Passport Health Plan by Molina Healthcare policy
Intensive Outpatient Program (H0015, S9480 and Revenue code 0905)
Intensive Outpatient Program (H0015, S9480 and Revenue code 0905) is a public Passport Health Plan by Molina Healthcare policy. It lists 15 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
- 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 |
|---|---|
| 90791 | Policies naming 90791 |
| 90792 | Policies naming 90792 |
| 90832 | Policies naming 90832 |
| 90838 | Policies naming 90838 |
| 90846 | Policies naming 90846 |
| 90847 | Policies naming 90847 |
| 90849 | Policies naming 90849 |
| 90853 | Policies naming 90853 |
| H0015 | Policies naming H0015 |
| H0020 | Policies naming H0020 |
| H0047 | Policies naming H0047 |
| H2011 | Policies naming H2011 |
| H2027 | Policies naming H2027 |
| S9480 | Policies naming S9480 |
| T2023 | Policies naming T2023 |