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Passport Health Plan by Molina Healthcare policy

Criteria for Cast Crowns Policy Effective Date January 1, 2026

Criteria for Cast Crowns Policy Effective Date January 1, 2026 is a public Passport Health Plan by Molina Healthcare policy (effective Jan 1, 2026). It lists 17 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

View the original policy (PDF) ↗

Payer
Passport Health Plan by Molina Healthcare
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.

CodeOther Passport Health Plan by Molina Healthcare policies
D2710Policies naming D2710
D2721Policies naming D2721
D2740Policies naming D2740
D2750Policies naming D2750
D2751Policies naming D2751
D2752Policies naming D2752
D2790Policies naming D2790
D2791Policies naming D2791
D2792Policies naming D2792
D2799Policies naming D2799
D2920Policies naming D2920
D2928Policies naming D2928
D2930Policies naming D2930
D2931Policies naming D2931
D2932Policies naming D2932
D2934Policies naming D2934
D2990Policies naming D2990

All Passport Health Plan by Molina Healthcare policies

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.

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