Molina Healthcare of Mississippi policy
MCP-395: Kymriah (tisagenlecleucel)
MCP-395: Kymriah (tisagenlecleucel) is a public Molina Healthcare of Mississippi policy (policy MCP-395). It lists 9 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
- Policy number
- MCP-395
- 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 |
|---|---|
| 0537T | Policies naming 0537T |
| 0538T | Policies naming 0538T |
| 0539T | Policies naming 0539T |
| 0540T | Policies naming 0540T |
| C9399 | Policies naming C9399 |
| J3490 | Policies naming J3490 |
| J3590 | Policies naming J3590 |
| J9999 | Policies naming J9999 |
| Q2042 | Policies naming Q2042 |