Medica policy

Time Span Codes

Time Span Codes is a public Medica policy (effective Jan 1, 2026). It lists 209 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

View the original policy (PDF) ↗

Payer
Medica
Effective
Jan 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
0378TPolicies naming 0378T
0379TPolicies naming 0379T
0488TPolicies naming 0488T
0498TPolicies naming 0498T
0578TPolicies naming 0578T
0579TPolicies naming 0579T
0605TPolicies naming 0605T
0606TPolicies naming 0606T
0688TPolicies naming 0688T
0705TPolicies naming 0705T
0706TPolicies naming 0706T
0733TPolicies naming 0733T
0734TPolicies naming 0734T
0741TPolicies naming 0741T
0812TPolicies naming 0812T
62263Policies naming 62263
62264Policies naming 62264
78804Policies naming 78804
80420Policies naming 80420
89342Policies naming 89342
89343Policies naming 89343
89344Policies naming 89344
89346Policies naming 89346
90951Policies naming 90951
90952Policies naming 90952
90953Policies naming 90953
90954Policies naming 90954
90955Policies naming 90955
90956Policies naming 90956
90957Policies naming 90957
90958Policies naming 90958
90959Policies naming 90959
90960Policies naming 90960
90961Policies naming 90961
90962Policies naming 90962
90963Policies naming 90963
90964Policies naming 90964
90965Policies naming 90965
90966Policies naming 90966
93224Policies naming 93224
93225Policies naming 93225
93226Policies naming 93226
93227Policies naming 93227
93228Policies naming 93228
93229Policies naming 93229
93241Policies naming 93241
93242Policies naming 93242
93243Policies naming 93243
93244Policies naming 93244
93245Policies naming 93245
93246Policies naming 93246
93247Policies naming 93247
93248Policies naming 93248
93264Policies naming 93264
93268Policies naming 93268
93270Policies naming 93270
93271Policies naming 93271
93272Policies naming 93272
93293Policies naming 93293
93294Policies naming 93294
93295Policies naming 93295
93296Policies naming 93296
93297Policies naming 93297
93298Policies naming 93298
94005Policies naming 94005
94014Policies naming 94014
94015Policies naming 94015
94016Policies naming 94016
94774Policies naming 94774
94775Policies naming 94775
94776Policies naming 94776
94777Policies naming 94777
95250Policies naming 95250
95251Policies naming 95251
95836Policies naming 95836
98970Policies naming 98970
98971Policies naming 98971
98972Policies naming 98972
98976Policies naming 98976
98977Policies naming 98977
98978Policies naming 98978
98980Policies naming 98980
99091Policies naming 99091
99375Policies naming 99375
99378Policies naming 99378
99380Policies naming 99380
99421Policies naming 99421
99422Policies naming 99422
99423Policies naming 99423
99424Policies naming 99424
99426Policies naming 99426
99446Policies naming 99446
99447Policies naming 99447
99448Policies naming 99448
99449Policies naming 99449
99451Policies naming 99451
99452Policies naming 99452
99454Policies naming 99454
99457Policies naming 99457
99474Policies naming 99474
99483Policies naming 99483
99484Policies naming 99484
99487Policies naming 99487
99490Policies naming 99490
99491Policies naming 99491
99492Policies naming 99492
99493Policies naming 99493
99495Policies naming 99495
99496Policies naming 99496
A4221Policies naming A4221
A4224Policies naming A4224
A4226Policies naming A4226
A4271Policies naming A4271
A4436Policies naming A4436
A4437Policies naming A4437
A4541Policies naming A4541
A4595Policies naming A4595
A4596Policies naming A4596
A6590Policies naming A6590
A6591Policies naming A6591
A9269Policies naming A9269
A9293Policies naming A9293
B4148Policies naming B4148
E0441Policies naming E0441
E0442Policies naming E0442
E0443Policies naming E0443
E0444Policies naming E0444
E0447Policies naming E0447
E0491Policies naming E0491
E0493Policies naming E0493
G0019Policies naming G0019
G0022Policies naming G0022
G0023Policies naming G0023
G0024Policies naming G0024
G0140Policies naming G0140
G0146Policies naming G0146
G0181Policies naming G0181
G0182Policies naming G0182
G0249Policies naming G0249
G0250Policies naming G0250
G0303Policies naming G0303
G0304Policies naming G0304
G0323Policies naming G0323
G0438Policies naming G0438
G0439Policies naming G0439
G0442Policies naming G0442
G0444Policies naming G0444
G0445Policies naming G0445
G0446Policies naming G0446
G0506Policies naming G0506
G0511Policies naming G0511
G0512Policies naming G0512
G0556Policies naming G0556
G0557Policies naming G0557
G0558Policies naming G0558
G2064Policies naming G2064
G2065Policies naming G2065
G2066Policies naming G2066
G2067Policies naming G2067
G2068Policies naming G2068
G2069Policies naming G2069
G2070Policies naming G2070
G2071Policies naming G2071
G2072Policies naming G2072
G2073Policies naming G2073
G2074Policies naming G2074
G2075Policies naming G2075
G2086Policies naming G2086
G2087Policies naming G2087
G2214Policies naming G2214
G3002Policies naming G3002
G3003Policies naming G3003
G9678Policies naming G9678
H0042Policies naming H0042
H0044Policies naming H0044
H2040Policies naming H2040
K1029Policies naming K1029
K1036Policies naming K1036
L8678Policies naming L8678
M0010Policies naming M0010
Q0513Policies naming Q0513
Q0514Policies naming Q0514
Q0516Policies naming Q0516
Q0517Policies naming Q0517
Q0518Policies naming Q0518
Q0519Policies naming Q0519
Q0520Policies naming Q0520
S0197Policies naming S0197
S0270Policies naming S0270
S0271Policies naming S0271
S0272Policies naming S0272
S0311Policies naming S0311
S0320Policies naming S0320
S0610Policies naming S0610
S0612Policies naming S0612
S0613Policies naming S0613
S4040Policies naming S4040
S5141Policies naming S5141
S5146Policies naming S5146
S5161Policies naming S5161
S5185Policies naming S5185
S9110Policies naming S9110
S9970Policies naming S9970
T1033Policies naming T1033
T1041Policies naming T1041
T2022Policies naming T2022
T2023Policies naming T2023
T2030Policies naming T2030
T2032Policies naming T2032

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.