PrimeWest Health policy
Medical, Dental & Pharmacy > Medical > Children's Services
Medical, Dental & Pharmacy > Medical > Children's Services is a public PrimeWest Health policy. It lists 22 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
- Payer
- PrimeWest Health
- Line of business
- Medicaid
- States
- MN
- Source
- www.primewest.org
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes.
| Code | Other PrimeWest Health policies |
|---|---|
| 0792T | Policies naming 0792T |
| 90460 | Policies naming 90460 |
| 90461 | Policies naming 90461 |
| 90471 | Policies naming 90471 |
| 90474 | Policies naming 90474 |
| 96110 | Policies naming 96110 |
| 96127 | Policies naming 96127 |
| 96160 | Policies naming 96160 |
| 96161 | Policies naming 96161 |
| 99173 | Policies naming 99173 |
| 99174 | Policies naming 99174 |
| 99177 | Policies naming 99177 |
| 99188 | Policies naming 99188 |
| 99381 | Policies naming 99381 |
| 99397 | Policies naming 99397 |
| 99401 | Policies naming 99401 |
| 99404 | Policies naming 99404 |
| D1206 | Policies naming D1206 |
| G0312 | Policies naming G0312 |
| G0313 | Policies naming G0313 |
| G0314 | Policies naming G0314 |
| G0315 | Policies naming G0315 |