West Virginia Medicaid MNT coverage: codes
The short answerWest Virginia's RBRVS fee schedule (rates effective 4/1/26 to 3/31/27) marks 97802 and 97803 Active: 97802 pays $24.89 non-facility and 97803 $21.47. 97804, G0270, G0271 and S9470 are Not Covered. BMS says a listing does not guarantee coverage, so check the provider manual.
By Javier Alvarez · Updated · 1 min read
1 row: Medicaid (by state) · West Virginia. Public policy, not the member's benefits.
West Virginia Medicaid
Medicaid (BMS RBRVS fee schedule, 4/1/26 to 3/31/27) · West Virginia
| 97802 | Listed (status A (Active). $24.89 non-facility, $18.30 facility.) [1] |
|---|---|
| 97803 | Listed (status A (Active). $21.47 non-facility, $15.13 facility.) [1] |
| G0270 | Not listed (marked Not Covered.) [1] |
| G0271 | Not listed (marked Not Covered.) [1] |
| Where it applies | Physician's RBRVS fee schedule, rates effective 04/01/26 to 03/31/27 (revised 10/01/26 per the BMS page). [1][2] |
| Diagnoses | Not published: call the payer. |
| Other codes | 97804 (group), G0270, G0271 and S9470 are marked Not Covered. [1] |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | Not published: call the payer. |
| Visit limits | Not published: call the payer. |
| Referral and prior auth | Not published: call the payer. |
| Payment | 97802: $24.89 non-facility, $18.30 facility. 97803: $21.47 non-facility, $15.13 facility. [1] |
| Also | BMS disclaimer: the absence or presence of a reimbursement code and its allowance does not guarantee Medicaid coverage; check the provider manual. [2] |
- West Virginia BMS: Physician's RBRVS Fee Schedule, rates effective 4/1/26 to 3/31/27 (Excel), checked October 30, 2026
- West Virginia BMS: Physician's Resource-Based Relative Value Scale (RBRVS) Fee Schedules page, checked October 30, 2026
Check a Medicaid claim against the row
Before a West Virginia Medicaid claim goes out, compare it with the row above: the code is one the policy lists, the place of service and modifier match for a video visit, and the units fit the limit. Change the filters to compare Medicaid with another payer, then download the PDF of what you see.