UHC Updated Medical Policy for "Dysfunctional Uterine Bleeding and Uterine Fibroids"


Effective: October 1, 2011

UnitedHealthcare has updated their medical policy titled "DYSFUNCTIONAL UTERINE BLEEDING AND UTERINE FIBROIDS." For reference purposes only, the following codes were removed from the list of potential covered diagnosis:

617.0 Endometriosis of uterus
617.9 Endometriosis, site unspecified
626.0 Absence of menstruation
626.1 Scanty or infrequent menstruation
626.3 Puberty bleeding
626.4 Irregular menstrual cycle
626.5 Ovulation bleeding
626.7 Postcoital bleeding
626.8 Other
626.9 Unspecified

For reference purposes only, the following codes are considered to be
proven ICD-9 codes:

626.2 Excessive or frequent menstruation
626.6 Metrorrhagia
627.0 Premenopausal menorrhagia

Source:  United Healthcare Medical Policy Update Bulletin, September 2011.

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