WellPoint Medicare Supplement policy

Medicaid provider manual

Medicaid provider manual is a public WellPoint Medicare Supplement policy. It lists 178 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

View the original policy (PDF) ↗

Payer
WellPoint Medicare Supplement
Line of business
Medicaid
States
WV
Source
www.wellpoint.com

Codes in this policy

The CPT and HCPCS codes the policy names. A policy can name a code it excludes.

CodeOther WellPoint Medicare Supplement policies
11976Policies naming 11976
17931Policies naming 17931
2000BPolicies naming 2000B
20201Policies naming 20201
2310APolicies naming 2310A
2310CPolicies naming 2310C
25301Policies naming 25301
25302Policies naming 25302
25311Policies naming 25311
25321Policies naming 25321
30308Policies naming 30308
36511Policies naming 36511
36513Policies naming 36513
36516Policies naming 36516
36522Policies naming 36522
44135Policies naming 44135
44193Policies naming 44193
54150Policies naming 54150
54160Policies naming 54160
54161Policies naming 54161
57170Policies naming 57170
58300Policies naming 58300
58301Policies naming 58301
58600Policies naming 58600
58605Policies naming 58605
58611Policies naming 58611
58615Policies naming 58615
59025Policies naming 59025
59409Policies naming 59409
59412Policies naming 59412
59414Policies naming 59414
59430Policies naming 59430
59514Policies naming 59514
59612Policies naming 59612
59620Policies naming 59620
73651Policies naming 73651
76801Policies naming 76801
76802Policies naming 76802
76805Policies naming 76805
76828Policies naming 76828
80047Policies naming 80047
80048Policies naming 80048
80051Policies naming 80051
80061Policies naming 80061
80069Policies naming 80069
80305Policies naming 80305
81000Policies naming 81000
81001Policies naming 81001
81002Policies naming 81002
81003Policies naming 81003
81015Policies naming 81015
81025Policies naming 81025
82010Policies naming 82010
82040Policies naming 82040
82044Policies naming 82044
82120Policies naming 82120
82150Policies naming 82150
82247Policies naming 82247
82248Policies naming 82248
82270Policies naming 82270
82271Policies naming 82271
82272Policies naming 82272
82465Policies naming 82465
82550Policies naming 82550
82570Policies naming 82570
82679Policies naming 82679
82948Policies naming 82948
82950Policies naming 82950
82951Policies naming 82951
82952Policies naming 82952
82962Policies naming 82962
82977Policies naming 82977
82985Policies naming 82985
83001Policies naming 83001
83002Policies naming 83002
83014Policies naming 83014
83026Policies naming 83026
83036Policies naming 83036
83037Policies naming 83037
83516Policies naming 83516
83605Policies naming 83605
83655Policies naming 83655
83718Policies naming 83718
83721Policies naming 83721
83880Policies naming 83880
84075Policies naming 84075
84153Policies naming 84153
84155Policies naming 84155
84443Policies naming 84443
84450Policies naming 84450
84460Policies naming 84460
84478Policies naming 84478
84550Policies naming 84550
84703Policies naming 84703
84830Policies naming 84830
85013Policies naming 85013
85014Policies naming 85014
85018Policies naming 85018
85025Policies naming 85025
85027Policies naming 85027
85610Policies naming 85610
85651Policies naming 85651
85652Policies naming 85652
86140Policies naming 86140
86294Policies naming 86294
86308Policies naming 86308
86318Policies naming 86318
86328Policies naming 86328
86580Policies naming 86580
86701Policies naming 86701
86769Policies naming 86769
86780Policies naming 86780
86803Policies naming 86803
87077Policies naming 87077
87210Policies naming 87210
87220Policies naming 87220
87449Policies naming 87449
87502Policies naming 87502
87631Policies naming 87631
87634Policies naming 87634
87651Policies naming 87651
87804Policies naming 87804
87807Policies naming 87807
87808Policies naming 87808
87809Policies naming 87809
87880Policies naming 87880
88150Policies naming 88150
90471Policies naming 90471
90472Policies naming 90472
90473Policies naming 90473
90474Policies naming 90474
90620Policies naming 90620
90621Policies naming 90621
90647Policies naming 90647
90648Policies naming 90648
90651Policies naming 90651
90658Policies naming 90658
90670Policies naming 90670
90672Policies naming 90672
90681Policies naming 90681
90686Policies naming 90686
90698Policies naming 90698
90707Policies naming 90707
90710Policies naming 90710
90713Policies naming 90713
90714Policies naming 90714
90715Policies naming 90715
90716Policies naming 90716
90723Policies naming 90723
90732Policies naming 90732
90734Policies naming 90734
90744Policies naming 90744
90999Policies naming 90999
92420Policies naming 92420
96365Policies naming 96365
96366Policies naming 96366
96367Policies naming 96367
96368Policies naming 96368
96374Policies naming 96374
96379Policies naming 96379
99070Policies naming 99070
99213Policies naming 99213
99381Policies naming 99381
99382Policies naming 99382
99383Policies naming 99383
99384Policies naming 99384
99385Policies naming 99385
99386Policies naming 99386
99387Policies naming 99387
99391Policies naming 99391
99392Policies naming 99392
99393Policies naming 99393
99394Policies naming 99394
99395Policies naming 99395
99396Policies naming 99396
99397Policies naming 99397
E1399Policies naming E1399
Q3014Policies naming Q3014

All WellPoint Medicare Supplement 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.