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 93005? Open Molina Healthcare Texas’s official lists and confirm the member’s product there.
5 policies name 93005, those listing the fewest codes first. A policy that names a code may also list it as excluded.
| Policy | Details | Codes | Source |
|---|---|---|---|
| Modifier Technical Component Policy | Effective Aug 21, 2025 · Commercial, Medicaid | 2 | Original policy ↗ |
| Modifier Technical Component Policy | Effective Aug 21, 2025 · Medicaid · AZ, CA, FL, IA, ID, IL, MA, MI, NE, NM, NY, OH, SC, TX, UT, WA, WI | 2 | Original policy ↗ |
| Ambulance Modifier | Commercial, Medicaid | 6 | Original policy ↗ |
| Ambulance Modifier | Medicaid · AZ, CA, FL, IA, ID, IL, MA, MI, NE, NM, NV, NY, OH, SC, TX, WA, WI | 6 | Original policy ↗ |
| Radiology Frequency for Simple Syncope Policy | Medicaid · AZ, NE, TX | 18 | Original policy ↗ |
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