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PrimeWest Health policy

Medical, Dental & Pharmacy > Medical > Clinic Services > Health Care Home

Medical, Dental & Pharmacy > Medical > Clinic Services > Health Care Home is a public PrimeWest Health policy (policy PW_11-19_534, effective Dec 16, 2025). It lists 31 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

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Payer
PrimeWest Health
Policy number
PW_11-19_534
Effective
Dec 16, 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.

CodeOther PrimeWest Health policies
90951Policies naming 90951
90970Policies naming 90970
99201Policies naming 99201
99205Policies naming 99205
99211Policies naming 99211
99215Policies naming 99215
99324Policies naming 99324
99328Policies naming 99328
99334Policies naming 99334
99337Policies naming 99337
99339Policies naming 99339
99340Policies naming 99340
99341Policies naming 99341
99345Policies naming 99345
99347Policies naming 99347
99350Policies naming 99350
99381Policies naming 99381
99387Policies naming 99387
99391Policies naming 99391
99397Policies naming 99397
99487Policies naming 99487
99489Policies naming 99489
99490Policies naming 99490
99491Policies naming 99491
99495Policies naming 99495
99496Policies naming 99496
G0181Policies naming G0181
G0182Policies naming G0182
G0511Policies naming G0511
S0280Policies naming S0280
S0281Policies naming S0281

All PrimeWest Health 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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