Molina Healthcare Michigan policy
Discontinued Procedures
Discontinued Procedures is a public Molina Healthcare Michigan policy (effective Aug 4, 2025). It lists 4 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
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- Effective
- Aug 4, 2025
- Line of business
- Commercial, Medicaid
- Source
- www.molinahealthcare.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes. Open official prior authorization lists to check the member’s product.
| Code | Other Molina Healthcare Michigan policies |
|---|---|
| 44388 | Policies naming 44388 |
| 45378 | Policies naming 45378 |
| G0105 | Policies naming G0105 |
| G0121 | Policies naming G0121 |
All Molina Healthcare Michigan policies · Molina Healthcare Michigan prior authorization CPT list