Molina HealthCare Idaho policy
Lumbar Artificial Intervertebral Disc Replacement
Lumbar Artificial Intervertebral Disc Replacement is a public Molina HealthCare Idaho policy. It lists 9 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes.
| Code | Other Molina HealthCare Idaho policies |
|---|---|
| 0095T | Policies naming 0095T |
| 0098T | Policies naming 0098T |
| 0164T | Policies naming 0164T |
| 0165T | Policies naming 0165T |
| 0375T | Policies naming 0375T |
| 22857 | Policies naming 22857 |
| 22860 | Policies naming 22860 |
| 22862 | Policies naming 22862 |
| 22865 | Policies naming 22865 |