Medica policy
Prolonged Services
Prolonged Services is a public Medica policy (policy RP-P-310X, effective Jul 1, 2007). It lists 22 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
- Payer
- Medica
- Policy number
- RP-P-310X
- Effective
- Jul 1, 2007
- 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.
| Code | Other Medica policies |
|---|---|
| 99205 | Policies naming 99205 |
| 99215 | Policies naming 99215 |
| 99223 | Policies naming 99223 |
| 99233 | Policies naming 99233 |
| 99236 | Policies naming 99236 |
| 99306 | Policies naming 99306 |
| 99307 | Policies naming 99307 |
| 99345 | Policies naming 99345 |
| 99350 | Policies naming 99350 |
| 99358 | Policies naming 99358 |
| 99359 | Policies naming 99359 |
| 99415 | Policies naming 99415 |
| 99416 | Policies naming 99416 |
| 99417 | Policies naming 99417 |
| 99418 | Policies naming 99418 |
| 99483 | Policies naming 99483 |
| G0316 | Policies naming G0316 |
| G0317 | Policies naming G0317 |
| G0318 | Policies naming G0318 |
| G0513 | Policies naming G0513 |
| G0514 | Policies naming G0514 |
| G2212 | Policies naming G2212 |