CPT 0779T · Other Procedure · UnitedHealthcare Community Plan (Medicaid)
Percutaneous Tenotomy / Ultrasonic Debridement at UnitedHealthcare Community Plan (Medicaid).
How UnitedHealthcare Community Plan (Medicaid) approaches CPT 0779T (Percutaneous Tenotomy / Ultrasonic Debridement) for prior-authorization review: at last review on 2026-05-06, the policy does not cover this code without prior authorization.
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Criteria summary
High-level themes from the UnitedHealthcare Community Plan (Medicaid) policy of record for CPT 0779T. Verbatim policy text and per-criterion analysis are available after sign-in.
Coverage criteria details available after sign-in.
Source: UnitedHealthcare Community Plan Medicaid Coverage Policy — Experimental/Investigational Therapies
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