Passport by Molina Healthcare policy
Radiofrequency Nerve Ablation for Neck and Back Pain Effective Date August 22, 2026
Radiofrequency Nerve Ablation for Neck and Back Pain Effective Date August 22, 2026 is a public Passport by Molina Healthcare policy (effective Aug 22, 2026). It lists 8 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
- Effective
- Aug 22, 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 |
|---|---|
| 64625 | Policies naming 64625 |
| 64628 | Policies naming 64628 |
| 64629 | Policies naming 64629 |
| 64633 | Policies naming 64633 |
| 64634 | Policies naming 64634 |
| 64635 | Policies naming 64635 |
| 64636 | Policies naming 64636 |
| 64999 | Policies naming 64999 |