MedicaidBilling CodesMedium impact
Injectable Dermal Fillers and Bulking Agents (for New Jersey Only)
UnitedHealthcare·NJ · Dermatology, Plastic Surgery, ENT (Ear, Nose & Throat)·Medical Policy
Effective date
Nov 1, 2026
We identified it
Oct 3, 2026
Summary
UnitedHealthcare Community Plan of New Jersey has removed CPT codes 31570, 31571, and 31574 from coverage under the Injectable Dermal Fillers and Bulking Agents policy, effective November 1, 2026. The policy also updated supporting clinical evidence and references. Billing teams must stop using these codes for New Jersey Medicaid members on or after this date.
Action Required
Before November 1, 2026: Billing team must update billing software to deny or reject claims containing CPT codes 31570, 31571, and 31574 for UnitedHealthcare Community Plan of New Jersey Medicaid members. Remove these codes from encounter forms and provider templates used in NJ practices. Communicate to all providers that these codes are no longer covered and claims submitted with them will be denied. Update internal billing guidelines and staff training materials to reflect the removal of these codes.