Passport Health Plan by Molina Healthcare policy
Radioembolization (Selective Internal Radiation Therapy) for Liver Tumors
Radioembolization (Selective Internal Radiation Therapy) for Liver Tumors is a public Passport Health Plan by Molina Healthcare policy (policy 181, effective Jun 10, 2026). It lists 8 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Policy number
- 181
- Effective
- Jun 10, 2026
- Line of business
- Commercial, Medicaid
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 |
|---|---|
| 37243 | Policies naming 37243 |
| 75854 | Policies naming 75854 |
| 75894 | Policies naming 75894 |
| 79445 | Policies naming 79445 |
| C2616 | Policies naming C2616 |
| C9797 | Policies naming C9797 |
| Q3001 | Policies naming Q3001 |
| S2095 | Policies naming S2095 |