Passport by Molina Healthcare policies
Search Passport by Molina Healthcare'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.
3 policies name 64635, those listing the fewest codes first. A policy that names a code may also list it as excluded.
| Policy | Details | Codes | Source |
|---|---|---|---|
| Radiofrequency Nerve Ablation for Neck and Back Pain | Commercial, Medicaid | 8 | Original policy ↗ |
| Radiofrequency Nerve Ablation for Neck and Back Pain Effective Date August 22, 2026 | Effective Aug 22, 2026 · Medicaid · KY | 8 | Original policy ↗ |
| Authorized Pain Management Services with a Claim Modifier Mismatch | Effective Apr 26, 2024 · Commercial, Medicaid | 46 | Original policy ↗ |