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

Source

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 RepairArthroscopyBariatric SurgeryBariatric Surgery with Obesity DiagnosisBody LengtheningBone Growth Stimulator - Electronic Stimulation or UltrasoundBone Marrow/Stem Cell ProceduresBreast Reconstruction (Non-Mastectomy)Cancer Supportive Care - Antiemetic Drugs

Related guides

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