| Telehealth excluding Minnesota Health Care Programs | E-RP-P-395X · Effective Mar 6, 2020 · Commercial | 3 | Original policy ↗ |
| Telehealth for Minnesota Health Care Program (MHCP) Members | E-RP-P-400D · Effective Mar 6, 2020 · Medicaid | — | Original policy ↗ |
| Telephone and Virtual Care Services | RP-P-410X · Effective Jan 1, 1999 · Commercial, Medicaid | — | Original policy ↗ |
| Testing for Neutralizing Antibodies to Interferon Beta in the Management of Multiple Sclerosis | Effective Jan 1, 2026 · Commercial, Medicaid | 4 | Original policy ↗ |
| Therapeutic Apheresis (TA) - Plasmapheresis, Plasma Exchange | Effective Aug 1, 2026 · Commercial, Medicaid | 3 | Original policy ↗ |
| Thermography | Effective Dec 1, 2005 · Commercial, Medicaid | 1 | Original policy ↗ |
| Thoracic Electrical Bioimpedance (TEB) for Cardiac Output Measurement | Effective Oct 1, 2025 · Commercial, Medicaid | 1 | Original policy ↗ |
| Three Dimensional (3-D) Printed Anatomic Modeling for Surgical Planning | Effective Jul 1, 2026 · Commercial, Medicaid | 7 | Original policy ↗ |
| Tidal Knee Lavage | Effective Oct 16, 2025 · Commercial, Medicaid | 1 | Original policy ↗ |
| Time Span Codes | Effective Jan 1, 2026 · Commercial, Medicaid | 209 | Original policy ↗ |
| Tongue Base Suspension Surgery for Obstructive Sleep Apnea | Effective Nov 1, 2025 · Commercial, Medicaid | 1 | Original policy ↗ |
| Total Ankle Replacement | Effective Apr 1, 2026 · Commercial, Medicaid | 1 | Original policy ↗ |
| Transcatheter Closure of Cardiac Defects | Effective Nov 1, 2025 · Commercial, Medicaid | 4 | Original policy ↗ |
| Transcatheter Heart Valve Replacement and Repair Procedures | Effective May 1, 2026 · Commercial, Medicaid | 21 | Original policy ↗ |
| Transcranial Magnetic Stimulation (TMS) Therapy for Medical and Behavioral Indications | Effective Aug 1, 2026 · Commercial, Medicaid | 8 | Original policy ↗ |
| Transcutaneous Electrical Joint Stimulation Devices | Effective Sep 1, 2026 · Commercial, Medicaid | 1 | Original policy ↗ |
| Transvaginal and Transurethral Radiofrequency (RF) Treatments of Stress Urinary Incontinence in Women | Effective Oct 1, 2025 · Commercial, Medicaid | 1 | Original policy ↗ |
| Trigger Point Dry Needling | Effective Sep 1, 2026 · Commercial, Medicaid | 3 | Original policy ↗ |
| Unlisted Procedure Code | RP-P-420X · Effective Jan 1, 2003 · Commercial, Medicaid | — | Original policy ↗ |
| Upright Magnetic Resonance Imaging (MRI) (Standing/Seated/Weight Bearing/Positional MRI) | Effective Jul 1, 2026 · Commercial, Medicaid | 1 | Original policy ↗ |
| Urethral Bulking Agents for Urinary Incontinence | Effective Dec 1, 2025 · Commercial, Medicaid | 4 | Original policy ↗ |
| Urgent Care | RP-P-425X · Effective Aug 16, 2009 · Commercial, Medicaid | 2 | Original policy ↗ |
| Uvulopalatoplasty (UP2, UPP) and Laser-Assisted Uvulopalatoplasty (LAUP) for Sleep-Related Breathing Disorders | Effective Apr 1, 2008 · Commercial, Medicaid | 2 | Original policy ↗ |
| Vaginal Tactile Imaging | Effective Dec 1, 2025 · Commercial, Medicaid | 1 | Original policy ↗ |
| Vestibular Evoked Myogenic Potentials (VEMP) | Effective Jan 1, 2016 · Commercial, Medicaid | 4 | Original policy ↗ |
| Virtual Care | Effective Sep 1, 2026 · Commercial, Medicaid | 12 | Original policy ↗ |
| Vitamin D Testing for Screening | Effective Apr 1, 2026 · Commercial, Medicaid | 3 | Original policy ↗ |
| VivAer Nasal Airway Remodeling for Airway Obstruction | Effective Dec 21, 2020 · Commercial, Medicaid | 2 | Original policy ↗ |
| Wilderness Therapy | Effective Feb 1, 2026 · Commercial, Medicaid | 2 | Original policy ↗ |
| Wireless Capsule Endoscopy (CE) and Capsule Technology to Verify Patency Prior to Capsule Endoscopy | Effective Feb 1, 2026 · Commercial, Medicaid | 4 | Original policy ↗ |
| Wireless Pulmonary Artery Pressure Monitoring Systems for Monitoring Heart Failure (CardioMEMS™) | Effective Aug 17, 2022 · Commercial, Medicaid | 3 | Original policy ↗ |
| Wound Imaging and Measuring Systems for Managing Chronic Wounds (e.g. Fluorescent Wound Imaging; Camera Wound Imaging) | Effective Jul 1, 2026 · Commercial, Medicaid | 2 | Original policy ↗ |
| Wrong Surgical or Other Invasive Procedures | RP-PF-430X · Effective Aug 15, 2010 · Commercial, Medicaid | — | Original policy ↗ |
