Passport by Molina Healthcare policy
Criteria for Fixed Prosthodontics Policy Effective Date January 1, 2026
Criteria for Fixed Prosthodontics Policy Effective Date January 1, 2026 is a public Passport by Molina Healthcare policy (effective Jan 1, 2026). It lists 9 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
- Effective
- Jan 1, 2026
- Line of business
- Medicaid
- States
- KY
- Source
- www.molinahealthcare.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes.
| Code | Other Passport by Molina Healthcare policies |
|---|---|
| D6211 | Policies naming D6211 |
| D6240 | Policies naming D6240 |
| D6241 | Policies naming D6241 |
| D6242 | Policies naming D6242 |
| D6250 | Policies naming D6250 |
| D6750 | Policies naming D6750 |
| D6751 | Policies naming D6751 |
| D6752 | Policies naming D6752 |
| D6930 | Policies naming D6930 |