Services not covered by Priority Health
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 |
|---|---|
| Abortion, recurrent spontaneous | 91156 |
| Automated percutaneous lumbar discectomy (APLD) | 91581 |
| Autopsy | 91054 |
| AxiaLIF™ lumbar interbody fusion | 91581 |
| Cingulotomy | 91475 |
| Extracorporeal shock wave therapy (ECWT) | 91527 |
| 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 | 91321 |
| Sperm and oocyte retrieval and storage | 91393 |
| Therapy, tinnitus retraining | 91482 |
| Thermal capsulorrhaphy | 91551 |
| Thermography | 91355 |
| Ultrasound, high-intensity focused | 91601 |
| Ultrasound ablation of uterine fibroids | 91573 |