Meritain Health policies, page 101

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
Liver Transplantation0596 · Commercial36Original policy ↗
Local Chemotherapeutic/Antimicrobial Agents (003)003 · Effective Mar 13, 2026 · Commercial1Original policy ↗
Lotronex PA 129-A, 690-A P10-2025129-A, 690-A · Commercial—Original policy ↗
Low Vision Programs0580 · Commercial3Original policy ↗
Lower Limb Prostheses0578 · Commercial135Original policy ↗
Lumizyme 2055-A SGM P20242055-A · Commercial—Original policy ↗
Lung Cancer Screening0380 · Commercial16Original policy ↗
Lung Imaging: Selected Techniques0581 · Commercial33Original policy ↗
Lung Transplantation0598 · Commercial28Original policy ↗
Lupron Depot Endometriosis-Fibroid 1970-A, 6049-A SGM P2024b1970-A, 6049-A SGM P2024b · Commercial—Original policy ↗
Lupron Depot-PED 1972-A SGM P20231972-A · Commercial—Original policy ↗
Lupron Depot-PED 1972-A, 6051-A SGM P2023a1972-A, 6051-A · Commercial—Original policy ↗
Lyme Disease and other Tick-Borne Diseases0215 · Commercial80Original policy ↗
Lymphedema0069 · Commercial130Original policy ↗
Lynparza 1810-A SGM P20221810-A · Commercial—Original policy ↗
Lyrica, Lyrica CR Limit 134-H P06-2025134-H · Commercial—Original policy ↗
Lysosomal Storage Disorder Treatments0442 · Commercial76Original policy ↗
Macular/Foveal Translocation0409 · Commercial—Original policy ↗
Magnesium Sulfate Injections and Terbutaline Pump for Preterm Labor0468 · Commercial9Original policy ↗
Magnetic Resonance Cholangiopancreatography0384 · Commercial10Original policy ↗
Magnetic Resonance Imaging (MRI) of the Breast0105 · Commercial36Original policy ↗
Magnetic Resonance Imaging of the Cardiovascular System - Cardiac MRI0520 · Commercial29Original policy ↗
Magnetic Source Imaging/Magnetoencephalography0279 · Commercial12Original policy ↗
Male Condoms Limit, Post PA 4737-HJ P04-20264737-HJ · Commercial—Original policy ↗
Male Condoms Limit, Post PA Policy 4737-HJ UDR 04-20244737-HJ · Commercial—Original policy ↗
Mammography0584 · Commercial17Original policy ↗
Maternal Biomarker Screening for Fetal Conditions0464 · Commercial28Original policy ↗
Maze Procedure0225 · Commercial13Original policy ↗
Mechanical Stretching Devices for Contracture and Joint Stiffness0405 · Commercial43Original policy ↗
Meniere's Disease and Related Disorders: Surgery0514 · Commercial20Original policy ↗
Meningococcal Vaccines0356 · Commercial14Original policy ↗
Menopur 1991-A, 1992-A SGM P20241991-A, 1992-A · Commercial—Original policy ↗
Menopur 1991-A, 1992-A SGM P20241991-A, 1992-A · Commercial—Original policy ↗
Methadone (Oral Concentrate, Dispersible Tablets) Limit 1357-H P12-20251357-H · Commercial—Original policy ↗
Metronidazole Topical Limit, Post PA Policy 4312-HJ UDR 07-20244312-HJ · Commercial—Original policy ↗
Mircera 1618-A SGM P20231618-A · Commercial—Original policy ↗
Mohs Micrographic Surgery0383 · Commercial15Original policy ↗
Motixafortide (Aphexda)1046 · Commercial13Original policy ↗
Motpoly XR, Vimpat PA Policy 497-A, 910-A UDR 06-2023 v2497-A, 910-A · Commercial—Original policy ↗
Multiple Sclerosis0264 · Commercial126Original policy ↗
Multiple Sleep Latency Test (MSLT) and Maintenance of Wakefulness Test (MWT)0330 · Commercial6Original policy ↗
Mupirocin Limit, Post PA Policy 2940-HJ 10-20222940-HJ · Commercial—Original policy ↗
Musculoskeletal Assessment Systems0212 · Commercial3Original policy ↗
Myalgic Encephalomyelitis - Chronic Fatigue Syndrome (ME/CSF)0369 · Commercial139Original policy ↗
Myfembree PA Policy 4752-A UDR 01-20244752-A · Commercial—Original policy ↗
Myringotomy and Tympanostomy Tube0418 · Commercial22Original policy ↗
Namenda PA with Age Policy 511-B UDR 06-2023511-B · Commercial—Original policy ↗
Namzaric PA Policy 1233-A, 1234-A 06-20221233-A, 1234-A · Commercial—Original policy ↗
Namzaric PA Policy 1233-A, 1234-A UDR 06-20231233-A, 1234-A · Commercial—Original policy ↗
Namzaric PA Policy 1233-A, 1234-A UDR 06-20231233-A, 1234-A · Commercial—Original 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.