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Medica policy

Genetic Testing - Reproductive Testing: Prenatal Screening

Genetic Testing - Reproductive Testing: Prenatal Screening is a public Medica policy (effective Jul 1, 2026). It lists 24 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

View the original policy (PDF) ↗

Payer
Medica
Effective
Jul 1, 2026
Line of business
Commercial, Medicaid
Source
partner.medica.com

Codes in this policy

The CPT and HCPCS codes the policy names. A policy can name a code it excludes.

CodeOther Medica policies
0001UPolicies naming 0001U
0060UPolicies naming 0060U
0246UPolicies naming 0246U
0327UPolicies naming 0327U
0488UPolicies naming 0488U
0489UPolicies naming 0489U
0494UPolicies naming 0494U
0536UPolicies naming 0536U
81302Policies naming 81302
81403Policies naming 81403
81404Policies naming 81404
81405Policies naming 81405
81406Policies naming 81406
81407Policies naming 81407
81408Policies naming 81408
81420Policies naming 81420
81422Policies naming 81422
81442Policies naming 81442
81507Policies naming 81507
81508Policies naming 81508
81509Policies naming 81509
81510Policies naming 81510
81511Policies naming 81511
81512Policies naming 81512

All Medica policies

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.

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