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Optimum Healthcare policy

VIRGINIA FACILITY PROVIDER MANUAL

VIRGINIA FACILITY PROVIDER MANUAL is a public Optimum Healthcare policy (effective Apr 1, 2018). It lists 33 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

View the original policy (PDF) ↗

Payer
Optimum Healthcare
Effective
Apr 1, 2018
Line of business
Commercial
States
VA
Source
www.anthem.com

Codes in this policy

The CPT and HCPCS codes the policy names. A policy can name a code it excludes.

CodeOther Optimum Healthcare policies
0359TPolicies naming 0359T
0374TPolicies naming 0374T
90801Policies naming 90801
90867Policies naming 90867
90869Policies naming 90869
90899Policies naming 90899
97032Policies naming 97032
97035Policies naming 97035
97036Policies naming 97036
97110Policies naming 97110
97124Policies naming 97124
97140Policies naming 97140
97530Policies naming 97530
97542Policies naming 97542
97760Policies naming 97760
97762Policies naming 97762
99234Policies naming 99234
99235Policies naming 99235
99236Policies naming 99236
99281Policies naming 99281
99282Policies naming 99282
99283Policies naming 99283
99284Policies naming 99284
99285Policies naming 99285
G0378Policies naming G0378
G0379Policies naming G0379
G0380Policies naming G0380
G0381Policies naming G0381
G0382Policies naming G0382
G0383Policies naming G0383
G0384Policies naming G0384
J0610Policies naming J0610
S2900Policies naming S2900

All Optimum Healthcare 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.

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