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Molina Healthcare Texas policy

Category III CPT Codes

Category III CPT Codes is a public Molina Healthcare Texas policy. It lists 214 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

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Payer
Molina Healthcare Texas
Line of business
Commercial, Medicaid
Source
www.molinaclinicalpolicy.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.

CodeOther Molina Healthcare Texas policies
0602TPolicies naming 0602T
0603TPolicies naming 0603T
0633TPolicies naming 0633T
0634TPolicies naming 0634T
0635TPolicies naming 0635T
0636TPolicies naming 0636T
0637TPolicies naming 0637T
0638TPolicies naming 0638T
0639TPolicies naming 0639T
0658TPolicies naming 0658T
0664TPolicies naming 0664T
0668TPolicies naming 0668T
0669TPolicies naming 0669T
0670TPolicies naming 0670T
0684TPolicies naming 0684T
0691TPolicies naming 0691T
0692TPolicies naming 0692T
0693TPolicies naming 0693T
0699TPolicies naming 0699T
0700TPolicies naming 0700T
0701TPolicies naming 0701T
0708TPolicies naming 0708T
0709TPolicies naming 0709T
0716TPolicies naming 0716T
0721TPolicies naming 0721T
0728TPolicies naming 0728T
0729TPolicies naming 0729T
0731TPolicies naming 0731T
0732TPolicies naming 0732T
0735TPolicies naming 0735T
0736TPolicies naming 0736T
0738TPolicies naming 0738T
0749TPolicies naming 0749T
0750TPolicies naming 0750T
0751TPolicies naming 0751T
0752TPolicies naming 0752T
0753TPolicies naming 0753T
0754TPolicies naming 0754T
0755TPolicies naming 0755T
0756TPolicies naming 0756T
0757TPolicies naming 0757T
0758TPolicies naming 0758T
0759TPolicies naming 0759T
0760TPolicies naming 0760T
0761TPolicies naming 0761T
0762TPolicies naming 0762T
0763TPolicies naming 0763T
0766TPolicies naming 0766T
0767TPolicies naming 0767T
0770TPolicies naming 0770T
0771TPolicies naming 0771T
0772TPolicies naming 0772T
0773TPolicies naming 0773T
0774TPolicies naming 0774T
0776TPolicies naming 0776T
0777TPolicies naming 0777T
0778TPolicies naming 0778T
0780TPolicies naming 0780T
0791TPolicies naming 0791T
0792TPolicies naming 0792T
0794TPolicies naming 0794T
0807TPolicies naming 0807T
0808TPolicies naming 0808T
0815TPolicies naming 0815T
0820TPolicies naming 0820T
0821TPolicies naming 0821T
0822TPolicies naming 0822T
0827TPolicies naming 0827T
0828TPolicies naming 0828T
0829TPolicies naming 0829T
0830TPolicies naming 0830T
0831TPolicies naming 0831T
0832TPolicies naming 0832T
0833TPolicies naming 0833T
0834TPolicies naming 0834T
0835TPolicies naming 0835T
0836TPolicies naming 0836T
0837TPolicies naming 0837T
0838TPolicies naming 0838T
0839TPolicies naming 0839T
0840TPolicies naming 0840T
0841TPolicies naming 0841T
0842TPolicies naming 0842T
0843TPolicies naming 0843T
0844TPolicies naming 0844T
0845TPolicies naming 0845T
0846TPolicies naming 0846T
0847TPolicies naming 0847T
0848TPolicies naming 0848T
0849TPolicies naming 0849T
0850TPolicies naming 0850T
0851TPolicies naming 0851T
0852TPolicies naming 0852T
0853TPolicies naming 0853T
0854TPolicies naming 0854T
0855TPolicies naming 0855T
0856TPolicies naming 0856T
0857TPolicies naming 0857T
0858TPolicies naming 0858T
0859TPolicies naming 0859T
0860TPolicies naming 0860T
0865TPolicies naming 0865T
0875TPolicies naming 0875T
0882TPolicies naming 0882T
0883TPolicies naming 0883T
0887TPolicies naming 0887T
0893TPolicies naming 0893T
0901TPolicies naming 0901T
0948TPolicies naming 0948T
0949TPolicies naming 0949T
0950TPolicies naming 0950T
0951TPolicies naming 0951T
0952TPolicies naming 0952T
0953TPolicies naming 0953T
0954TPolicies naming 0954T
0955TPolicies naming 0955T
0956TPolicies naming 0956T
0957TPolicies naming 0957T
0958TPolicies naming 0958T
0959TPolicies naming 0959T
0960TPolicies naming 0960T
0961TPolicies naming 0961T
0962TPolicies naming 0962T
0963TPolicies naming 0963T
0964TPolicies naming 0964T
0965TPolicies naming 0965T
0966TPolicies naming 0966T
0967TPolicies naming 0967T
0968TPolicies naming 0968T
0969TPolicies naming 0969T
0970TPolicies naming 0970T
0971TPolicies naming 0971T
0972TPolicies naming 0972T
0973TPolicies naming 0973T
0974TPolicies naming 0974T
0975TPolicies naming 0975T
0976TPolicies naming 0976T
0977TPolicies naming 0977T
0978TPolicies naming 0978T
0979TPolicies naming 0979T
0980TPolicies naming 0980T
0981TPolicies naming 0981T
0982TPolicies naming 0982T
0983TPolicies naming 0983T
0984TPolicies naming 0984T
0985TPolicies naming 0985T
0986TPolicies naming 0986T
0987TPolicies naming 0987T
0988TPolicies naming 0988T
0989TPolicies naming 0989T
0990TPolicies naming 0990T
0991TPolicies naming 0991T
0992TPolicies naming 0992T
0993TPolicies naming 0993T
0994TPolicies naming 0994T
0995TPolicies naming 0995T
0996TPolicies naming 0996T
0997TPolicies naming 0997T
0998TPolicies naming 0998T
0999TPolicies naming 0999T
1000TPolicies naming 1000T
1001TPolicies naming 1001T
1002TPolicies naming 1002T
1003TPolicies naming 1003T
1004TPolicies naming 1004T
1005TPolicies naming 1005T
1006TPolicies naming 1006T
1007TPolicies naming 1007T
1008TPolicies naming 1008T
1009TPolicies naming 1009T
1010TPolicies naming 1010T
1011TPolicies naming 1011T
1012TPolicies naming 1012T
1013TPolicies naming 1013T
1014TPolicies naming 1014T
1015TPolicies naming 1015T
1016TPolicies naming 1016T
1017TPolicies naming 1017T
1018TPolicies naming 1018T
1019TPolicies naming 1019T
1020TPolicies naming 1020T
1021TPolicies naming 1021T
1022TPolicies naming 1022T
1023TPolicies naming 1023T
1024TPolicies naming 1024T
1025TPolicies naming 1025T
1026TPolicies naming 1026T
1027TPolicies naming 1027T
1028TPolicies naming 1028T
1029TPolicies naming 1029T
1030TPolicies naming 1030T
1031TPolicies naming 1031T
1032TPolicies naming 1032T
1033TPolicies naming 1033T
1034TPolicies naming 1034T
1035TPolicies naming 1035T
1036TPolicies naming 1036T
1037TPolicies naming 1037T
1038TPolicies naming 1038T
1039TPolicies naming 1039T
1040TPolicies naming 1040T
1041TPolicies naming 1041T
1042TPolicies naming 1042T
1043TPolicies naming 1043T
1044TPolicies naming 1044T
1045TPolicies naming 1045T
1046TPolicies naming 1046T
1047TPolicies naming 1047T
1048TPolicies naming 1048T
1049TPolicies naming 1049T
1050TPolicies naming 1050T
1051TPolicies naming 1051T
1052TPolicies naming 1052T
1053TPolicies naming 1053T

All Molina Healthcare Texas policies · Molina Healthcare Texas prior authorization CPT list

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.

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