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.
1 policy names 22870, those listing the fewest codes first. A policy that names a code may also list it as excluded.
| Policy | Details | Codes | Source |
|---|---|---|---|
| Interspinous Decompression and Interlaminar Stabilization Devices for Spinal Stenosis | Commercial, Medicaid | 5 | Original policy ↗ |