Surgery of the Elbow – Commercial and Individual Exchange Medical Policyopen_in_new

UnitedHealthcare covers elbow surgeries (diagnostic and surgical arthroscopy, elbow joint replacement, and removal/revision arthroplasty) only when they meet InterQual® CP clinical criteria; listing codes in the policy does not guarantee coverage or payment. Coverage is contingent on the member-specific benefit plan and applicable laws, may require medical record documentation to show InterQual or plan criteria are met, and FDA approval or code inclusion alone does not ensure payment.

"UnitedHealthcare reserves the right to modify its Policies and Guidelines as necessary."

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