Passport Health Plan by Molina Healthcare policy
Itvisma (onasemnogene abeparvovec) MEDICARE
Itvisma (onasemnogene abeparvovec) MEDICARE is a public Passport Health Plan by Molina Healthcare policy. It lists 3 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 |
|---|---|
| 96450 | Policies naming 96450 |
| C9309 | Policies naming C9309 |
| J3405 | Policies naming J3405 |