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.

19 policies name 88275, those listing the fewest codes first. A policy that names a code may also list it as excluded.

Meritain Health policies
PolicyDetailsCodesSource
Prenatal Care Provided by Primary Care Physicians0047 · Commercial11Original policy ↗
Prostate Cancer Screening0521 · Commercial20Original policy ↗
Trastuzumab Products0313 · Commercial28Original policy ↗
Magnetic Resonance Imaging (MRI) of the Breast0105 · Commercial36Original policy ↗
Celiac Disease Laboratory Testing0561 · Commercial44Original policy ↗
Atezolizumab (Tecentriq) and Atezolizumab and Hyaluronidase-tqjs (Tecentriq Hybreza)0909 · Commercial46Original policy ↗
Cervical Cancer Screening and Diagnosis0443 · Commercial46Original policy ↗
Growth Hormone (GH) and Growth Hormone Antagonists0170 · Commercial52Original policy ↗
Alzheimer's Disease Tests0349 · Commercial60Original policy ↗
Colonoscopy, Colorectal Cancer Screening, and Related Procedures0516 · Commercial72Original policy ↗
Cardiovascular Disease Risk Tests0381 · Commercial97Original policy ↗
0227-Breast and Ovarian Cancer Susceptibility Gene Testing, Prophylactic Mastectomy, and Prophylactic Oophorectomy0227 · Commercial103Original policy ↗
Recurrent Pregnancy Loss0348 · Commercial109Original policy ↗
Tourette's Syndrome0480 · Commercial124Original policy ↗
Multiple Sclerosis0264 · Commercial126Original policy ↗
Genetic Testing0140 · Commercial227Original policy ↗
0715-Pharmacogenetic Testing0715 · Commercial231Original policy ↗
Infertility0327 · Commercial323Original policy ↗
Tumor Markers0352 · Commercial368Original 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.