Molina Healthcare Wisconsin policy
Arterially Directed Embolic Therapy for Liver Tumors (example (e.g.), T A C E, T A E, D E B-TACE)
Arterially Directed Embolic Therapy for Liver Tumors (example (e.g.), T A C E, T A E, D E B-TACE) is a public Molina Healthcare Wisconsin policy (policy 120, effective Apr 8, 2026). It lists 3 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
- Policy number
- 120
- Effective
- Apr 8, 2026
- 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.
| Code | Other Molina Healthcare Wisconsin policies |
|---|---|
| 37243 | Policies naming 37243 |
| 75894 | Policies naming 75894 |
| C9797 | Policies naming C9797 |