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PrimeWest Health policy

Medical, Dental & Pharmacy > Medical > Clinic Services > Preventive

Medical, Dental & Pharmacy > Medical > Clinic Services > Preventive is a public PrimeWest Health policy (policy PW_11-19_535, effective Nov 27, 2024). It lists 14 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_535
Effective
Nov 27, 2024
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
82042Policies naming 82042
82043Policies naming 82043
82044Policies naming 82044
84156Policies naming 84156
86631Policies naming 86631
86632Policies naming 86632
87110Policies naming 87110
87270Policies naming 87270
87320Policies naming 87320
87490Policies naming 87490
87491Policies naming 87491
87492Policies naming 87492
87800Policies naming 87800
87810Policies naming 87810

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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