WellPoint Medicare Supplement policy
Provider Manual
Provider Manual is a public WellPoint Medicare Supplement policy (policy MULTI-WP-CR-PM-008701-26-GRP2620, effective Apr 1, 2026). It lists 4 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
- Policy number
- MULTI-WP-CR-PM-008701-26-GRP2620
- Effective
- Apr 1, 2026
- Line of business
- Medicaid
- States
- SC, TX, 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.
| Code | Other WellPoint Medicare Supplement policies |
|---|---|
| 99385 | Policies naming 99385 |
| 99387 | Policies naming 99387 |
| 99395 | Policies naming 99395 |
| 99397 | Policies naming 99397 |