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Passport Health Plan by Molina Healthcare policy

Power Enhanced, Robotically Assisted, and Microprocessor Upper and Lower Extremity Orthoses: MEDICARE

Power Enhanced, Robotically Assisted, and Microprocessor Upper and Lower Extremity Orthoses: MEDICARE is a public Passport Health Plan by Molina Healthcare policy (policy 350b, effective Apr 15, 2026). It lists 6 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
Policy number
350b
Effective
Apr 15, 2026
Source
www.molinaclinicalpolicy.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
A8005Policies naming A8005
A8006Policies naming A8006
E0738Policies naming E0738
L2221Policies naming L2221
L8701Policies naming L8701
L8702Policies naming L8702

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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