Wellcare policies, page 4

Search Wellcare's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

319 public policies Substrate tracks for Wellcare, by title.

Wellcare policies
PolicyDetailsCodesSource
Heart-Lung TransplantCP.MP.132 · Medicaid · NJ4Original policy ↗
Heart-Lung Transplant: CP.MP.132CP.MP.132 · Medicaid · HI4Original policy ↗
Heart-Lung Transplant: CP.MP.132CP.MP.132 · Medicaid · KY4Original policy ↗
Holter MonitorsCP.MP.113 · Medicaid · NJ5Original policy ↗
Home BirthsCP.MP.136 · Medicaid · HI4Original policy ↗
Home BirthsCP.MP.136 · Medicaid · NJ4Original policy ↗
Home Ventilators: CP.MP.184CP.MP.184 · Medicaid · HI4Original policy ↗
Home Ventilators: CP.MP.184CP.MP.184 · Medicaid · NJ4Original policy ↗
Homocysteine Testing: CP.MP.121CP.MP.121 · Medicaid · KY1Original policy ↗
Homocysteine Testing: CP.MP.121CP.MP.121 · Medicaid · NJ1Original policy ↗
Hospice ServicesCP.MP.54 · Medicaid · HI6Original policy ↗
Hospice ServicesCP.MP.54 · Medicaid · KY6Original policy ↗
Hospice ServicesCP.MP.54 · Medicaid · NJ6Original policy ↗
Hyperhidrosis TreatmentsCP.MP.62 · Medicaid · KY11Original policy ↗
Hyperhidrosis TreatmentsCP.MP.62 · Medicaid · NJ9Original policy ↗
Immobilized Lipase Cartridges (RELiZORB): CP.MP.252CP.MP.252 · Medicaid · KY1Original policy ↗
Immobilized Lipase Cartridges (Relizorb): CP.MP.252CP.MP.252 · Medicaid · NJ1Original policy ↗
Implantable Hypoglossal Nerve Stimulation for Obstructive Sleep ApneaCP.MP.180 · Medicaid · HI20Original policy ↗
Implantable Hypoglossal Nerve Stimulation for Obstructive Sleep ApneaCP.MP.180 · Medicaid · NJ20Original policy ↗
Implantable Intrathecal or Epidural Pain Pump: CP.MP.173CP.MP.173 · Medicaid · HI27Original policy ↗
Implantable Intrathecal or Epidural Pain Pump: CP.MP.173CP.MP.173 · Medicaid · KY27Original policy ↗
Implantable Intrathecal or Epidural Pain Pump: CP.MP.173CP.MP.173 · Medicaid · NJ27Original policy ↗
Implantable Loop Recorder: CP.MP.243CP.MP.243 · Medicaid · HI8Original policy ↗
Implantable Loop Recorder: CP.MP.243CP.MP.243 · Medicaid · NJ8Original policy ↗
Implantable Wireless Pulmonary Artery Pressure Monitoring: CP.MP.160CP.MP.160 · Medicaid · HI3Original policy ↗
Implantable Wireless Pulmonary Artery Pressure Monitoring: CP.MP.160CP.MP.160 · Medicaid · KY3Original policy ↗
Implantable Wireless Pulmonary Artery Pressure Monitoring: CP.MP.160CP.MP.160 · Medicaid · NJ3Original policy ↗
Intensity-Modulated RadiotherapyCP.MP.69 · Medicaid · NJ8Original policy ↗
Intestinal and Multi-visceral Transplant: CP.MP.58CP.MP.58 · Medicaid · KY17Original policy ↗
Intestinal and Multivisceral Transplant: CP.MP.58CP.MP.58 · Medicaid · NJ17Original policy ↗
Intradiscal Steroid Injections for Pain Management: CP.MP.167CP.MP.167 · Medicaid · HI1Original policy ↗
Intradiscal Steroid Injections for Pain Management: CP.MP.167CP.MP.167 · Medicaid · NJ1Original policy ↗
IV Moderate Sedation, IV Deep Sedation, and General Anesthesia for Dental Procedures: CP.MP.61CP.MP.61 · Medicaid · KY3Original policy ↗
IV Moderate Sedation, IV Deep Sedation, and General Anesthesia for Dental Procedures: CP.MP.61CP.MP.61 · Medicaid · NJ3Original policy ↗
Lantidra (Donislecel): Allogeneic Pancreatic Islet Cellular Therapy: CP.MP.250CP.MP.250 · Medicaid · HI1Original policy ↗
Lantidra (donislecel): Allogenic Pancreatic Islet Cellular Therapy: CP.MP.250CP.MP.250 · Medicaid · NJ1Original policy ↗
Laser Therapy for Skin Conditions: CP.MP.123CP.MP.123 · Medicaid · HI3Original policy ↗
Laser Therapy for Skin Conditions: CP.MP.123CP.MP.123 · Medicaid · KY3Original policy ↗
Laser Therapy for Skin Conditions: CP.MP.123CP.MP.123 · Medicaid · NJ3Original policy ↗
Liposuction for Lipedema: CP.MP.244CP.MP.244 · Medicaid · KY3Original policy ↗
Liposuction for Lipedema: CP.MP.244CP.MP.244 · Medicaid · NJ3Original policy ↗
Long Term Care Placement: CP.MP.71CP.MP.71 · Medicaid · NJ8Original policy ↗
Low-Frequency Ultrasound and Noncontact Normothermic Wound Therapy: CP.MP.139CP.MP.139 · Medicaid · HI3Original policy ↗
Low-Frequency Ultrasound and Noncontact Normothermic Wound Therapy: CP.MP.139CP.MP.139 · Medicaid · KY3Original policy ↗
Low-Frequency Ultrasound and Noncontact Normothermic Wound Therapy: CP.MP.139CP.MP.139 · Medicaid · NJ3Original policy ↗
Lung TransplantationCP.MP.57 · Medicaid · HI9Original policy ↗
Lung TransplantationCP.MP.57 · Medicaid · KY9Original policy ↗
Lung TransplantationCP.MP.57 · Medicaid · NJ9Original policy ↗
Lysis of Epidural LesionsCP.MP.116 · Medicaid · HI2Original policy ↗
Lysis of Epidural LesionsCP.MP.116 · Medicaid · KY2Original policy ↗

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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.