UnitedHealthcare Cardiology - Diagnostic and Implants prior authorization requirements (2026)
What UnitedHealthcare generally requires to approve Cardiology - Diagnostic and Implants (CPT 33206, 33207, 33208, 33212, 33213, 33214, 33221, 33224, 33225, 33227, 33228, 33229, 33230, 33231, 33240, 33249, 33262, 33263, 33264, 33270, 33274, 93306, 93307, 93308, 93319, 93350, 93351, 93452, 93453, 93454, 93455, 93456, 93457, 93458, 93459, 93460, 93461, 0571T, 0614T, 0795T, 0796T, 0801T, 0802T, 0803T, 0823T, 0825T), for Commercial plans. Yes. UnitedHealthcare generally requires prior authorization for Cardiology - Diagnostic and Implants (CPT 33206, 33207, 33208, 33212, 33213, 33214, 33221, 33224, 33225, 33227, 33228, 33229, 33230, 33231, 33240, 33249, 33262, 33263, 33264, 33270, 33274, 93306, 93307, 93308, 93319, 93350, 93351, 93452, 93453, 93454, 93455, 93456, 93457, 93458, 93459, 93460, 93461, 0571T, 0614T, 0795T, 0796T, 0801T, 0802T, 0803T, 0823T, 0825T).
Medical-necessity criteria UnitedHealthcare generally applies
Notification/prior authorization required for participating physicians for outpatient and office-based diagnostic catheterizations, electrophysiology implants, echocardiograms, and stress echocardiograms prior to performance
Commonly required documentation
- Clinical documentation including indication for procedure, patient history, diagnostic workup
How to submit
- Method: portal
- Portal: UnitedHealthcare
- Typical turnaround: about 3 days
Source
Notification/prior authorization required for participating physicians. Call 866-889-8054 or use provider portal. Last verified 2026-05-06.
Frequently asked questions
Does UnitedHealthcare require prior authorization for Cardiology - Diagnostic and Implants?
Yes. UnitedHealthcare generally requires prior authorization for Cardiology - Diagnostic and Implants (CPT 33206, 33207, 33208, 33212, 33213, 33214, 33221, 33224, 33225, 33227, 33228, 33229, 33230, 33231, 33240, 33249, 33262, 33263, 33264, 33270, 33274, 93306, 93307, 93308, 93319, 93350, 93351, 93452, 93453, 93454, 93455, 93456, 93457, 93458, 93459, 93460, 93461, 0571T, 0614T, 0795T, 0796T, 0801T, 0802T, 0803T, 0823T, 0825T).
What does UnitedHealthcare require to approve Cardiology - Diagnostic and Implants?
Notification/prior authorization required for participating physicians for outpatient and office-based diagnostic catheterizations, electrophysiology implants, echocardiograms, and stress echocardiograms prior to performance Always confirm against the current UnitedHealthcare policy.
How long does a UnitedHealthcare prior authorization take?
UnitedHealthcare typically decides Cardiology - Diagnostic and Implants requests in about 3 days. Timeframes vary; check the payer portal.
Submitting Cardiology - Diagnostic and Implants to UnitedHealthcare?
Praxigen checks your clinical note against these criteria before you submit and drafts a policy-cited appeal if it is denied. You review and submit; nothing is sent automatically.