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PrimeWest Health policy

Medical, Dental & Pharmacy > Medical > HCBS > Covered Services

Medical, Dental & Pharmacy > Medical > HCBS > Covered Services is a public PrimeWest Health policy. It lists 31 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
H0045Policies naming H0045
H2015Policies naming H2015
S0215Policies naming S0215
S0250Policies naming S0250
S5100Policies naming S5100
S5115Policies naming S5115
S5120Policies naming S5120
S5121Policies naming S5121
S5130Policies naming S5130
S5135Policies naming S5135
S5140Policies naming S5140
S5141Policies naming S5141
S5150Policies naming S5150
S5151Policies naming S5151
S5160Policies naming S5160
S5161Policies naming S5161
S5162Policies naming S5162
S5165Policies naming S5165
S5170Policies naming S5170
S5190Policies naming S5190
T1002Policies naming T1002
T1003Policies naming T1003
T1004Policies naming T1004
T1016Policies naming T1016
T1019Policies naming T1019
T1028Policies naming T1028
T2003Policies naming T2003
T2028Policies naming T2028
T2029Policies naming T2029
T2038Policies naming T2038
T2039Policies naming T2039

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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