UHC Radiology Program Procedure Code Changes

January 2019 ~

Beginning January 1, UnitedHealthcare (UHC) is updating the procedure code list for the Radiology Notification and Prior Authorization Programs based on code changes made by the American Medical Association (AMA).

The following CPT® codes are being added to the Radiology Notification and Prior Authorization list:

Code: 77046

Code Description: Magnetic resonance imaging, breast, without contrast material; unilateral

Comments: New code replacing 77058 (77058 is a deleted code as of Jan. 1, 2019)

Code: 77047

Code Description: Magnetic resonance imaging, breast, without contrast material; bilateral

Comments: New code replacing 77059 (77059 is a deleted code as of Jan. 1, 2019)

Code: 77048

Code Description: Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; unilateral

Comments: New code replacing 77058 (77058 is a deleted code as of Jan. 1, 2019)

Code: 77049

Code Description: Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; bilateral

Comments: New code replacing 77059 (77059 is a deleted code as of Jan. 1, 2019)

The following CPT codes are being deleted from the Radiology Notification and Prior Authorization list:

Code: 77058

Code Description: Magnetic resonance imaging, breast, without and/or with contrast material(s); unilateral

Comments: Deleted code as of Jan. 1, 2019

Code: 77059

Code Description: Magnetic resonance imaging, breast, without and/or with contrast material(s); bilateral

Comments: Deleted code as of Jan. 1, 2019

For the most current listing of CPT codes for which notification/prior authorization is required, see UHC’s Specific Radiology Programs page.

Source(s): UnitedHealthcare Network Bulletin January 2019;

 

 

 

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