Oncology Medication Clinical Coverage

UHC (United)

Medical & Drug

Placeholder - content to be pulled from the policy
Examples: Medical documentation required, coverage criteria, codes, modifiers, etc.

A9513, A9590, A9606, A9607, A9699, J0640, J0641, J0642, J1930, J1932, J1950, C9142, J9035, J9041, J9044, J9198, J9199, J9201, J9202, J9217, J9310, J9311, J9312, J9316, J9348, J9353, J9355, J9356, Q5107, Q5112, Q5113, Q5114, Q5115, Q5116, Q5117, Q5118, Q5119, Q5123, Q5126, Q5129