08.3213 | ICD10CM | Covered |
| E08.3219 | ICD10CM | Covered |
| E08.3291 | ICD10CM | Covered |
| E08.3292 | ICD10CM | Covered |
| E08.3293 | ICD10CM | Covered |
| E08.3299 | ICD10CM | Covered |
| E08.3311 | ICD10CM | Covered |
| E08.3312 | ICD10CM | Covered |
| E08.3313 | ICD10CM | Covered |
| E08.3319 | ICD10CM |
| Covered |
| E08.3391 | ICD10CM | Covered |
|---|
| E08.3392 | ICD10CM | Covered |
|---|
| E08.3393 | ICD10CM | Covered |
|---|
| E08.3399 | ICD10CM | Covered |
|---|
| E08.3411 | ICD10CM | Covered |
|---|
| E08.3412 | ICD10CM | Covered |
|---|
| E08.3413 | ICD10CM | Covered |
|---|
| E08.3419 | ICD10CM | Covered |
|---|
| E08.3491 | ICD10CM | Covered |
|---|
| E08.3492 | ICD10CM | Covered |
|---|
| E08.3493 | ICD10CM | Covered |
|---|
| E08.3499 | ICD10CM | Covered |
|---|
| E08.3511 | ICD10CM | Covered |
|---|
| E08.3512 | ICD10CM | Covered |
|---|
| E08.3513 | ICD10CM | Covered |
|---|
| E08.3519 | ICD10CM | Covered |
|---|
| E08.3521 | ICD10CM | Covered |
|---|
| E08.3522 | ICD10CM | Covered |
|---|
| E08.3523 | ICD10CM | Covered |
|---|
| E08.3529 | ICD10CM | Covered |
|---|
| E08.3531 | ICD10CM | Covered |
|---|
| E08.3532 | ICD10CM | Covered |
|---|
| E08.3533 | ICD10CM | Covered |
|---|
| E08.3539 | ICD10CM | Covered |
|---|
| E08.3541 | ICD10CM | Covered |
|---|
| E08.3542 | ICD10CM | Covered |
|---|
| E08.3543 | ICD10CM | Covered |
|---|
| E08.3549 | ICD10CM | Covered |
|---|
| E08.3551 | ICD10CM | Covered |
|---|
| E08.3552 | ICD10CM | Covered |
|---|
| E08.3553 | ICD10CM | Covered |
|---|
| E08.3559 | ICD10CM | Covered |
|---|
| E08.3591 | ICD10CM | Covered |
|---|
| E08.3592 | ICD10CM | Covered |
|---|
| E08.3593 | ICD10CM | Covered |
|---|
| E08.3599 | ICD10CM | Covered |
|---|
| E09.311 | ICD10CM | Covered |
|---|
| E09.319 | ICD10CM | Covered |
|---|
| E09.3211 | ICD10CM | Covered |
|---|
| E09.3212 | ICD10CM | Covered |
|---|
| E09.3213 | ICD10CM | Covered |
|---|
| E09.3219 | ICD10CM | Covered |
|---|
| E09.3291 | ICD10CM | Covered |
|---|
| E09.3292 | ICD10CM | Covered |
|---|
| E09.3293 | ICD10CM | Covered |
|---|
| E09.3299 | ICD10CM | Covered |
|---|
| E09.3311 | ICD10CM | Covered |
|---|
| E09.3312 | ICD10CM | Covered |
|---|
| E09.3313 | ICD10CM | Covered |
|---|
| E09.3319 | ICD10CM | Covered |
|---|
| E09.3391 | ICD10CM | Covered |
|---|
| E09.3392 | ICD10CM | Covered |
|---|
| E09.3393 | ICD10CM | Covered |
|---|
| E09.3399 | ICD10CM | Covered |
|---|
| E09.3411 | ICD10CM | Covered |
|---|
| E09.3412 | ICD10CM | Covered |
|---|
| E09.3413 | ICD10CM | Covered |
|---|
| E09.3419 | ICD10CM | Covered |
|---|
| E09.3491 | ICD10CM | Covered |
|---|
| E09.3492 | ICD10CM | Covered |
|---|
| E09.3493 | ICD10CM | Covered |
|---|
| E09.3499 | ICD10CM | Covered |
|---|
| E09.3511 | ICD10CM | Covered |
|---|
| E09.3512 | ICD10CM | Covered |
|---|
| E09.3513 | ICD10CM | Covered |
|---|
| E09.3519 | ICD10CM | Covered |
|---|
| E09.3521 | ICD10CM | Covered |
|---|
| E09.3522 | ICD10CM | Covered |
|---|
| E09.3523 | ICD10CM | Covered |
|---|
| E09.3529 | ICD10CM | Covered |
|---|
| E09.3531 | ICD10CM | Covered |
|---|
| E09.3532 | ICD10CM | Covered |
|---|
| E09.3533 | ICD10CM | Covered |
|---|
| E09.3539 | ICD10CM | Covered |
|---|
| E09.3541 | ICD10CM | Covered |
|---|
| E09.3542 | ICD10CM | Covered |
|---|
| E09.3543 | ICD10CM | Covered |
|---|
| E09.3549 | ICD10CM | Covered |
|---|
| E09.3551 | ICD10CM | Covered |
|---|
| E09.3552 | ICD10CM | Covered |
|---|
| E09.3553 | ICD10CM | Covered |
|---|
| E09.3559 | ICD10CM | Covered |
|---|
| E09.3591 | ICD10CM | Covered |
|---|
| E09.3592 | ICD10CM | Covered |
|---|
| E09.3593 | ICD10CM | Covered |
|---|
| E09.3599 | ICD10CM | Covered |
|---|
| E10.311 | ICD10CM | Covered |
|---|
| E10.319 | ICD10CM | Covered |
|---|
| E10.3211 | ICD10CM | Covered |
|---|
| E10.3212 | ICD10CM | Covered |
|---|
| E10.3213 | ICD10CM | Covered |
|---|
| E10.3219 | ICD10CM | Covered |
|---|
| E10.3291 | ICD10CM | Covered |
|---|
| E10.3292 | ICD10CM | Covered |
|---|
| E10.3293 | ICD10CM | Covered |
|---|
| E10.3299 | ICD10CM | Covered |
|---|
| E10.3311 | ICD10CM | Covered |
|---|
| E10.3312 | ICD10CM | Covered |
|---|
| E10.3313 | ICD10CM | Covered |
|---|
| E10.3319 | ICD10CM | Covered |
|---|
| E10.3391 | ICD10CM | Covered |
|---|
| E10.3392 | ICD10CM | Covered |
|---|
| E10.3393 | ICD10CM | Covered |
|---|
| E10.3399 | ICD10CM | Covered |
|---|
| E10.3411 | ICD10CM | Covered |
|---|
| E10.3412 | ICD10CM | Covered |
|---|
| E10.3413 | ICD10CM | Covered |
|---|
| E10.3419 | ICD10CM | Covered |
|---|
| E10.3491 | ICD10CM | Covered |
|---|
| E10.3492 | ICD10CM | Covered |
|---|
| E10.3493 | ICD10CM | Covered |
|---|
| E10.3499 | ICD10CM | Covered |
|---|
| E10.3511 | ICD10CM | Covered |
|---|
| E10.3512 | ICD10CM | Covered |
|---|
| E10.3513 | ICD10CM | Covered |
|---|
| E10.3519 | ICD10CM | Covered |
|---|
| E10.3521 | ICD10CM | Covered |
|---|
| E10.3522 | ICD10CM | Covered |
|---|
| E10.3523 | ICD10CM | Covered |
|---|
| E10.3529 | ICD10CM | Covered |
|---|
| E10.3531 | ICD10CM | Covered |
|---|
| E10.3532 | ICD10CM | Covered |
|---|
| E10.3533 | ICD10CM | Covered |
|---|
| E10.3539 | ICD10CM | Covered |
|---|
| E10.3541 | ICD10CM | Covered |
|---|
| E10.3542 | ICD10CM | Covered |
|---|
| E10.3543 | ICD10CM | Covered |
|---|
| E10.3549 | ICD10CM | Covered |
|---|
| E10.3551 | ICD10CM | Covered |
|---|
| E10.3552 | ICD10CM | Covered |
|---|
| E10.3553 | ICD10CM | Covered |
|---|
| E10.3559 | ICD10CM | Covered |
|---|
| E10.3591 | ICD10CM | Covered |
|---|
| E10.3592 | ICD10CM | Covered |
|---|
| E10.3593 | ICD10CM | Covered |
|---|
| E10.3599 | ICD10CM | Covered |
|---|
| E11.311 | ICD10CM | Covered |
|---|
| E11.319 | ICD10CM | Covered |
|---|
| E11.3211 | ICD10CM | Covered |
|---|
| E11.3212 | ICD10CM | Covered |
|---|
| E11.3213 | ICD10CM | Covered |
|---|
| E11.3219 | ICD10CM | Covered |
|---|
| E11.3291 | ICD10CM | Covered |
|---|
| E11.3292 | ICD10CM | Covered |
|---|
| E11.3293 | ICD10CM | Covered |
|---|
| E11.3299 | ICD10CM | Covered |
|---|
| E11.3311 | ICD10CM | Covered |
|---|
| E11.3312 | ICD10CM | Covered |
|---|
| E11.3313 | ICD10CM | Covered |
|---|
| E11.3319 | ICD10CM | Covered |
|---|
| E11.3391 | ICD10CM | Covered |
|---|
| E11.3392 | ICD10CM | Covered |
|---|
| E11.3393 | ICD10CM | Covered |
|---|
| E11.3399 | ICD10CM | Covered |
|---|
| E11.3411 | ICD10CM | Covered |
|---|
| E11.3412 | ICD10CM | Covered |
|---|
| E11.3413 | ICD10CM | Covered |
|---|
| E11.3419 | ICD10CM | Covered |
|---|
| E11.3491 | ICD10CM | Covered |
|---|
| E11.3492 | ICD10CM | Covered |
|---|
| E11.3493 | ICD10CM | Covered |
|---|
| E11.3499 | ICD10CM | Covered |
|---|
| E11.3511 | ICD10CM | Covered |
|---|
| E11.3512 | ICD10CM | Covered |
|---|
| E11.3513 | ICD10CM | Covered |
|---|
| E11.3519 | ICD10CM | Covered |
|---|
| E11.3521 | ICD10CM | Covered |
|---|
| E11.3522 | ICD10CM | Covered |
|---|
| E11.3523 | ICD10CM | Covered |
|---|
| E11.3529 | ICD10CM | Covered |
|---|
| E11.3531 | ICD10CM | Covered |
|---|
| E11.3532 | ICD10CM | Covered |
|---|
| E11.3533 | ICD10CM | Covered |
|---|
| E11.3539 | ICD10CM | Covered |
|---|
| E11.3541 | ICD10CM | Covered |
|---|
| E11.3542 | ICD10CM | Covered |
|---|
| E11.3543 | ICD10CM | Covered |
|---|
| E11.3549 | ICD10CM | Covered |
|---|
| E11.3551 | ICD10CM | Covered |
|---|
| E11.3552 | ICD10CM | Covered |
|---|
| E11.3553 | ICD10CM | Covered |
|---|
| E11.3559 | ICD10CM | Covered |
|---|
| E11.3591 | ICD10CM | Covered |
|---|
| E11.3592 | ICD10CM | Covered |
|---|
| E11.3593 | ICD10CM | Covered |
|---|
| E11.3599 | ICD10CM | Covered |
|---|
| E13.311 | ICD10CM | Covered |
|---|
| E13.319 | ICD10CM | Covered |
|---|
| E13.3211 | ICD10CM | Covered |
|---|
| E13.3212 | ICD10CM | Covered |
|---|
| E13.3213 | ICD10CM | Covered |
|---|
| E13.3219 | ICD10CM | Covered |
|---|
| E13.3291 | ICD10CM | Covered |
|---|
| E13.3292 | ICD10CM | Covered |
|---|
| E13.3293 | ICD10CM | Covered |
|---|
| E13.3299 | ICD10CM | Covered |
|---|
| E13.3311 | ICD10CM | Covered |
|---|
| E13.3312 | ICD10CM | Covered |
|---|
| E13.3313 | ICD10CM | Covered |
|---|
| E13.3319 | ICD10CM | Covered |
|---|
| E13.3391 | ICD10CM | Covered |
|---|
| E13.3392 | ICD10CM | Covered |
|---|
| E13.3393 | ICD10CM | Covered |
|---|
| E13.3399 | ICD10CM | Covered |
|---|
| E13.3411 | ICD10CM | Covered |
|---|
| E13.3412 | ICD10CM | Covered |
|---|
| E13.3413 | ICD10CM | Covered |
|---|
| E13.3419 | ICD10CM | Covered |
|---|
| E13.3491 | ICD10CM | Covered |
|---|
| E13.3492 | ICD10CM | Covered |
|---|
| E13.3493 | ICD10CM | Covered |
|---|
| E13.3499 | ICD10CM | Covered |
|---|
| E13.3511 | ICD10CM | Covered |
|---|
| E13.3512 | ICD10CM | Covered |
|---|
| E13.3513 | ICD10CM | Covered |
|---|
| E13.3519 | ICD10CM | Covered |
|---|
| E13.3521 | ICD10CM | Covered |
|---|
| E13.3522 | ICD10CM | Covered |
|---|
| E13.3523 | ICD10CM | Covered |
|---|
| E13.3529 | ICD10CM | Covered |
|---|
| E13.3531 | ICD10CM | Covered |
|---|
| E13.3532 | ICD10CM | Covered |
|---|
| E13.3533 | ICD10CM | Covered |
|---|
| E13.3539 | ICD10CM | Covered |
|---|
| E13.3541 | ICD10CM | Covered |
|---|
| E13.3542 | ICD10CM | Covered |
|---|
| E13.3543 | ICD10CM | Covered |
|---|
| E13.3549 | ICD10CM | Covered |
|---|
| E13.3551 | ICD10CM | Covered |
|---|
| E13.3552 | ICD10CM | Covered |
|---|
| E13.3553 | ICD10CM | Covered |
|---|
| E13.3559 | ICD10CM | Covered |
|---|
| E13.3591 | ICD10CM | Covered |
|---|
| E13.3592 | ICD10CM | Covered |
|---|
| E13.3593 | ICD10CM | Covered |
|---|
| E13.3599 | ICD10CM | Covered |
|---|
| H35.3211 | ICD10CM | Covered |
|---|
| H35.3212 | ICD10CM | Covered |
|---|
| H35.3221 | ICD10CM | Covered |
|---|
| H35.3222 | ICD10CM | Covered |
|---|
| H35.3231 | ICD10CM | Covered |
|---|
| H35.3232 | ICD10CM | Covered |
|---|
| H35.3291 | ICD10CM | Covered |
|---|
| H35.3292 | ICD10CM | Covered |
|---|