BCBS Montana · PayerPolicy · BCBSMT-RX502.061
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 |
|---|---|---|
| 0537T | CPT | Covered |
| 0538T | CPT | Covered |
| 0539T | CPT | Covered |
| 0540T | CPT | Covered |
| 96377 | CPT | Covered |
| 0537T | HCPCS | Covered |
| 0538T | HCPCS | Covered |
| 0539T | HCPCS | Covered |
| 0540T | HCPCS | Covered |
| C9098 | HCPCS | Covered |
| C9142 | HCPCS | Covered |
| C9169 | HCPCS | Covered |
| C9170 | HCPCS | Covered |
| C9301 | HCPCS | Covered |
| C9302 | HCPCS | Covered |
| C9303 | HCPCS | Covered |
| C9399 | HCPCS | Covered |
| J0129 | HCPCS | Covered |
| J0641 | HCPCS | Covered |
| J0642 | HCPCS | Covered |
| J0870 | HCPCS | Covered |
| J0881 | HCPCS | Covered |
| J0885 | HCPCS | Covered |
| J0896 | HCPCS | Covered |
| J1323 | HCPCS | Covered |
| J1442 | HCPCS | Covered |
| J1447 | HCPCS | Covered |
| J1448 | HCPCS | Covered |
| J1449 | HCPCS | Covered |
| J1627 | HCPCS | Covered |
| J1930 | HCPCS | Covered |
| J1950 | HCPCS | Covered |
| J1954 | HCPCS | Covered |
| J2353 | HCPCS | Covered |
| J2506 | HCPCS | Covered |
| J2562 | HCPCS | Covered |
| J2820 | HCPCS | Covered |
| J2860 | HCPCS | Covered |
| J3055 | HCPCS | Covered |
| J3262 | HCPCS | Covered |
| J3263 | HCPCS | Covered |
| J3315 | HCPCS | Covered |
| J3490 | HCPCS | Covered |
| J3590 | HCPCS | Covered |
| J9019 | HCPCS | Covered |
| J9021 | HCPCS | Covered |
| J9022 | HCPCS | Covered |
| J9023 | HCPCS | Covered |
| J9026 | HCPCS | Covered |
| J9028 | HCPCS | Covered |
| J9029 | HCPCS | Covered |
| J9032 | HCPCS | Covered |
| J9035 | HCPCS | Covered |
| J9039 | HCPCS | Covered |
| J9042 | HCPCS | Covered |
| J9043 | HCPCS | Covered |
| J9047 | HCPCS | Covered |
| J9055 | HCPCS | Covered |
| J9061 | HCPCS | Covered |
| J9063 | HCPCS | Covered |
| J9064 | HCPCS | Covered |
| J9118 | HCPCS | Covered |
| J9119 | HCPCS | Covered |
| J9144 | HCPCS | Covered |
| J9145 | HCPCS | Covered |
| J9153 | HCPCS | Covered |
| J9155 | HCPCS | Covered |
| J9173 | HCPCS | Covered |
| J9176 | HCPCS | Covered |
| J9177 | HCPCS | Covered |
| J9179 | HCPCS | Covered |
| J9183 | HCPCS | Covered |
| J9202 | HCPCS | Covered |
| J9203 | HCPCS | Covered |
| J9204 | HCPCS | Covered |
| J9205 | HCPCS | Covered |
| J9207 | HCPCS | Covered |
| J9217 | HCPCS | Covered |
| J9218 | HCPCS | Covered |
| J9219 | HCPCS | Covered |
| J9223 | HCPCS | Covered |
| J9225 | HCPCS | Covered |
| J9227 | HCPCS | Covered |
| J9228 | HCPCS | Covered |
| J9229 | HCPCS | Covered |
| J9258 | HCPCS | Covered |
| J9264 | HCPCS | Covered |
| J9266 | HCPCS | Covered |
| J9269 | HCPCS | Covered |
| J9271 | HCPCS | Covered |
| J9272 | HCPCS | Covered |
| J9273 | HCPCS | Covered |
| J9274 | HCPCS | Covered |
| J9277 | HCPCS | Covered |
| J9281 | HCPCS | Covered |
| J9286 | HCPCS | Covered |
| J9295 | HCPCS | Covered |
| J9298 | HCPCS | Covered |
| J9299 | HCPCS | Covered |
| J9301 | HCPCS | Covered |
| J9302 | HCPCS | Covered |
| J9303 | HCPCS | Covered |
| J9306 | HCPCS | Covered |
| J9308 | HCPCS | Covered |
| J9309 | HCPCS | Covered |
| J9311 | HCPCS | Covered |
| J9312 | HCPCS | Covered |
| J9316 | HCPCS | Covered |
| J9317 | HCPCS | Covered |
| J9321 | HCPCS | Covered |
| J9325 | HCPCS | Covered |
| J9329 | HCPCS | Covered |
| J9331 | HCPCS | Covered |
| J9347 | HCPCS | Covered |
| J9348 | HCPCS | Covered |
| J9349 | HCPCS | Covered |
| J9350 | HCPCS | Covered |
| J9352 | HCPCS | Covered |
| J9353 | HCPCS | Covered |
| J9354 | HCPCS | Covered |
| J9355 | HCPCS | Covered |
| J9356 | HCPCS | Covered |
| J9358 | HCPCS | Covered |
| J9359 | HCPCS | Covered |
| J9361 | HCPCS | Covered |
| J9380 | HCPCS | Covered |
| J9999 | HCPCS | Covered |
| Q2041 | HCPCS | Covered |
| Q2042 | HCPCS | Covered |
| Q2043 | HCPCS | Covered |
| Q2050 | HCPCS | Covered |
| Q2053 | HCPCS | Covered |
| Q2054 | HCPCS | Covered |
| Q2055 | HCPCS | Covered |
| Q2056 | HCPCS | Covered |
| Q2057 | HCPCS | Covered |
| Q2058 | HCPCS | Covered |
| Q5101 | HCPCS | Covered |
| Q5106 | HCPCS | Covered |
| Q5107 | HCPCS | Covered |
| Q5108 | HCPCS | Covered |
| Q5110 | HCPCS | Covered |
| Q5111 | HCPCS | Covered |
| Q5112 | HCPCS | Covered |
| Q5113 | HCPCS | Covered |
| Q5114 | HCPCS | Covered |
| Q5115 | HCPCS | Covered |
| Q5116 | HCPCS | Covered |
| Q5117 | HCPCS | Covered |
| Q5118 | HCPCS | Covered |
| Q5119 | HCPCS | Covered |
| Q5120 | HCPCS | Covered |
| Q5122 | HCPCS | Covered |
| Q5123 | HCPCS | Covered |
| Q5125 | HCPCS | Covered |
| Q5126 | HCPCS | Covered |
| Q5127 | HCPCS | Covered |
| Q5129 | HCPCS | Covered |
| Q5130 | HCPCS | Covered |
| Q5146 | HCPCS | Covered |
| Q5148 | HCPCS | Covered |
| Q5161 | HCPCS | Covered |
| Q5162 | HCPCS | Covered |