CPT 29874 · Arthroscopy — Knee · Molina Healthcare (Medicaid)
Knee Arthroscopy — Loose Body Removal at Molina Healthcare (Medicaid).
How Molina Healthcare (Medicaid) approaches CPT 29874 (Knee Arthroscopy — Loose Body Removal) for prior-authorization review: at last review on 2026-05-09, the policy covers this code without prior authorization.
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Criteria summary
High-level themes from the Molina Healthcare (Medicaid) policy of record for CPT 29874. Verbatim policy text and per-criterion analysis are available after sign-in.
Coverage criteria details available after sign-in.
Source: Molina Healthcare (Medicaid) Medicaid Fee Schedule and Prior Authorization List
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