Summary
UnitedHealthcare Community Plan of New Mexico's November 2026 bulletin updated the Bariatric Surgery medical policy for New Mexico Medicaid members, effective 2027-01-01. The update removed CPT code 43882 from the applicable codes list and removed the Medical Records Documentation Used for Reviews section, which now points to UHCprovider.com for that information.
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What to do
Action · 3 steps
01By 2027-01-01: Billing team should remove CPT 43882 from charge entry and claim edit lists for New Mexico Community Plan (Medicaid) members, and stop scheduling or billing that code for these members on or after the effective date.
02Billing team should check UHCprovider.com/policies under For Community Plans > Resources and FAQs > Medical Records Documentation Used for Reviews for current documentation expectations, and update internal documentation checklists for bariatric surgery claims accordingly.
03Providers and front desk staff should be told that CPT 43882 is no longer on the applicable codes list for these members before the effective date.
Codes mentioned
43882
Original notice
Bariatric Surgery (for New Mexico Only)
uhcprovider.com · Always check the source before changing claims.
Related changes
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