Molina Healthcare Illinois policy
Lyfgenia (lovotibeglogene autotemcel), IL_Appendix (Medicaid): Policy No. 448
Lyfgenia (lovotibeglogene autotemcel), IL_Appendix (Medicaid): Policy No. 448 is a public Molina Healthcare Illinois policy (policy 448). It lists 3 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
- Policy number
- 448
- 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 |
|---|---|
| 96413 | Policies naming 96413 |
| 96415 | Policies naming 96415 |
| J3394 | Policies naming J3394 |