Molina Healthcare of Mississippi policy
MCP-204: Blepharoplasty
MCP-204: Blepharoplasty is a public Molina Healthcare of Mississippi policy (policy MCP-204). It lists 12 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
- Policy number
- MCP-204
- Line of business
- Medicaid
- States
- MS
- Source
- www.molinahealthcare.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes.
| Code | Other Molina Healthcare of Mississippi policies |
|---|---|
| 15820 | Policies naming 15820 |
| 15821 | Policies naming 15821 |
| 15822 | Policies naming 15822 |
| 15823 | Policies naming 15823 |
| 67900 | Policies naming 67900 |
| 67901 | Policies naming 67901 |
| 67902 | Policies naming 67902 |
| 67903 | Policies naming 67903 |
| 67904 | Policies naming 67904 |
| 67906 | Policies naming 67906 |
| 67908 | Policies naming 67908 |
| 67909 | Policies naming 67909 |