Molina Healthcare New Mexico policy
Kymriah (tisagenlecleucel)
Kymriah (tisagenlecleucel) is a public Molina Healthcare New Mexico policy (policy 395, effective Apr 8, 2026). It lists 9 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
- Policy number
- 395
- Effective
- Apr 8, 2026
- Line of business
- Commercial
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes.
| Code | Other Molina Healthcare New Mexico policies |
|---|---|
| 38225 | Policies naming 38225 |
| 38226 | Policies naming 38226 |
| 38227 | Policies naming 38227 |
| 38228 | Policies naming 38228 |
| C9399 | Policies naming C9399 |
| J3490 | Policies naming J3490 |
| J3590 | Policies naming J3590 |
| J9999 | Policies naming J9999 |
| Q2042 | Policies naming Q2042 |