Molina Healthcare Texas policies
Search Molina Healthcare Texas's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.
Checking prior authorization for 64625? Open Molina Healthcare Texas’s official lists and confirm the member’s product there.
4 policies name 64625, those listing the fewest codes first. A policy that names a code may also list it as excluded.
| Policy | Details | Codes | Source |
|---|---|---|---|
| Cooled Radiofrequency Ablation (CRFA) for the Management of Chronic Pain | 386 · Commercial, Medicaid | 7 | Original policy ↗ |
| Radiofrequency Nerve Ablation for Neck and Back Pain | Commercial, Medicaid | 8 | Original policy ↗ |
| Authorized Pain Management Services with a Claim Modifier Mismatch | Effective Apr 26, 2024 · Commercial, Medicaid | 46 | Original policy ↗ |
| Authorized Pain Management Services with a Claim Modifier Mismatch | Effective Apr 26, 2024 · Medicaid · IA, MA, MI, SC, TX, WI | 46 | Original policy ↗ |
Back to Molina Healthcare Texas · Molina Healthcare Texas prior authorization CPT list