Surgery of the Hand or Wrist – Commercial and Individual Exchange Medical Policyopen_in_new

UnitedHealthcare considers hand and wrist surgeries (including CMC thumb arthroplasty, MCP and PIP arthroplasty, wrist arthroscopy/diagnostic arthroscopy ± biopsy, wrist joint replacement, and arthroplasty removal/revision) medically necessary when clinical criteria in InterQual® CP: Procedures are met. Coverage is subject to the member’s specific benefit plan and applicable laws, requires medical-record documentation showing InterQual criteria are satisfied, and listed CPT codes are for reference only and do not guarantee coverage or payment.

"Surgery of the hand or wrist is proven and medically necessary in certain circumstances."

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