Treatment of Temporomandibular Joint Disorders – Commercial and Individual Exchange Medical Policyopen_in_new

UnitedHealthcare covers several non‑surgical TMJ treatments (arthrocentesis, intra‑articular corticosteroid injections, trigger‑point injections, physical therapy, and stabilization/repositioning occlusal splints) and allows certain TMJ surgeries (arthroscopy, discectomy, reconstruction, arthroplasty) as medically necessary in specific circumstances, while biofeedback, craniosacral therapy, jaw‑stretching devices, multiple splints, and epigenetic appliances are unproven/not medically necessary; intra‑articular sodium hyaluronate and botulinum toxin injections are addressed under separate drug policies. Coverage is contingent on supporting medical record documentation, adherence to member‑specific benefit plan terms, and meeting InterQual clinical criteria for surgical procedures.

"Treatment of Temporomandibular Joint (TMJ) disorders"

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