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Non-Covered Diagnosis Codes - UHCprovider.com

Non-Covered Diagnosis Codes Page 1 of 6 UnitedHealthcare Medicare Advantage Policy Appendix: Applicable Code List Approval 01/12/2022 Proprietary Information of UnitedHealthcare. Copyright 2022 United HealthCare Services, Inc. UnitedHealthcare Medicare Advantage Policy Appendix: Applica ble Code List Non-Covered Diagnosis Codes This list of Codes applies to the Medicare Advantage Policy Guidelines titled: Last Updated: January 12, 2022 Biomarkers in Cardiovascular Risk Assessment Blood Transfusions (NCD ) BRCA1 and BRCA2 Genetic Testing Clinical Diagnostic Laboratory Services Computed Tomography (NCD ) Genetic Testing for Lynch Syndrome Lymphocyte Mitogen Response Assays (NCD ) Magnetic Resonance Imaging (NCD ) Molecular Diagnostic Infectious Disease Testing Molecular Pathology Procedures for Human Leukocyte Ant

Jan 12, 2022 · • Tier 2 Molecular Pathology Procedures • Ultrasound Diagnostic Procedures (NCD 220.5) Applicable Codes . The following list(s) of procedure and/or diagnosis codes is provided for reference purposes only and may not be all inclusive.

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