Wellpoint policies, page 2
Search Wellpoint'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.
422 public policies Substrate tracks for Wellpoint, by title.
| Policy | Details | Codes | Source |
|---|---|---|---|
| Code and Clinical Editing Guidelines | G-07016 · Effective Mar 25, 2025 · Medicaid · DC | — | Original policy ↗ |
| Code and Clinical Editing Guidelines | G-07016 · Effective Mar 25, 2025 · Medicaid · MD | — | Original policy ↗ |
| Code and Clinical Editing Guidelines | G-07016 · Effective Mar 25, 2025 · AZ, IA, NJ, SC, TN, TX, WA | — | Original policy ↗ |
| Code and Clinical Editing Guidelines | G-07016 · Effective Mar 25, 2025 · Medicaid · TX | — | Original policy ↗ |
| Code and Clinical Editing Guidelines | G-07016 · Effective May 19, 2023 · Medicaid · TX | — | Original policy ↗ |
| Code and Clinical Editing Guidelines | G-07016 · Effective Mar 25, 2025 · Medicaid · WV | — | Original policy ↗ |
| Consultations | G-05006 · Effective Dec 2, 2025 · Medicaid · DC | — | Original policy ↗ |
| Consultations | G-05006 · Effective Dec 2, 2025 · Medicaid · MD | — | Original policy ↗ |
| Consultations | G-05006 · Effective Dec 2, 2025 · AZ, IA, NJ, SC, TN, TX, WA | — | Original policy ↗ |
| Consultations | G-05006 · Effective Dec 2, 2025 · Medicaid · TX | — | Original policy ↗ |
| Consultations | G-05006 · Effective Dec 19, 2023 · Medicaid · TX | — | Original policy ↗ |
| Consultations | G-05006 · Effective Dec 2, 2025 · Medicaid · WV | — | Original policy ↗ |
| Corrected Claims | G-16001 · Effective Oct 6, 2025 · Medicaid · DC | — | Original policy ↗ |
| Corrected Claims | G-16001 · Effective Oct 6, 2025 · Medicaid · MD | — | Original policy ↗ |
| Corrected Claims | G-16001 · Effective Jan 1, 2026 · AZ, IA, NJ, SC, TN, TX, WA | — | Original policy ↗ |
| Corrected Claims | G-16001 · Effective Oct 6, 2025 · Medicaid · TX | — | Original policy ↗ |
| Corrected Claims | G-16001 · Effective Jul 23, 2021 · Medicaid · TX | — | Original policy ↗ |
| Corrected Claims | G-16001 · Effective Jul 23, 2021 · Medicaid · TX | — | Original policy ↗ |
| Corrected Claims | G-16001 · Effective Oct 6, 2025 · Medicaid · WV | — | Original policy ↗ |
| Critical Care to Home | G-25001 · Effective Apr 1, 2026 · SC, TX, WV | 2 | Original policy ↗ |
| Diagnoses Used in DRG Computation | G-12005 · Effective Oct 8, 2020 · Medicaid · TX | — | Original policy ↗ |
| DME Modifiers for New Rental and Used Equipment | G-06053 · Effective Mar 26, 2026 · Medicaid · WV | — | Original policy ↗ |
| DME Modifiers for New, Rented and Used Equipment | G-06053 · Effective Mar 26, 2026 · Medicaid · MD | — | Original policy ↗ |
| DME Modifiers for New, Rented and Used Equipment | G-06053 · Effective Mar 26, 2026 · Medicaid · AZ, IA, NJ, SC, TN, TX, WA | — | Original policy ↗ |
| DME Modifiers for New, Rented and Used Equipment | G-06053 · Effective Sep 14, 2020 · Medicaid · TX | — | Original policy ↗ |
| DME Modifiers for New, Rented, and Used Equipment | G-06053 · Effective Mar 26, 2026 · Medicaid · DC | — | Original policy ↗ |
| DME Modifiers for New, Rented, and Used Equipment | G-06053 · Effective Mar 26, 2026 · Medicaid · TX | — | Original policy ↗ |
| Documentation Standards for Episodes of Care | G-11004 · Effective Apr 1, 2023 · Medicaid · DC | — | Original policy ↗ |
| Documentation Standards for Episodes of Care | G-11004 · Effective Dec 30, 2024 · Medicaid · MD | — | Original policy ↗ |
| Documentation Standards for Episodes of Care | G-11004 · Effective Dec 30, 2024 · AZ, IA, NJ, SC, TN, TX, WA | — | Original policy ↗ |
| Documentation Standards for Episodes of Care | G-11004 · Effective Dec 30, 2024 · Medicaid · TX | — | Original policy ↗ |
| Documentation Standards for Episodes of Care | Effective Oct 1, 2017 · Medicaid · TX | — | Original policy ↗ |
| Documentation Standards for Episodes of Care | G-11004 · Effective Dec 30, 2024 · Medicaid · WV | — | Original policy ↗ |
| DRG Inpatient Facility Transfers | G-13002 · Effective Oct 13, 2021 · Medicaid · DC | — | Original policy ↗ |
| DRG Inpatient Facility Transfers | G-13002 · Effective Oct 13, 2021 · Medicaid · MD | — | Original policy ↗ |
| DRG Inpatient Facility Transfers | G-13002 · Effective Oct 13, 2021 · AZ, IA, NJ, SC, TN, TX, WA | — | Original policy ↗ |
| DRG Inpatient Facility Transfers | G-13002 · Effective Oct 13, 2021 · Medicaid · TX | — | Original policy ↗ |
| DRG Inpatient Facility Transfers | G-13002 · Effective Oct 13, 2021 · Medicaid · TX | — | Original policy ↗ |
| DRG Inpatient Facility Transfers | G-13002 · Effective Oct 13, 2021 · Medicaid · WV | — | Original policy ↗ |
| DRG Newborn Inpatient Stays | G-17001 · Effective Apr 1, 2023 · Medicaid · DC | — | Original policy ↗ |
| DRG Newborn Inpatient Stays | Medicaid · GA, WA | — | Original policy ↗ |
| DRG Newborn Inpatient Stays | G-17001 · Effective Aug 12, 2020 · Medicaid · TX | — | Original policy ↗ |
| DRG Newborn Inpatient Stays | G-17001 · Effective Aug 12, 2020 · WV | — | Original policy ↗ |
| Drug Screen Testing | G-19001 · Effective Nov 14, 2025 · Medicaid · DC | — | Original policy ↗ |
| Drug Screen Testing | G-19001 · Effective Oct 1, 2026 · Medicaid · MD | — | Original policy ↗ |
| Drug Screen Testing | G-19001 · Effective Nov 14, 2025 · AZ, IA, NJ, SC, TN, TX, WA | — | Original policy ↗ |
| Drug Screen Testing | G-19001 · Effective Nov 14, 2025 · Medicaid · TX | — | Original policy ↗ |
| Drug Screen Testing | G-19001 · Effective Aug 6, 2024 · Medicaid · TX | — | Original policy ↗ |
| Drug Screen Testing | G-19001 · Effective Nov 14, 2025 · Medicaid · WV | — | Original policy ↗ |
| Duplicate or Subsequent Services on Same Date of Service | G-06032 · Effective May 22, 2024 · Medicaid · WV | — | Original policy ↗ |