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.

3 policies name 0586T, 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
Allogeneic Pancreatic Islet Cell Transplantation with Lantidra (donislecel-jujn)	441 · Effective Aug 12, 2026 · Commercial	12	Original policy ↗
Autologous Pancreatic Islet Cell Transplantation	440 · Effective Aug 12, 2026 · Commercial, Medicaid	12	Original policy ↗
Pancreas Transplantation	Effective Apr 23, 2021 · Commercial, Medicaid	20	Original policy ↗

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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.

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