PrimeWest Health policy
Medical, Dental & Pharmacy > Medical > Immunizations and Vaccinations > Covered Services
Medical, Dental & Pharmacy > Medical > Immunizations and Vaccinations > Covered Services is a public PrimeWest Health policy (policy PW_11-19_483, effective Feb 27, 2025). It lists 9 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
- Payer
- PrimeWest Health
- Policy number
- PW_11-19_483
- Effective
- Feb 27, 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 |
|---|---|
| 90656 | Policies naming 90656 |
| 90657 | Policies naming 90657 |
| 90658 | Policies naming 90658 |
| 90660 | Policies naming 90660 |
| 90661 | Policies naming 90661 |
| 90662 | Policies naming 90662 |
| 90674 | Policies naming 90674 |
| 90694 | Policies naming 90694 |
| 90756 | Policies naming 90756 |