Procedures & services

Page last updated on: 6/20/25

Find service-specific authorization, coding and billing information.

Preventive health care

Services not covered by Priority Health

Services not covered list

There are hundreds of services not covered by our medical plans and it's impossible to list them all, but here is a brief list of some that cause frequent inquiries.

Service or device

Medical policy

Automated percutaneous lumbar discectomy (APLD)

91581

Autopsy

91054

AxiaLIF™ lumbar interbody fusion

91581

Cingulotomy


Extracorporeal shock wave therapy (ECWT)

91527

Health education materials 

 

IDET and other thermal intradiscal procedures (TIPs)

91581

Intracranial angioplasty and stenting

91495

Irreversible electroporation (IRE) or Nanoknife®

91599

Patellofemoral replacement for isolated osteoarthritis of the knee

91571

Phototherapy, monochromatic (anodyne therapy/ MIRE therapy/ low-level light therapy)

91486

Platelet-rich plasma/ platelet-rich fibrin matrix 

91553

Refractive keeratoplasty/ LASIK

91529

Respite care

91520

Sperm and oocyte retrieval and storage

91163

Termination of pregnancy

91000

Therapy, craniosacral


Therapy, tinnitus retraining

91482

Thermal capsulorrhaphy

91551

Thermography

91355

Ultrasound, high-intensity focused

91601