UnitedHealthcare Pain Injections - Spine prior authorization requirements (2026)

What UnitedHealthcare generally requires to approve Pain Injections - Spine (CPT 62281, 62291, 62292), for Commercial plans. Yes. UnitedHealthcare generally requires prior authorization for Pain Injections - Spine (CPT 62281, 62291, 62292).

General reference compiled from public sources, last verified 2026-05-06. This is not a coverage determination or medical advice. Always confirm current requirements with UnitedHealthcare before submitting.

Medical-necessity criteria UnitedHealthcare generally applies

Prior authorization required for all states

Diagnoses that commonly support medical necessity

ICD-10-CM diagnoses frequently associated with medical necessity for Pain Injections - Spine. Confirm the covered diagnosis list against the current UnitedHealthcare policy.

M54.16Radiculopathy, lumbar regionM54.12Radiculopathy, cervical regionM47.816Spondylosis without myelopathy or radiculopathy, lumbar region

Commonly required documentation

  • Imaging studies, pain assessment records

How to submit

  • Method: portal
  • Portal: Evicore
  • Typical turnaround: about 3 days

Sources & verification

Includes G0259; epidural and facet injections Last verified 2026-05-06.

Frequently asked questions

Does UnitedHealthcare require prior authorization for Pain Injections - Spine?

Yes. UnitedHealthcare generally requires prior authorization for Pain Injections - Spine (CPT 62281, 62291, 62292).

What does UnitedHealthcare require to approve Pain Injections - Spine?

Prior authorization required for all states Always confirm against the current UnitedHealthcare policy.

How long does a UnitedHealthcare prior authorization take?

UnitedHealthcare typically decides Pain Injections - Spine requests in about 3 days. Timeframes vary; check the payer portal.

Submitting Pain Injections - Spine 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.

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Other UnitedHealthcare prior authorization requirements

ACL ReconstructionAnterior Cervical Discectomy and FusionArthroplasty (Joint Replacement)Arthroscopic Hip Surgery for Impingement Syndrome Including Labral RepairArthroscopyArtificial Intervertebral Disc Surgery (Cervical Spine)Artificial Intervertebral Disc Surgery (Lumbar Spine)Autologous Chondrocyte ImplantationBariatric SurgeryBariatric Surgery with Obesity DiagnosisBody LengtheningBone Growth Stimulator - Electronic Stimulation or Ultrasound

Related guides

Why was my prior authorization denied? Top reasons and how to fix eachHow to write a prior authorization appeal that cites policy