Molina Healthcare Michigan policy
Inhaled Nitric Oxide iNO for Neonatal Hypoxic Respiratory Failure
Inhaled Nitric Oxide iNO for Neonatal Hypoxic Respiratory Failure is a public Molina Healthcare Michigan policy. It lists 4 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Commercial, Medicaid
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 |
|---|---|
| 93463 | Policies naming 93463 |
| 94002 | Policies naming 94002 |
| 94003 | Policies naming 94003 |
| 94799 | Policies naming 94799 |
All Molina Healthcare Michigan policies · Molina Healthcare Michigan prior authorization CPT list