Molina Healthcare of Kentucky policy
Radiofrequency Nerve Ablation for Neck and Back Pain Effective Date August 22, 2026
Radiofrequency Nerve Ablation for Neck and Back Pain Effective Date August 22, 2026 is a public Molina Healthcare of Kentucky policy (effective Aug 22, 2026). It lists 8 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
Check eligibility for free
No account required. Sign a BAA to see plan details, coordination of benefits and more
- Effective
- Aug 22, 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 |
|---|---|
| 64625 | Policies naming 64625 |
| 64628 | Policies naming 64628 |
| 64629 | Policies naming 64629 |
| 64633 | Policies naming 64633 |
| 64634 | Policies naming 64634 |
| 64635 | Policies naming 64635 |
| 64636 | Policies naming 64636 |
| 64999 | Policies naming 64999 |
All Molina Healthcare of Kentucky policies · Molina Healthcare of Kentucky prior authorization CPT list