Beginning Jan. 1, 2026, we’ll require prior authorization for some new procedure codes that the American Medical Association (AMA) has created for genetic and molecular testing. These codes are consistent with genetic and molecular tests that currently require prior authorization.
Starting Jan. 1, 2026, the following codes require prior authorization:
This affects the following participating UnitedHealthcare commercial plans and UnitedHealthcare Individual Exchange plans in all states:
For training, view our Prior Authorization and Notification interactive guide.
If you have questions, visit our Prior authorization and notification resources or connect with us through chat 24/7 in the UnitedHealthcare Provider Portal.
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