Passport Health Plan by Molina Healthcare policy
Genicular Radiofrequency Ablation RFA and Genicular Nerve Blocks for Chronic Knee Pain
Genicular Radiofrequency Ablation RFA and Genicular Nerve Blocks for Chronic Knee Pain is a public Passport Health Plan by Molina Healthcare policy. It lists 5 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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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 |
|---|---|
| 64450 | Policies naming 64450 |
| 64454 | Policies naming 64454 |
| 64624 | Policies naming 64624 |
| 64640 | Policies naming 64640 |
| 64999 | Policies naming 64999 |