Molina Healthcare of Kentucky policy
Criteria for General Anesthesia and IV Sedation Policy Effective Date January 1, 2026
Criteria for General Anesthesia and IV Sedation Policy Effective Date January 1, 2026 is a public Molina Healthcare of Kentucky policy (effective Jan 1, 2026). It lists 8 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Effective
- Jan 1, 2026
- Line of business
- Medicaid
- States
- KY
- 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 of Kentucky policies |
|---|---|
| D9222 | Policies naming D9222 |
| D9223 | Policies naming D9223 |
| D9230 | Policies naming D9230 |
| D9239 | Policies naming D9239 |
| D9243 | Policies naming D9243 |
| D9248 | Policies naming D9248 |
| D9610 | Policies naming D9610 |
| D9612 | Policies naming D9612 |
All Molina Healthcare of Kentucky policies · Molina Healthcare of Kentucky prior authorization CPT list