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.

4 policies name 38241, 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
Hematopoietic Stem Cell Transplantation for Solid Tumors	457 · Commercial, Medicaid	21	Original policy ↗
Hematopoietic Stem Cell Transplantation for Non - Cancerous Diseases	454 · Commercial	24	Original policy ↗
Hematopoietic Stem Cell Transplantation for Hematologic Cancers	Commercial, Medicaid	26	Original policy ↗
Stem Cell Therapy for Orthopedic Applications	426 · Effective Oct 8, 2025 · Commercial, Medicaid	26	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.

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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