Passport Health Plan by Molina Healthcare policy
Criteria for General Anesthesia and IV Sedation Policy Effective Date January 1, 2026
Criteria for General Anesthesia and IV Sedation Policy Effective Date January 1, 2026 is a public Passport Health Plan by Molina Healthcare policy (effective Jan 1, 2026). It lists 8 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- 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 Health Plan by Molina Healthcare policies |
|---|---|
| D9222 | Policies naming D9222 |
| D9223 | Policies naming D9223 |
| D9230 | Policies naming D9230 |
| D9239 | Policies naming D9239 |
| D9243 | Policies naming D9243 |
| D9248 | Policies naming D9248 |
| D9610 | Policies naming D9610 |
| D9612 | Policies naming D9612 |