BCBS Montana · PayerPolicy · BCBSMT-ADM1001.034
Summary of the payer’s published policy. Not a coverage determination — confirm with BCBS Montana before submitting.
Free account. Policy pages stay open to everyone.
Each code’s status is what the policy records for it. This page does not show the policy’s criteria. Read them in the payer’s source.
| Code | Code system | Status in this policy |
|---|---|---|
| 90283 | CPT | Covered |
| 90284 | CPT | Covered |
| J0129 | HCPCS | Covered |
| J0174 | HCPCS | Covered |
| J0175 | HCPCS | Covered |
| J0180 | HCPCS | Covered |
| J0218 | HCPCS | Covered |
| J0219 | HCPCS | Covered |
| J0221 | HCPCS | Covered |
| J0222 | HCPCS | Covered |
| J0223 | HCPCS | Covered |
| J0224 | HCPCS | Covered |
| J0225 | HCPCS | Covered |
| J0485 | HCPCS | Covered |
| J0490 | HCPCS | Covered |
| J0491 | HCPCS | Covered |
| J0517 | HCPCS | Covered |
| J0584 | HCPCS | Covered |
| J0598 | HCPCS | Covered |
| J0638 | HCPCS | Covered |
| J0717 | HCPCS | Covered |
| J0791 | HCPCS | Covered |
| J0881 | HCPCS | Covered |
| J0885 | HCPCS | Covered |
| J0888 | HCPCS | Covered |
| J1290 | HCPCS | Covered |
| J1299 | HCPCS | Covered |
| J1301 | HCPCS | Covered |
| J1302 | HCPCS | Covered |
| J1303 | HCPCS | Covered |
| J1305 | HCPCS | Covered |
| J1306 | HCPCS | Covered |
| J1322 | HCPCS | Covered |
| J1458 | HCPCS | Covered |
| J1459 | HCPCS | Covered |
| J1551 | HCPCS | Covered |
| J1552 | HCPCS | Covered |
| J1553 | HCPCS | Covered |
| J1554 | HCPCS | Covered |
| J1555 | HCPCS | Covered |
| J1556 | HCPCS | Covered |
| J1557 | HCPCS | Covered |
| J1558 | HCPCS | Covered |
| J1559 | HCPCS | Covered |
| J1561 | HCPCS | Covered |
| J1562 | HCPCS | Covered |
| J1566 | HCPCS | Covered |
| J1568 | HCPCS | Covered |
| J1569 | HCPCS | Covered |
| J1572 | HCPCS | Covered |
| J1575 | HCPCS | Covered |
| J1576 | HCPCS | Covered |
| J1599 | HCPCS | Covered |
| J1602 | HCPCS | Covered |
| J1743 | HCPCS | Covered |
| J1745 | HCPCS | Covered |
| J1746 | HCPCS | Covered |
| J1786 | HCPCS | Covered |
| J1823 | HCPCS | Covered |
| J1930 | HCPCS | Covered |
| J1931 | HCPCS | Covered |
| J2182 | HCPCS | Covered |
| J2323 | HCPCS | Covered |
| J2329 | HCPCS | Covered |
| J2350 | HCPCS | Covered |
| J2351 | HCPCS | Covered |
| J2353 | HCPCS | Covered |
| J2354 | HCPCS | Covered |
| J2356 | HCPCS | Covered |
| J2357 | HCPCS | Covered |
| J2507 | HCPCS | Covered |
| J2508 | HCPCS | Covered |
| J2786 | HCPCS | Covered |
| J2802 | HCPCS | Covered |
| J2840 | HCPCS | Covered |
| J3032 | HCPCS | Covered |
| J3060 | HCPCS | Covered |
| J3111 | HCPCS | Covered |
| J3241 | HCPCS | Covered |
| J3245 | HCPCS | Covered |
| J3247 | HCPCS | Covered |
| J3262 | HCPCS | Covered |
| J3358 | HCPCS | Covered |
| J3380 | HCPCS | Covered |
| J3385 | HCPCS | Covered |
| J3397 | HCPCS | Covered |
| J7183 | HCPCS | Covered |
| J9312 | HCPCS | Covered |
| J9332 | HCPCS | Covered |
| J9333 | HCPCS | Covered |
| J9334 | HCPCS | Covered |
| J9376 | HCPCS | Covered |
| Q5098 | HCPCS | Covered |
| Q5099 | HCPCS | Covered |
| Q5100 | HCPCS | Covered |
| Q5103 | HCPCS | Covered |
| Q5104 | HCPCS | Covered |
| Q5106 | HCPCS | Covered |
| Q5109 | HCPCS | Covered |
| Q5115 | HCPCS | Covered |
| Q5119 | HCPCS | Covered |
| Q5121 | HCPCS | Covered |
| Q5123 | HCPCS | Covered |
| Q5133 | HCPCS | Covered |
| Q5134 | HCPCS | Covered |
| Q5135 | HCPCS | Covered |
| Q5138 | HCPCS | Covered |
| Q5151 | HCPCS | Covered |
| Q5152 | HCPCS | Covered |
| Q9997 | HCPCS | Covered |
| Q9998 | HCPCS | Covered |
| Q9999 | HCPCS | Covered |