Wellcare policies

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.

26 policies name 81401, those listing the fewest codes first. A policy that names a code may also list it as excluded.

Wellcare policies
PolicyDetailsCodesSource
Concert Genetic Testing: Orthopedics: V2.2025Medicaid · KY10Original policy ↗
Concert Genetic Testing: Orthopedics: V2.2025Medicaid · NJ10Original policy ↗
CONCERT GENETIC TESTING: NEPHROLOGYMedicaid · KY12Original policy ↗
CONCERT GENETIC TESTING: NEPHROLOGYMedicaid · NJ12Original policy ↗
CONCERT GENETIC TESTING: RESPIRATORYV2.2025 · Medicaid · KY14Original policy ↗
CONCERT GENETIC TESTING: RESPIRATORYV2.2025 · Medicaid · NJ14Original policy ↗
CONCERT GENETIC TESTING: NUTRITION AND METABOLISMMedicaid · KY15Original policy ↗
CONCERT GENETIC TESTING: NUTRITION AND METABOLISMMedicaid · NJ15Original policy ↗
Concert Genetic Testing: Cardiovascular: V2.2025V2.2025 · Medicaid · KY17Original policy ↗
Concert Genetic Testing: Cardiovascular: V2.2025Medicaid · NJ17Original policy ↗
Concert Genetic Testing: Immunology and Rheumatology : V2.2025Medicaid · NJ18Original policy ↗
Concert Genetic Testing: Immunology and Rheumatology: V2.2025Medicaid · KY18Original policy ↗
Concert Genetic Testing: Hematology: V2.2025Medicaid · KY20Original policy ↗
Concert Genetic Testing: Hematology: V2.2025Medicaid · NJ20Original policy ↗
CONCERT GENETIC TESTING: GASTROENTEROLOGYV2.2025 · Medicaid · KY22Original policy ↗
CONCERT GENETIC TESTING: GASTROENTEROLOGYV2.2025 · Medicaid · NJ22Original policy ↗
Concert Genetic Testing: Prenatal and Preconception Carrier Screening: V2.2025V2.2025 · Medicaid · KY30Original policy ↗
Concert Genetic Testing: Prenatal and Preconception Carrier Screening: V2.2025V2.2025 · Medicaid · NJ30Original policy ↗
Concert Genetic Testing: Prenatal Diagnosis: V2.2025Medicaid · KY43Original policy ↗
Concert Genetic Testing: Prenatal Diagnosis: V2.2025Medicaid · NJ43Original policy ↗
Concert Genetic Testing: Neurology: V2.2025V2.2025 · Medicaid · KY46Original policy ↗
Concert Genetic Testing: Neurology: V2.2025V2.2025 · Medicaid · NJ46Original policy ↗
CONCERT GENETIC TESTING: MULTISYSTEM GENETIC CONDITIONSV2.2025 · Medicaid · KY52Original policy ↗
CONCERT GENETIC TESTING: MULTISYSTEM GENETIC CONDITIONSV2.2025 · Medicaid · NJ52Original policy ↗
Concert Genetic Testing: Hereditary Cancer: V2.2025Medicaid · KY70Original policy ↗
Concert Genetic Testing: Hereditary Cancer: V2.2025Medicaid · NJ70Original 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.