PrimeWest Health policy
Medical, Dental & Pharmacy > Medical > Laboratory/Pathology, Radiology, and Diagnostic Services > Covered Services
Medical, Dental & Pharmacy > Medical > Laboratory/Pathology, Radiology, and Diagnostic Services > Covered Services is a public PrimeWest Health policy (effective Jan 1, 2014). It lists 20 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
- Payer
- PrimeWest Health
- Effective
- Jan 1, 2014
- 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 |
|---|---|
| 74261 | Policies naming 74261 |
| 74262 | Policies naming 74262 |
| 74263 | Policies naming 74263 |
| 77046 | Policies naming 77046 |
| 77047 | Policies naming 77047 |
| 77048 | Policies naming 77048 |
| 77049 | Policies naming 77049 |
| 77063 | Policies naming 77063 |
| 77065 | Policies naming 77065 |
| 77066 | Policies naming 77066 |
| 80305 | Policies naming 80305 |
| 80307 | Policies naming 80307 |
| 87999 | Policies naming 87999 |
| 91110 | Policies naming 91110 |
| 91111 | Policies naming 91111 |
| G0279 | Policies naming G0279 |
| G0480 | Policies naming G0480 |
| G0483 | Policies naming G0483 |
| G0659 | Policies naming G0659 |
| S3620 | Policies naming S3620 |