Molina Healthcare of Kentucky policy
Phototherapy and Laser Therapy for Dermatological Conditions KY
Phototherapy and Laser Therapy for Dermatological Conditions KY is a public Molina Healthcare of Kentucky policy (effective Dec 4, 2025). It lists 12 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Effective
- Dec 4, 2025
- 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 |
|---|---|
| 96900 | Policies naming 96900 |
| 96910 | Policies naming 96910 |
| 96912 | Policies naming 96912 |
| 96913 | Policies naming 96913 |
| 96920 | Policies naming 96920 |
| 96921 | Policies naming 96921 |
| 96922 | Policies naming 96922 |
| A4633 | Policies naming A4633 |
| E0691 | Policies naming E0691 |
| E0692 | Policies naming E0692 |
| E0693 | Policies naming E0693 |
| E0694 | Policies naming E0694 |
All Molina Healthcare of Kentucky policies · Molina Healthcare of Kentucky prior authorization CPT list