Rubrica

CPT 0779T · Regenerative · UnitedHealthcare Community Plan of New Jersey

Percutaneous Tenotomy / Ultrasonic Debridement at UnitedHealthcare Community Plan of New Jersey.

How UnitedHealthcare Community Plan of New Jersey 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 with prior authorization required.

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Coverage Not covered
Prior auth Prior auth required
InvestigationalInvestigational / experimental
Last reviewed 2026-05-06
Policy numberCat III investigational

Criteria summary

High-level themes from the UnitedHealthcare Community Plan of New Jersey 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: UHC Community Plan of New Jersey — Provider Manual + corporate experimental/investigational policy posture for Cat III code

See the full UnitedHealthcare Community Plan of New Jersey criteria.

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