When does this change take effect?

This change is effective Dec 1, 2026.

What do I need to do?

By December 1, 2026: Billing team: update your prior authorization and site-of-service tracker so the removed codes are no longer checked against this UnitedHealthcare Exchange policy, and remove the Manipulation Under Anesthesia policy link from your reference list. Schedulers and front desk staff: stop asking for a site-of-service review on the removed codes starting December 1, 2026, and keep following the policy for codes that remain on the list. The source does not state any consequence for the removed codes.

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UnitedHealthcareExchange · Billing Codes · Medical Policy · Orthopedics, General Surgery, Plastic Surgery +14 moreMedium impact

Outpatient Surgical Procedures – Site of Service

Q: Who is affected by this change?

This affects UnitedHealthcare Orthopedics, General Surgery, Plastic Surgery, Neurosurgery, ENT (Ear, Nose & Throat), Ophthalmology +11 more providers on Exchange plans.

Act

by Dec 1, 2026

Effective date

Dec 1, 2026

Identified

Oct 3, 2026

Summary

UnitedHealthcare is removing a long list of CPT codes from the applicable-code list of its Outpatient Surgical Procedures site-of-service policy for Exchange plans, and it is also removing the link to the Manipulation Under Anesthesia policy. The change takes effect December 1, 2026. The source does not state a new billing requirement for the removed codes.

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What to do

by Dec 1, 2026 · 3 steps

01Billing team: update your prior authorization and site-of-service tracker so the removed codes are no longer checked against this UnitedHealthcare Exchange policy, and remove the Manipulation Under Anesthesia policy link from your reference list.

02Schedulers and front desk staff: stop asking for a site-of-service review on the removed codes starting December 1, 2026, and keep following the policy for codes that remain on the list.

03The source does not state any consequence for the removed codes.

Codes mentioned

101211018011010110121145011451114631147111601116021160311604116221162411641116441175011770117721203112032120341203512051120521312013121131511510015120152401557617000170041711017111173111731319101191101911219120191252020020205202202022520240202452052020525205262055120600206042060620611206122069320694210302103121040210462104821315213202132521330213352133621337213562155021552215552155621557219202193021931219322193322900229012290222903230712307523076231502341523480236152363023700240002406524066241102413024147242002420124310243402436624515245162458624615246652466625000251052510725110251152511825120251512521525260252702528025290253502544525545256052560625607256092562425628256452565225810258252601126020260702610526115261162620026210263922641026418264202644026442264452645526500265022651626520265352656726608266152665026665266762671526727267352674226746267562676526841268622691027043270452704727093270952731027323273292733127334273352733727345274032740727418275702760627613276142761827619276262763427640276582765927665276802770527720277562778828005280102801128020280392805528080281002819028192281932820028225282322823428238282722828028286283102831328475284762849628515285252864528666286752876028810288252980029804298052983029834298352983629837298382984029860299002990129902299063000030020301003011030118303103063030801310203103231205315253152631529315303154531570315713157431575315763157831591316113162231623316243162531628316523240832555325573321533216332413600036010360123621536246365563656936571365893659036821372423724837607377613776537766377853822138222385003850538510385203852538740387604081041520421044210642140424084242042425428314320043202432204322643229432354323643239432474324843249432504325143254432554327044388443894439244394451724537845379453804538145384453854538645390453984599046080462004691047000495054955049650496515043050435505755059050688511025170251710517155172051726517285172952001520075221452224522825231752320523255232752330523415234452351523535235452450526305264053020532305326553440534455345053605536655405754065541005415054162541635445054512546005462054640548305506055100555205554056405564205644056441565015651556605567005681056821570615706557100571055713057135572405725057260572685728257283572875730057410574155742057421574255745257454574565750057505575105751157520575225753057720578005810058120583535855858562585636228163661644256453064600646426464464646646476477464784647956577265800658506586566250668256685066852669836698566986669876700567025670286710167105671076710867110671136712067121671456721067218672206722167228673116731267314673166731867345674146742067550675606770067800678016780567808678806793867975683206881169100691106922269421694336943669450695056955069602696106962069631696326963369635696366964269650698016980569806

Original notice

Outpatient Surgical Procedures – Site of Service

uhcprovider.com · Always check the source before changing claims.

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Outpatient Surgical Procedures – Site of Service

Summary

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What to do

Codes mentioned

Original notice

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