PrimeWest Health policy

Medical, Dental & Pharmacy > Medical > Equipment and Supplies > Covered Services

Medical, Dental & Pharmacy > Medical > Equipment and Supplies > Covered Services is a public PrimeWest Health policy. It lists 807 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

View the original policy ↗

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.

CodeOther PrimeWest Health policies
11784Policies naming 11784
12345Policies naming 12345
12453Policies naming 12453
92150Policies naming 92150
99454Policies naming 99454
A4206Policies naming A4206
A4209Policies naming A4209
A4211Policies naming A4211
A4212Policies naming A4212
A4213Policies naming A4213
A4215Policies naming A4215
A4220Policies naming A4220
A4223Policies naming A4223
A4233Policies naming A4233
A4236Policies naming A4236
A4238Policies naming A4238
A4239Policies naming A4239
A4244Policies naming A4244
A4245Policies naming A4245
A4246Policies naming A4246
A4247Policies naming A4247
A4248Policies naming A4248
A4252Policies naming A4252
A4253Policies naming A4253
A4256Policies naming A4256
A4258Policies naming A4258
A4259Policies naming A4259
A4265Policies naming A4265
A4281Policies naming A4281
A4282Policies naming A4282
A4283Policies naming A4283
A4284Policies naming A4284
A4285Policies naming A4285
A4286Policies naming A4286
A4287Policies naming A4287
A4288Policies naming A4288
A4305Policies naming A4305
A4306Policies naming A4306
A4310Policies naming A4310
A4311Policies naming A4311
A4312Policies naming A4312
A4313Policies naming A4313
A4314Policies naming A4314
A4315Policies naming A4315
A4316Policies naming A4316
A4320Policies naming A4320
A4322Policies naming A4322
A4326Policies naming A4326
A4334Policies naming A4334
A4335Policies naming A4335
A4337Policies naming A4337
A4338Policies naming A4338
A4340Policies naming A4340
A4342Policies naming A4342
A4344Policies naming A4344
A4346Policies naming A4346
A4349Policies naming A4349
A4351Policies naming A4351
A4352Policies naming A4352
A4353Policies naming A4353
A4354Policies naming A4354
A4355Policies naming A4355
A4356Policies naming A4356
A4357Policies naming A4357
A4358Policies naming A4358
A4421Policies naming A4421
A4453Policies naming A4453
A4459Policies naming A4459
A4466Policies naming A4466
A4467Policies naming A4467
A4479Policies naming A4479
A4556Policies naming A4556
A4557Policies naming A4557
A4565Policies naming A4565
A4566Policies naming A4566
A4570Policies naming A4570
A4580Policies naming A4580
A4590Policies naming A4590
A4595Policies naming A4595
A4601Policies naming A4601
A4602Policies naming A4602
A4604Policies naming A4604
A4605Policies naming A4605
A4606Policies naming A4606
A4611Policies naming A4611
A4612Policies naming A4612
A4613Policies naming A4613
A4614Policies naming A4614
A4620Policies naming A4620
A4633Policies naming A4633
A4634Policies naming A4634
A4640Policies naming A4640
A4649Policies naming A4649
A4660Policies naming A4660
A4663Policies naming A4663
A4670Policies naming A4670
A4927Policies naming A4927
A4930Policies naming A4930
A5102Policies naming A5102
A5112Policies naming A5112
A5500Policies naming A5500
A5501Policies naming A5501
A5503Policies naming A5503
A5507Policies naming A5507
A5510Policies naming A5510
A5512Policies naming A5512
A5513Policies naming A5513
A6512Policies naming A6512
A6519Policies naming A6519
A6549Policies naming A6549
A6550Policies naming A6550
A6551Policies naming A6551
A6584Policies naming A6584
A6590Policies naming A6590
A6593Policies naming A6593
A6609Policies naming A6609
A7025Policies naming A7025
A7027Policies naming A7027
A7028Policies naming A7028
A7029Policies naming A7029
A7030Policies naming A7030
A7031Policies naming A7031
A7032Policies naming A7032
A7033Policies naming A7033
A7034Policies naming A7034
A7035Policies naming A7035
A7036Policies naming A7036
A7037Policies naming A7037
A7038Policies naming A7038
A7039Policies naming A7039
A7044Policies naming A7044
A7045Policies naming A7045
A7046Policies naming A7046
A7520Policies naming A7520
A7521Policies naming A7521
A8000Policies naming A8000
A8004Policies naming A8004
A9273Policies naming A9273
A9274Policies naming A9274
A9275Policies naming A9275
A9276Policies naming A9276
A9278Policies naming A9278
A9279Policies naming A9279
A9282Policies naming A9282
A9283Policies naming A9283
A9284Policies naming A9284
A9900Policies naming A9900
A9901Policies naming A9901
A9999Policies naming A9999
B4034Policies naming B4034
B4035Policies naming B4035
B4036Policies naming B4036
B4081Policies naming B4081
B4082Policies naming B4082
B4083Policies naming B4083
B4087Policies naming B4087
B4088Policies naming B4088
B4100Policies naming B4100
B4102Policies naming B4102
B4103Policies naming B4103
B4105Policies naming B4105
B4148Policies naming B4148
B4149Policies naming B4149
B4153Policies naming B4153
B4155Policies naming B4155
B4157Policies naming B4157
B4162Policies naming B4162
B9000Policies naming B9000
B9002Policies naming B9002
B9004Policies naming B9004
B9006Policies naming B9006
B9998Policies naming B9998
B9999Policies naming B9999
E0100Policies naming E0100
E0105Policies naming E0105
E0110Policies naming E0110
E0118Policies naming E0118
E0130Policies naming E0130
E0147Policies naming E0147
E0149Policies naming E0149
E0153Policies naming E0153
E0154Policies naming E0154
E0159Policies naming E0159
E0160Policies naming E0160
E0161Policies naming E0161
E0162Policies naming E0162
E0163Policies naming E0163
E0168Policies naming E0168
E0170Policies naming E0170
E0172Policies naming E0172
E0175Policies naming E0175
E0181Policies naming E0181
E0189Policies naming E0189
E0190Policies naming E0190
E0193Policies naming E0193
E0194Policies naming E0194
E0196Policies naming E0196
E0199Policies naming E0199
E0200Policies naming E0200
E0202Policies naming E0202
E0203Policies naming E0203
E0205Policies naming E0205
E0210Policies naming E0210
E0215Policies naming E0215
E0217Policies naming E0217
E0218Policies naming E0218
E0221Policies naming E0221
E0231Policies naming E0231
E0232Policies naming E0232
E0235Policies naming E0235
E0236Policies naming E0236
E0240Policies naming E0240
E0241Policies naming E0241
E0242Policies naming E0242
E0243Policies naming E0243
E0244Policies naming E0244
E0245Policies naming E0245
E0246Policies naming E0246
E0247Policies naming E0247
E0248Policies naming E0248
E0249Policies naming E0249
E0250Policies naming E0250
E0251Policies naming E0251
E0255Policies naming E0255
E0256Policies naming E0256
E0260Policies naming E0260
E0261Policies naming E0261
E0265Policies naming E0265
E0266Policies naming E0266
E0270Policies naming E0270
E0271Policies naming E0271
E0272Policies naming E0272
E0277Policies naming E0277
E0290Policies naming E0290
E0291Policies naming E0291
E0292Policies naming E0292
E0293Policies naming E0293
E0294Policies naming E0294
E0295Policies naming E0295
E0296Policies naming E0296
E0297Policies naming E0297
E0300Policies naming E0300
E0301Policies naming E0301
E0302Policies naming E0302
E0303Policies naming E0303
E0304Policies naming E0304
E0305Policies naming E0305
E0310Policies naming E0310
E0316Policies naming E0316
E0328Policies naming E0328
E0329Policies naming E0329
E0350Policies naming E0350
E0352Policies naming E0352
E0371Policies naming E0371
E0372Policies naming E0372
E0373Policies naming E0373
E0424Policies naming E0424
E0431Policies naming E0431
E0434Policies naming E0434
E0439Policies naming E0439
E0441Policies naming E0441
E0444Policies naming E0444
E0445Policies naming E0445
E0450Policies naming E0450
E0460Policies naming E0460
E0461Policies naming E0461
E0462Policies naming E0462
E0463Policies naming E0463
E0464Policies naming E0464
E0465Policies naming E0465
E0466Policies naming E0466
E0467Policies naming E0467
E0468Policies naming E0468
E0470Policies naming E0470
E0471Policies naming E0471
E0472Policies naming E0472
E0480Policies naming E0480
E0482Policies naming E0482
E0483Policies naming E0483
E0484Policies naming E0484
E0485Policies naming E0485
E0486Policies naming E0486
E0487Policies naming E0487
E0500Policies naming E0500
E0570Policies naming E0570
E0572Policies naming E0572
E0574Policies naming E0574
E0575Policies naming E0575
E0580Policies naming E0580
E0585Policies naming E0585
E0600Policies naming E0600
E0601Policies naming E0601
E0602Policies naming E0602
E0603Policies naming E0603
E0604Policies naming E0604
E0609Policies naming E0609
E0617Policies naming E0617
E0618Policies naming E0618
E0619Policies naming E0619
E0620Policies naming E0620

And 507 more in the original policy.

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.