UnitedHealthcare Orthognathic Surgery prior authorization requirements (2026)
What UnitedHealthcare generally requires to approve Orthognathic Surgery (CPT 21010, 21050, 21060), for Commercial plans. Yes. UnitedHealthcare generally requires prior authorization for Orthognathic Surgery (CPT 21010, 21050, 21060).
Medical-necessity criteria UnitedHealthcare generally applies
Prior authorization required for maxillofacial functional impairment treatment
Commonly required documentation
- Submit via UHCprovider.com portal
How to submit
- Method: portal
- Portal: Evicore
- Typical turnaround: about 3 days
Source
Covers jaw repositioning and reconstruction procedures Last verified 2026-05-06.
Frequently asked questions
Does UnitedHealthcare require prior authorization for Orthognathic Surgery?
Yes. UnitedHealthcare generally requires prior authorization for Orthognathic Surgery (CPT 21010, 21050, 21060).
What does UnitedHealthcare require to approve Orthognathic Surgery?
Prior authorization required for maxillofacial functional impairment treatment Always confirm against the current UnitedHealthcare policy.
How long does a UnitedHealthcare prior authorization take?
UnitedHealthcare typically decides Orthognathic Surgery requests in about 3 days. Timeframes vary; check the payer portal.
Submitting Orthognathic Surgery 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.