Molina Complete Care Virginia DSNP policies
Search Molina Complete Care Virginia DSNP's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.
7 policies name S2152, those listing the fewest codes first. A policy that names a code may also list it as excluded.
| Policy | Details | Codes | Source |
|---|---|---|---|
| Heart Transplantation and Heart Transplantation with a Total Artificial Heart | Commercial | 11 | Original policy ↗ |
| Allogeneic Pancreatic Islet Cell Transplantation with Lantidra (donislecel-jujn) | 441 · Effective Aug 12, 2026 · Commercial | 12 | Original policy ↗ |
| Lung Transplantation | Commercial | 13 | Original policy ↗ |
| Kidney Transplantation | 045 · Commercial | 15 | Original policy ↗ |
| Liver Transplantation | 114 · Commercial | 15 | Original policy ↗ |
| Pancreas Transplantation | Effective Apr 23, 2021 · Commercial, Medicaid | 20 | Original policy ↗ |
| Small Bowel Multivisceral Transplantation | Commercial, Medicaid | 24 | Original policy ↗ |