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WellPoint Medicare Supplement policy

Provider Manual

Provider Manual is a public WellPoint Medicare Supplement policy. It lists 34 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
DC
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
12101Policies naming 12101
12121Policies naming 12121
20001Policies naming 20001
20201Policies naming 20201
2310APolicies naming 2310A
2310CPolicies naming 2310C
23462Policies naming 23462
23466Policies naming 23466
26375Policies naming 26375
30308Policies naming 30308
31028Policies naming 31028
31193Policies naming 31193
38300Policies naming 38300
52065Policies naming 52065
53092Policies naming 53092
61010Policies naming 61010
61599Policies naming 61599
62427Policies naming 62427
62429Policies naming 62429
73370Policies naming 73370
77470Policies naming 77470
85011Policies naming 85011
85069Policies naming 85069
85072Policies naming 85072
96365Policies naming 96365
96366Policies naming 96366
96368Policies naming 96368
96374Policies naming 96374
96379Policies naming 96379
A4421Policies naming A4421
E1399Policies naming E1399
K0108Policies naming K0108
L9990Policies naming L9990
T5999Policies naming T5999

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.

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