BCBS Montana · PayerPolicy · BCBSMT-DME101.010
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 |
|---|---|---|
| E0950 | HCPCS | Covered |
| E0951 | HCPCS | Covered |
| E0952 | HCPCS | Covered |
| E0953 | HCPCS | Covered |
| E0954 | HCPCS | Covered |
| E0955 | HCPCS | Covered |
| E0956 | HCPCS | Covered |
| E0957 | HCPCS | Covered |
| E0958 | HCPCS | Covered |
| E0959 | HCPCS | Covered |
| E0960 | HCPCS | Covered |
| E0961 | HCPCS | Covered |
| E0966 | HCPCS | Covered |
| E0967 | HCPCS | Covered |
| E0968 | HCPCS | Covered |
| E0969 | HCPCS | Covered |
| E0970 | HCPCS | Covered |
| E0971 | HCPCS | Covered |
| E0973 | HCPCS | Covered |
| E0974 | HCPCS | Covered |
| E0978 | HCPCS | Covered |
| E0980 | HCPCS | Covered |
| E0981 | HCPCS | Covered |
| E0982 | HCPCS | Covered |
| E0983 | HCPCS | Covered |
| E0984 | HCPCS | Covered |
| E0985 | HCPCS | Covered |
| E0986 | HCPCS | Covered |
| E0988 | HCPCS | Covered |
| E0990 | HCPCS | Covered |
| E0992 | HCPCS | Covered |
| E0994 | HCPCS | Covered |
| E0995 | HCPCS | Covered |
| E1002 | HCPCS | Covered |
| E1003 | HCPCS | Covered |
| E1004 | HCPCS | Covered |
| E1005 | HCPCS | Covered |
| E1006 | HCPCS | Covered |
| E1007 | HCPCS | Covered |
| E1008 | HCPCS | Covered |
| E1009 | HCPCS | Covered |
| E1010 | HCPCS | Covered |
| E1011 | HCPCS | Covered |
| E1012 | HCPCS | Covered |
| E1014 | HCPCS | Covered |
| E1015 | HCPCS | Covered |
| E1016 | HCPCS | Covered |
| E1017 | HCPCS | Covered |
| E1018 | HCPCS | Covered |
| E1020 | HCPCS | Covered |
| E1022 | HCPCS | Covered |
| E1023 | HCPCS | Covered |
| E1028 | HCPCS | Covered |
| E1029 | HCPCS | Covered |
| E1030 | HCPCS | Covered |
| E1031 | HCPCS | Covered |
| E1032 | HCPCS | Covered |
| E1033 | HCPCS | Covered |
| E1034 | HCPCS | Covered |
| E1035 | HCPCS | Covered |
| E1036 | HCPCS | Covered |
| E1037 | HCPCS | Covered |
| E1038 | HCPCS | Covered |
| E1039 | HCPCS | Covered |
| E1050 | HCPCS | Covered |
| E1060 | HCPCS | Covered |
| E1070 | HCPCS | Covered |
| E1083 | HCPCS | Covered |
| E1084 | HCPCS | Covered |
| E1085 | HCPCS | Covered |
| E1086 | HCPCS | Covered |
| E1087 | HCPCS | Covered |
| E1088 | HCPCS | Covered |
| E1089 | HCPCS | Covered |
| E1090 | HCPCS | Covered |
| E1092 | HCPCS | Covered |
| E1093 | HCPCS | Covered |
| E1100 | HCPCS | Covered |
| E1110 | HCPCS | Covered |
| E1130 | HCPCS | Covered |
| E1140 | HCPCS | Covered |
| E1150 | HCPCS | Covered |
| E1160 | HCPCS | Covered |
| E1161 | HCPCS | Covered |
| E1170 | HCPCS | Covered |
| E1171 | HCPCS | Covered |
| E1172 | HCPCS | Covered |
| E1180 | HCPCS | Covered |
| E1190 | HCPCS | Covered |
| E1195 | HCPCS | Covered |
| E1200 | HCPCS | Covered |
| E1220 | HCPCS | Covered |
| E1221 | HCPCS | Covered |
| E1222 | HCPCS | Covered |
| E1223 | HCPCS | Covered |
| E1224 | HCPCS | Covered |
| E1225 | HCPCS | Covered |
| E1226 | HCPCS | Covered |
| E1227 | HCPCS | Covered |
| E1228 | HCPCS | Covered |
| E1229 | HCPCS | Covered |
| E1230 | HCPCS | Covered |
| E1231 | HCPCS | Covered |
| E1232 | HCPCS | Covered |
| E1233 | HCPCS | Covered |
| E1234 | HCPCS | Covered |
| E1235 | HCPCS | Covered |
| E1236 | HCPCS | Covered |
| E1237 | HCPCS | Covered |
| E1238 | HCPCS | Covered |
| E1239 | HCPCS | Covered |
| E1240 | HCPCS | Covered |
| E1250 | HCPCS | Covered |
| E1260 | HCPCS | Covered |
| E1270 | HCPCS | Covered |
| E1280 | HCPCS | Covered |
| E1285 | HCPCS | Covered |
| E1290 | HCPCS | Covered |
| E1295 | HCPCS | Covered |
| E1296 | HCPCS | Covered |
| E1297 | HCPCS | Covered |
| E1298 | HCPCS | Covered |
| E2201 | HCPCS | Covered |
| E2202 | HCPCS | Covered |
| E2203 | HCPCS | Covered |
| E2204 | HCPCS | Covered |
| E2205 | HCPCS | Covered |
| E2206 | HCPCS | Covered |
| E2207 | HCPCS | Covered |
| E2208 | HCPCS | Covered |
| E2209 | HCPCS | Covered |
| E2210 | HCPCS | Covered |
| E2211 | HCPCS | Covered |
| E2212 | HCPCS | Covered |
| E2213 | HCPCS | Covered |
| E2214 | HCPCS | Covered |
| E2215 | HCPCS | Covered |
| E2216 | HCPCS | Covered |
| E2217 | HCPCS | Covered |
| E2218 | HCPCS | Covered |
| E2219 | HCPCS | Covered |
| E2220 | HCPCS | Covered |
| E2221 | HCPCS | Covered |
| E2222 | HCPCS | Covered |
| E2224 | HCPCS | Covered |
| E2225 | HCPCS | Covered |
| E2226 | HCPCS | Covered |
| E2227 | HCPCS | Covered |
| E2228 | HCPCS | Covered |
| E2230 | HCPCS | Covered |
| E2231 | HCPCS | Covered |
| E2291 | HCPCS | Covered |
| E2292 | HCPCS | Covered |
| E2293 | HCPCS | Covered |
| E2294 | HCPCS | Covered |
| E2295 | HCPCS | Covered |
| E2298 | HCPCS | Covered |
| E2301 | HCPCS | Covered |
| E2310 | HCPCS | Covered |
| E2311 | HCPCS | Covered |
| E2312 | HCPCS | Covered |
| E2313 | HCPCS | Covered |
| E2321 | HCPCS | Covered |
| E2322 | HCPCS | Covered |
| E2323 | HCPCS | Covered |
| E2324 | HCPCS | Covered |
| E2325 | HCPCS | Covered |
| E2326 | HCPCS | Covered |
| E2327 | HCPCS | Covered |
| E2328 | HCPCS | Covered |
| E2329 | HCPCS | Covered |
| E2330 | HCPCS | Covered |
| E2331 | HCPCS | Covered |
| E2340 | HCPCS | Covered |
| E2341 | HCPCS | Covered |
| E2342 | HCPCS | Covered |
| E2343 | HCPCS | Covered |
| E2351 | HCPCS | Covered |
| E2358 | HCPCS | Covered |
| E2359 | HCPCS | Covered |
| E2360 | HCPCS | Covered |
| E2361 | HCPCS | Covered |
| E2362 | HCPCS | Covered |
| E2363 | HCPCS | Covered |
| E2364 | HCPCS | Covered |
| E2365 | HCPCS | Covered |
| E2366 | HCPCS | Covered |
| E2367 | HCPCS | Covered |
| E2368 | HCPCS | Covered |
| E2369 | HCPCS | Covered |
| E2370 | HCPCS | Covered |
| E2371 | HCPCS | Covered |
| E2372 | HCPCS | Covered |
| E2373 | HCPCS | Covered |
| E2374 | HCPCS | Covered |
| E2375 | HCPCS | Covered |
| E2376 | HCPCS | Covered |
| E2377 | HCPCS | Covered |
| E2378 | HCPCS | Covered |
| E2381 | HCPCS | Covered |
| E2382 | HCPCS | Covered |
| E2383 | HCPCS | Covered |
| E2384 | HCPCS | Covered |
| E2385 | HCPCS | Covered |
| E2386 | HCPCS | Covered |
| E2387 | HCPCS | Covered |
| E2388 | HCPCS | Covered |
| E2389 | HCPCS | Covered |
| E2390 | HCPCS | Covered |
| E2391 | HCPCS | Covered |
| E2392 | HCPCS | Covered |
| E2394 | HCPCS | Covered |
| E2395 | HCPCS | Covered |
| E2396 | HCPCS | Covered |
| E2397 | HCPCS | Covered |
| E2398 | HCPCS | Covered |
| E2601 | HCPCS | Covered |
| E2602 | HCPCS | Covered |
| E2603 | HCPCS | Covered |
| E2604 | HCPCS | Covered |
| E2605 | HCPCS | Covered |
| E2606 | HCPCS | Covered |
| E2607 | HCPCS | Covered |
| E2608 | HCPCS | Covered |
| E2609 | HCPCS | Covered |
| E2610 | HCPCS | Covered |
| E2611 | HCPCS | Covered |
| E2612 | HCPCS | Covered |
| E2613 | HCPCS | Covered |
| E2614 | HCPCS | Covered |
| E2615 | HCPCS | Covered |
| E2616 | HCPCS | Covered |
| E2617 | HCPCS | Covered |
| E2618 | HCPCS | Covered |
| E2619 | HCPCS | Covered |
| E2620 | HCPCS | Covered |
| E2621 | HCPCS | Covered |
| E2622 | HCPCS | Covered |
| E2623 | HCPCS | Covered |
| E2624 | HCPCS | Covered |
| E2625 | HCPCS | Covered |
| E2626 | HCPCS | Covered |
| E2627 | HCPCS | Covered |
| E2628 | HCPCS | Covered |
| E2629 | HCPCS | Covered |
| E2630 | HCPCS | Covered |
| E2631 | HCPCS | Covered |
| E2632 | HCPCS | Covered |
| E2633 | HCPCS | Covered |
| G9156 | HCPCS | Covered |
| K0001 | HCPCS | Covered |
| K0002 | HCPCS | Covered |
| K0003 | HCPCS | Covered |
| K0004 | HCPCS | Covered |
| K0005 | HCPCS | Covered |
| K0006 | HCPCS | Covered |
| K0007 | HCPCS | Covered |
| K0008 | HCPCS | Covered |
| K0009 | HCPCS | Covered |
| K0010 | HCPCS | Covered |
| K0011 | HCPCS | Covered |
| K0012 | HCPCS | Covered |
| K0013 | HCPCS | Covered |
| K0014 | HCPCS | Covered |
| K0015 | HCPCS | Covered |
| K0017 | HCPCS | Covered |
| K0018 | HCPCS | Covered |
| K0019 | HCPCS | Covered |
| K0020 | HCPCS | Covered |
| K0037 | HCPCS | Covered |
| K0038 | HCPCS | Covered |
| K0039 | HCPCS | Covered |
| K0040 | HCPCS | Covered |
| K0041 | HCPCS | Covered |
| K0042 | HCPCS | Covered |
| K0043 | HCPCS | Covered |
| K0044 | HCPCS | Covered |
| K0045 | HCPCS | Covered |
| K0046 | HCPCS | Covered |
| K0047 | HCPCS | Covered |
| K0050 | HCPCS | Covered |
| K0051 | HCPCS | Covered |
| K0052 | HCPCS | Covered |
| K0053 | HCPCS | Covered |
| K0056 | HCPCS | Covered |
| K0065 | HCPCS | Covered |
| K0069 | HCPCS | Covered |
| K0070 | HCPCS | Covered |
| K0071 | HCPCS | Covered |
| K0072 | HCPCS | Covered |
| K0073 | HCPCS | Covered |
| K0077 | HCPCS | Covered |
| K0098 | HCPCS | Covered |
| K0105 | HCPCS | Covered |
| K0108 | HCPCS | Covered |
| K0195 | HCPCS | Covered |
| K0462 | HCPCS | Covered |
| K0669 | HCPCS | Covered |
| K0733 | HCPCS | Covered |
| K0800 | HCPCS | Covered |
| K0801 | HCPCS | Covered |
| K0802 | HCPCS | Covered |
| K0806 | HCPCS | Covered |
| K0807 | HCPCS | Covered |
| K0808 | HCPCS | Covered |
| K0812 | HCPCS | Covered |
| K0813 | HCPCS | Covered |
| K0814 | HCPCS | Covered |
| K0815 | HCPCS | Covered |
| K0816 | HCPCS | Covered |
| K0820 | HCPCS | Covered |
| K0821 | HCPCS | Covered |
| K0822 | HCPCS | Covered |
| K0823 | HCPCS | Covered |
| K0824 | HCPCS | Covered |
| K0825 | HCPCS | Covered |
| K0826 | HCPCS | Covered |
| K0827 | HCPCS | Covered |
| K0828 | HCPCS | Covered |
| K0829 | HCPCS | Covered |
| K0830 | HCPCS | Covered |
| K0831 | HCPCS | Covered |
| K0835 | HCPCS | Covered |
| K0836 | HCPCS | Covered |
| K0837 | HCPCS | Covered |
| K0838 | HCPCS | Covered |
| K0839 | HCPCS | Covered |
| K0840 | HCPCS | Covered |
| K0841 | HCPCS | Covered |
| K0842 | HCPCS | Covered |
| K0843 | HCPCS | Covered |
| K0848 | HCPCS | Covered |
| K0849 | HCPCS | Covered |
| K0850 | HCPCS | Covered |
| K0851 | HCPCS | Covered |
| K0852 | HCPCS | Covered |
| K0853 | HCPCS | Covered |
| K0854 | HCPCS | Covered |
| K0855 | HCPCS | Covered |
| K0856 | HCPCS | Covered |
| K0857 | HCPCS | Covered |
| K0858 | HCPCS | Covered |
| K0859 | HCPCS | Covered |
| K0860 | HCPCS | Covered |
| K0861 | HCPCS | Covered |
| K0862 | HCPCS | Covered |
| K0863 | HCPCS | Covered |
| K0864 | HCPCS | Covered |
| K0868 | HCPCS | Covered |
| K0869 | HCPCS | Covered |
| K0870 | HCPCS | Covered |
| K0871 | HCPCS | Covered |
| K0877 | HCPCS | Covered |
| K0878 | HCPCS | Covered |
| K0879 | HCPCS | Covered |
| K0880 | HCPCS | Covered |
| K0884 | HCPCS | Covered |
| K0885 | HCPCS | Covered |
| K0886 | HCPCS | Covered |
| K0890 | HCPCS | Covered |
| K0891 | HCPCS | Covered |
| K0898 | HCPCS | Covered |
| K0899 | HCPCS | Covered |
| S5165 | HCPCS | Covered |