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Molina Healthcare - Affinity by Molina Healthcare policy

Skin and Soft Tissue Substitutes

Skin and Soft Tissue Substitutes is a public Molina Healthcare - Affinity by Molina Healthcare policy (policy 357). It lists 392 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

View the original policy (PDF) ↗

Payer
Molina Healthcare - Affinity by Molina Healthcare
Policy number
357
Line of business
Commercial, Medicaid
Source
www.molinaclinicalpolicy.com

Codes in this policy

The CPT and HCPCS codes the policy names. A policy can name a code it excludes.

CodeOther Molina Healthcare - Affinity by Molina Healthcare policies
00004Policies naming 00004
00074Policies naming 00074
12053Policies naming 12053
12329Policies naming 12329
12551Policies naming 12551
12920Policies naming 12920
12954Policies naming 12954
12968Policies naming 12968
13094Policies naming 13094
13133Policies naming 13133
13359Policies naming 13359
14882Policies naming 14882
15271Policies naming 15271
15272Policies naming 15272
15273Policies naming 15273
15274Policies naming 15274
15275Policies naming 15275
15276Policies naming 15276
15277Policies naming 15277
15278Policies naming 15278
70892Policies naming 70892
A2001Policies naming A2001
A2002Policies naming A2002
A2004Policies naming A2004
A2005Policies naming A2005
A2006Policies naming A2006
A2007Policies naming A2007
A2008Policies naming A2008
A2009Policies naming A2009
A2010Policies naming A2010
A2011Policies naming A2011
A2012Policies naming A2012
A2013Policies naming A2013
A2014Policies naming A2014
A2015Policies naming A2015
A2016Policies naming A2016
A2017Policies naming A2017
A2018Policies naming A2018
A2019Policies naming A2019
A2020Policies naming A2020
A2021Policies naming A2021
A2022Policies naming A2022
A2023Policies naming A2023
A2024Policies naming A2024
A2025Policies naming A2025
A2026Policies naming A2026
A2027Policies naming A2027
A2028Policies naming A2028
A2029Policies naming A2029
A2030Policies naming A2030
A2031Policies naming A2031
A2032Policies naming A2032
A2033Policies naming A2033
A2034Policies naming A2034
A2035Policies naming A2035
A2036Policies naming A2036
A2037Policies naming A2037
A2038Policies naming A2038
A2039Policies naming A2039
A2040Policies naming A2040
A2041Policies naming A2041
A2042Policies naming A2042
A2043Policies naming A2043
A2044Policies naming A2044
A2045Policies naming A2045
A4100Policies naming A4100
C9250Policies naming C9250
G0681Policies naming G0681
G0682Policies naming G0682
G0683Policies naming G0683
G0684Policies naming G0684
Q4101Policies naming Q4101
Q4102Policies naming Q4102
Q4103Policies naming Q4103
Q4104Policies naming Q4104
Q4105Policies naming Q4105
Q4107Policies naming Q4107
Q4108Policies naming Q4108
Q4110Policies naming Q4110
Q4111Policies naming Q4111
Q4112Policies naming Q4112
Q4113Policies naming Q4113
Q4114Policies naming Q4114
Q4115Policies naming Q4115
Q4116Policies naming Q4116
Q4117Policies naming Q4117
Q4118Policies naming Q4118
Q4121Policies naming Q4121
Q4122Policies naming Q4122
Q4123Policies naming Q4123
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Q4126Policies naming Q4126
Q4127Policies naming Q4127
Q4128Policies naming Q4128
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Q4131Policies naming Q4131
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Q4133Policies naming Q4133
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Q4137Policies naming Q4137
Q4138Policies naming Q4138
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Q4141Policies naming Q4141
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Q4148Policies naming Q4148
Q4149Policies naming Q4149
Q4150Policies naming Q4150
Q4151Policies naming Q4151
Q4152Policies naming Q4152
Q4153Policies naming Q4153
Q4154Policies naming Q4154
Q4155Policies naming Q4155
Q4156Policies naming Q4156
Q4157Policies naming Q4157
Q4158Policies naming Q4158
Q4159Policies naming Q4159
Q4160Policies naming Q4160
Q4161Policies naming Q4161
Q4162Policies naming Q4162
Q4163Policies naming Q4163
Q4164Policies naming Q4164
Q4165Policies naming Q4165
Q4166Policies naming Q4166
Q4167Policies naming Q4167
Q4168Policies naming Q4168
Q4169Policies naming Q4169
Q4170Policies naming Q4170
Q4171Policies naming Q4171
Q4173Policies naming Q4173
Q4174Policies naming Q4174
Q4175Policies naming Q4175
Q4176Policies naming Q4176
Q4177Policies naming Q4177
Q4178Policies naming Q4178
Q4179Policies naming Q4179
Q4180Policies naming Q4180
Q4181Policies naming Q4181
Q4182Policies naming Q4182
Q4183Policies naming Q4183
Q4184Policies naming Q4184
Q4185Policies naming Q4185
Q4186Policies naming Q4186
Q4187Policies naming Q4187
Q4188Policies naming Q4188
Q4189Policies naming Q4189
Q4190Policies naming Q4190
Q4191Policies naming Q4191
Q4192Policies naming Q4192
Q4193Policies naming Q4193
Q4194Policies naming Q4194
Q4195Policies naming Q4195
Q4196Policies naming Q4196
Q4197Policies naming Q4197
Q4198Policies naming Q4198
Q4199Policies naming Q4199
Q4200Policies naming Q4200
Q4201Policies naming Q4201
Q4202Policies naming Q4202
Q4203Policies naming Q4203
Q4204Policies naming Q4204
Q4205Policies naming Q4205
Q4206Policies naming Q4206
Q4208Policies naming Q4208
Q4209Policies naming Q4209
Q4211Policies naming Q4211
Q4212Policies naming Q4212
Q4213Policies naming Q4213
Q4214Policies naming Q4214
Q4215Policies naming Q4215
Q4216Policies naming Q4216
Q4217Policies naming Q4217
Q4218Policies naming Q4218
Q4219Policies naming Q4219
Q4220Policies naming Q4220
Q4221Policies naming Q4221
Q4222Policies naming Q4222
Q4224Policies naming Q4224
Q4225Policies naming Q4225
Q4226Policies naming Q4226
Q4227Policies naming Q4227
Q4229Policies naming Q4229
Q4230Policies naming Q4230
Q4232Policies naming Q4232
Q4233Policies naming Q4233
Q4234Policies naming Q4234
Q4235Policies naming Q4235
Q4236Policies naming Q4236
Q4237Policies naming Q4237
Q4238Policies naming Q4238
Q4239Policies naming Q4239
Q4240Policies naming Q4240
Q4241Policies naming Q4241
Q4242Policies naming Q4242
Q4245Policies naming Q4245
Q4246Policies naming Q4246
Q4247Policies naming Q4247
Q4248Policies naming Q4248
Q4249Policies naming Q4249
Q4250Policies naming Q4250
Q4251Policies naming Q4251
Q4252Policies naming Q4252
Q4253Policies naming Q4253
Q4254Policies naming Q4254
Q4255Policies naming Q4255
Q4256Policies naming Q4256
Q4257Policies naming Q4257
Q4258Policies naming Q4258
Q4259Policies naming Q4259
Q4260Policies naming Q4260
Q4261Policies naming Q4261
Q4262Policies naming Q4262
Q4263Policies naming Q4263
Q4264Policies naming Q4264
Q4265Policies naming Q4265
Q4266Policies naming Q4266
Q4267Policies naming Q4267
Q4268Policies naming Q4268
Q4269Policies naming Q4269
Q4270Policies naming Q4270
Q4271Policies naming Q4271
Q4272Policies naming Q4272
Q4273Policies naming Q4273
Q4274Policies naming Q4274
Q4275Policies naming Q4275
Q4276Policies naming Q4276
Q4278Policies naming Q4278
Q4279Policies naming Q4279
Q4280Policies naming Q4280
Q4281Policies naming Q4281
Q4282Policies naming Q4282
Q4283Policies naming Q4283
Q4284Policies naming Q4284
Q4285Policies naming Q4285
Q4286Policies naming Q4286
Q4287Policies naming Q4287
Q4288Policies naming Q4288
Q4289Policies naming Q4289
Q4290Policies naming Q4290
Q4291Policies naming Q4291
Q4292Policies naming Q4292
Q4293Policies naming Q4293
Q4294Policies naming Q4294
Q4295Policies naming Q4295
Q4296Policies naming Q4296
Q4297Policies naming Q4297
Q4298Policies naming Q4298
Q4299Policies naming Q4299
Q4300Policies naming Q4300
Q4301Policies naming Q4301
Q4302Policies naming Q4302
Q4303Policies naming Q4303
Q4304Policies naming Q4304
Q4305Policies naming Q4305
Q4306Policies naming Q4306
Q4307Policies naming Q4307
Q4308Policies naming Q4308
Q4309Policies naming Q4309
Q4310Policies naming Q4310
Q4311Policies naming Q4311
Q4312Policies naming Q4312
Q4313Policies naming Q4313
Q4314Policies naming Q4314
Q4315Policies naming Q4315
Q4316Policies naming Q4316
Q4317Policies naming Q4317
Q4318Policies naming Q4318
Q4319Policies naming Q4319
Q4320Policies naming Q4320
Q4321Policies naming Q4321
Q4322Policies naming Q4322
Q4323Policies naming Q4323
Q4324Policies naming Q4324
Q4325Policies naming Q4325
Q4326Policies naming Q4326
Q4327Policies naming Q4327
Q4328Policies naming Q4328
Q4329Policies naming Q4329
Q4330Policies naming Q4330
Q4331Policies naming Q4331
Q4332Policies naming Q4332
Q4333Policies naming Q4333
Q4334Policies naming Q4334
Q4335Policies naming Q4335
Q4336Policies naming Q4336
Q4337Policies naming Q4337
Q4338Policies naming Q4338
Q4339Policies naming Q4339
Q4340Policies naming Q4340
Q4341Policies naming Q4341
Q4342Policies naming Q4342
Q4343Policies naming Q4343
Q4344Policies naming Q4344

And 92 more in the original policy.

All Molina Healthcare - Affinity by Molina Healthcare policies

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.

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