Molina Healthcare Wisconsin policy
Peroral Endoscopic Myotomy for Esophageal Achalasia
Peroral Endoscopic Myotomy for Esophageal Achalasia is a public Molina Healthcare Wisconsin policy (policy 385). It lists 2 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
- Policy number
- 385
- 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 |
|---|---|
| 43497 | Policies naming 43497 |
| 43499 | Policies naming 43499 |