Molina Healthcare Texas policy
Allogeneic Pancreatic Islet Cell Transplantation with Lantidra (donislecel-jujn)
Allogeneic Pancreatic Islet Cell Transplantation with Lantidra (donislecel-jujn) is a public Molina Healthcare Texas policy (policy 441, effective Aug 12, 2026). It lists 12 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
- Policy number
- 441
- Effective
- Aug 12, 2026
- Line of business
- Commercial
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 Texas policies |
|---|---|
| 0584T | Policies naming 0584T |
| 0585T | Policies naming 0585T |
| 0586T | Policies naming 0586T |
| 48554 | Policies naming 48554 |
| 48556 | Policies naming 48556 |
| C9399 | Policies naming C9399 |
| G0341 | Policies naming G0341 |
| G0342 | Policies naming G0342 |
| G0343 | Policies naming G0343 |
| J3590 | Policies naming J3590 |
| S2102 | Policies naming S2102 |
| S2152 | Policies naming S2152 |
All Molina Healthcare Texas policies · Molina Healthcare Texas prior authorization CPT list