Molina Healthcare Illinois policy
034 Tomography Scans Without Tracer Codes
034 Tomography Scans Without Tracer Codes is a public Molina Healthcare Illinois policy. It lists 20 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
- Line of business
- Medicaid
- States
- IL
- Source
- www.molinahealthcare.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes.
| Code | Other Molina Healthcare Illinois policies |
|---|---|
| 78429 | Policies naming 78429 |
| 78430 | Policies naming 78430 |
| 78431 | Policies naming 78431 |
| 78432 | Policies naming 78432 |
| 78433 | Policies naming 78433 |
| 78434 | Policies naming 78434 |
| 78459 | Policies naming 78459 |
| 78491 | Policies naming 78491 |
| 78492 | Policies naming 78492 |
| 78608 | Policies naming 78608 |
| 78811 | Policies naming 78811 |
| 78812 | Policies naming 78812 |
| 78813 | Policies naming 78813 |
| 78814 | Policies naming 78814 |
| 78815 | Policies naming 78815 |
| 78816 | Policies naming 78816 |
| A4641 | Policies naming A4641 |
| A4642 | Policies naming A4642 |
| A9500 | Policies naming A9500 |
| A9800 | Policies naming A9800 |