How to Get Onpattro (Patisiran) Covered by UnitedHealthcare in Texas: Complete Coding and Appeals Guide
Answer Box: Getting Onpattro Covered by UnitedHealthcare in Texas
UnitedHealthcare requires prior authorization for Onpattro (patisiran) with strict medical necessity criteria including genetic confirmation of hATTR-PN, neurologist evaluation, and specific disease staging. Use ICD-10 code E85.1, HCPCS J0222, and ensure complete documentation before submission. If denied, Texas law guarantees