Molina Healthcare Wisconsin policies
Search Molina Healthcare Wisconsin'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.
2 policies name J0610, those listing the fewest codes first. A policy that names a code may also list it as excluded.
| Policy | Details | Codes | Source |
|---|---|---|---|
| End Stage Renal Disease (ESRD) Consolidated Billing Policy | Effective Aug 4, 2025 · Commercial, Medicaid | 29 | Original policy ↗ |
| Hydrolyzed Enteral Formula Diagnosis | Commercial | 30 | Original policy ↗ |