Passport Health Plan by Molina Healthcare policies

Search Passport Health Plan by Molina Healthcare's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

2 policies name 03093, those listing the fewest codes first. A policy that names a code may also list it as excluded.

Passport Health Plan by Molina Healthcare policies
Policy	Details	Codes	Source
Radiation Therapy Services	Commercial, Medicaid	117	Original policy ↗
Radiation Therapy Services MEDICARE		117	Original policy ↗

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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.

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