PrimeWest Health policy

Medical, Dental & Pharmacy > Medical > Mental Health Services > Covered Services

Medical, Dental & Pharmacy > Medical > Mental Health Services > Covered Services is a public PrimeWest Health policy. It lists 84 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
3610APolicies naming 3610A
4016APolicies naming 4016A
4797BPolicies naming 4797B
90785Policies naming 90785
90791Policies naming 90791
90792Policies naming 90792
9080XPolicies naming 9080X
90816Policies naming 90816
90818Policies naming 90818
90819Policies naming 90819
90821Policies naming 90821
90826Policies naming 90826
90829Policies naming 90829
90832Policies naming 90832
90833Policies naming 90833
90834Policies naming 90834
90836Policies naming 90836
90837Policies naming 90837
90838Policies naming 90838
90839Policies naming 90839
90840Policies naming 90840
90846Policies naming 90846
90847Policies naming 90847
90849Policies naming 90849
90853Policies naming 90853
90875Policies naming 90875
90876Policies naming 90876
90882Policies naming 90882
90887Policies naming 90887
90899Policies naming 90899
96116Policies naming 96116
96121Policies naming 96121
96130Policies naming 96130
96131Policies naming 96131
96132Policies naming 96132
96133Policies naming 96133
96136Policies naming 96136
96137Policies naming 96137
96138Policies naming 96138
96139Policies naming 96139
96146Policies naming 96146
96156Policies naming 96156
96158Policies naming 96158
96159Policies naming 96159
96164Policies naming 96164
96165Policies naming 96165
96167Policies naming 96167
96168Policies naming 96168
96170Policies naming 96170
96171Policies naming 96171
99221Policies naming 99221
99223Policies naming 99223
99231Policies naming 99231
99233Policies naming 99233
99241Policies naming 99241
99245Policies naming 99245
99251Policies naming 99251
99255Policies naming 99255
99373Policies naming 99373
99499Policies naming 99499
H0001Policies naming H0001
H0014Policies naming H0014
H0018Policies naming H0018
H0019Policies naming H0019
H0031Policies naming H0031
H0032Policies naming H0032
H0034Policies naming H0034
H0035Policies naming H0035
H0038Policies naming H0038
H0040Policies naming H0040
H0046Policies naming H0046
H2011Policies naming H2011
H2012Policies naming H2012
H2014Policies naming H2014
H2015Policies naming H2015
H2017Policies naming H2017
H2019Policies naming H2019
H2027Policies naming H2027
M0064Policies naming M0064
Q3014Policies naming Q3014
S0280Policies naming S0280
S0281Policies naming S0281
S5145Policies naming S5145
T2023Policies naming T2023

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.