Molina Healthcare Texas policy
Visudyne (verteporfin) for Ocular Photodynamic Therapy
Visudyne (verteporfin) for Ocular Photodynamic Therapy is a public Molina Healthcare Texas policy (policy 308). It lists 4 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Policy number
- 308
- Line of business
- Commercial, Medicaid
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 |
|---|---|
| 67221 | Policies naming 67221 |
| 67225 | Policies naming 67225 |
| 92235 | Policies naming 92235 |
| J3396 | Policies naming J3396 |
All Molina Healthcare Texas policies · Molina Healthcare Texas prior authorization CPT list