Meritain Health policies

Search Meritain Health's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

5,481 public policies Substrate tracks for Meritain Health, by title.

Meritain Health policies
PolicyDetailsCodesSource
0001-Transrectal Ultrasound0001 · Commercial24Original policy ↗
0002-Oxygen0002 · Commercial62Original policy ↗
0008-Color-Flow Doppler Echocardiography and Myocardial Strain Imaging0008 · Commercial27Original policy ↗
0009-Orthopedic Casts, Braces and Splints0009 · Commercial138Original policy ↗
0016-Back Pain - Invasive Procedures0016 · Commercial214Original policy ↗
0017-Breast Reduction Surgery and Gynecomastia Surgery0017 · Commercial19Original policy ↗
0021-Cardiac Rehabilitation0021 · Commercial35Original policy ↗
0022-Calcitriol, Etelcalcetide, and Paricalcitol Injections0022 · Commercial14Original policy ↗
0024-Aldesleukin (Proleukin)0024 · Commercial39Original policy ↗
0027-Vasectomy Procedures and Chronic Scrotal Content Pain0027 · Commercial52Original policy ↗
0029-Thermography0029 · Commercial1Original policy ↗
0038-Allergy and Hypersensitivity0038 · Commercial96Original policy ↗
0048-Hepatitis A Vaccine0048 · Commercial9Original policy ↗
0049-Nutritional Counseling0049 · Commercial26Original policy ↗
0059-Peak Flow Meters0059 · Commercial7Original policy ↗
0061-Nutritional Support0061 · Commercial67Original policy ↗
0062-Burn Garments0062 · Commercial28Original policy ↗
0065-Nebulizers0065 · Commercial82Original policy ↗
0070-Diabetes Tests, Programs and Supplies0070 · Commercial101Original policy ↗
0074-Tracheostomy Supplies0074 · Commercial27Original policy ↗
0078-Learning Disabilities, Dyslexia, and Vision0078 · Commercial7Original policy ↗
0079-Benign Prostatic Hyperplasia0079 · Commercial43Original policy ↗
0082-Dental Services and Oral and Maxillofacial Surgery: Coverage Under Medical Plans0082 · Commercial156Original policy ↗
0083-Stereotactic Radiosurgery0083 · Commercial20Original policy ↗
0084-Eyelid Surgery0084 · Commercial35Original policy ↗
0091-Endometrial Ablation0091 · Commercial16Original policy ↗
0094-Magnetic Resonance Angiography (MRA) and Magnetic Resonance Venography (MRV)0094 · Commercial30Original policy ↗
0097-External Breast Prosthesis0097 · Commercial30Original policy ↗
0106-Fetal Echocardiography and Magnetocardiography0106 · Commercial12Original policy ↗
0107-Chiropractic Services0107 · Commercial24Original policy ↗
0111-Indocyanine Green Angiography0111 · Commercial60Original policy ↗
0115-Varicella and Herpes Zoster Vaccines0115 · Commercial6Original policy ↗
0124-General Anesthesia and Monitored Anesthesia Care for Oral and Maxillofacial Surgery and Dental Services0124 · Commercial19Original policy ↗
0126-Contact Lenses and Eyeglasses0126 · Commercial61Original policy ↗
0127-Home Uterine Activity Monitoring0127 · Commercial5Original policy ↗
0134-Bone Mass Measurements0134 · Commercial35Original policy ↗
0135-Acupuncture and Dry Needling0135 · Commercial30Original policy ↗
0142-Breast Implant Removal0142 · Commercial20Original policy ↗
0145-Alpha 1-Proteinase Inhibitors0145 · Commercial8Original policy ↗
0147-Complex Regional Pain Syndrome (CRPS): Diagnosis0147 · Commercial32Original policy ↗
0151-Hippotherapy0151 · Commercial2Original policy ↗
0153-Thalamotomy0153 · Commercial7Original policy ↗
0155-Ribavirin for Inhalation Use0155 · Commercial1Original policy ↗
0156-Indications, Dosages and Administration of FDA-Approved Drugs0156 · Commercial—Original policy ↗
0158-Neuropsychological and Psychological Testing0158 · Commercial12Original policy ↗
0160-Lung Denervation Therapy and Lung Volume Reduction Surgery0160 · Commercial22Original policy ↗
0161-Infusion Pumps0161 · Commercial151Original policy ↗
0163-Transmyocardial and Endovascular Laser Revascularization0163 · Commercial5Original policy ↗
0166-Fetal Fibronectin, Inflammatory Biomarkers, and Salivary Hormone Testing for Preterm Labor0166 · Commercial29Original policy ↗
0168-Tumor Scintigraphy0168 · Commercial39Original policy ↗

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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.