Medica policy

Genetic Testing - Specialty Testing: Multisystem Genetic Conditions

Genetic Testing - Specialty Testing: Multisystem Genetic Conditions is a public Medica policy (effective Jul 1, 2026). It lists 57 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
0094UPolicies naming 0094U
01170Policies naming 01170
01242Policies naming 01242
01249Policies naming 01249
0156UPolicies naming 0156U
0212UPolicies naming 0212U
0213UPolicies naming 0213U
0214UPolicies naming 0214U
0215UPolicies naming 0215U
0265UPolicies naming 0265U
0417UPolicies naming 0417U
0425UPolicies naming 0425U
0426UPolicies naming 0426U
0532UPolicies naming 0532U
0567UPolicies naming 0567U
0582UPolicies naming 0582U
0583UPolicies naming 0583U
22666Policies naming 22666
31552Policies naming 31552
3243APolicies naming 3243A
81185Policies naming 81185
81228Policies naming 81228
81229Policies naming 81229
81236Policies naming 81236
81243Policies naming 81243
81244Policies naming 81244
81302Policies naming 81302
81321Policies naming 81321
81331Policies naming 81331
81349Policies naming 81349
81400Policies naming 81400
81401Policies naming 81401
81402Policies naming 81402
81403Policies naming 81403
81404Policies naming 81404
81405Policies naming 81405
81406Policies naming 81406
81407Policies naming 81407
81408Policies naming 81408
81410Policies naming 81410
81411Policies naming 81411
81415Policies naming 81415
81416Policies naming 81416
81417Policies naming 81417
81425Policies naming 81425
81426Policies naming 81426
81427Policies naming 81427
81440Policies naming 81440
81442Policies naming 81442
81460Policies naming 81460
81465Policies naming 81465
81470Policies naming 81470
81471Policies naming 81471
81479Policies naming 81479
88271Policies naming 88271
88273Policies naming 88273
S3870Policies naming S3870

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.