PrimeWest Health policy
Medical, Dental & Pharmacy > Medical > Clinic Services > FQHC
Medical, Dental & Pharmacy > Medical > Clinic Services > FQHC is a public PrimeWest Health policy (policy PW_11-19_533, effective Dec 11, 2025). It lists 5 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
- Payer
- PrimeWest Health
- Policy number
- PW_11-19_533
- Effective
- Dec 11, 2025
- 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 |
|---|---|
| D5899 | Policies naming D5899 |
| S0280 | Policies naming S0280 |
| S0281 | Policies naming S0281 |
| T1017 | Policies naming T1017 |
| T2023 | Policies naming T2023 |