Molina Healthcare - Affinity by Molina Healthcare policies

Search Molina Healthcare - Affinity by Molina Healthcare'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.

3 policies name C9761, those listing the fewest codes first. A policy that names a code may also list it as excluded.

Molina Healthcare - Affinity by Molina Healthcare policies
Policy	Details	Codes	Source
Steerable Ureteroscopic Renal Evacuation	477 · Commercial, Medicaid	1	Original policy ↗
Steerable Ureteroscopic Renal Evacuation (SURE): MEDICARE	477b · Effective Dec 17, 2025	1	Original policy ↗
ASC Groupers	Commercial	256	Original policy ↗

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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.

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