I am assuming your asking about heteronuclear diatomic MOs. You can generate them the same way you do for the homonuclear diatomic MOs but the atomic orbitals for the more electronegative atom are lower in energy. This means that the M0s themselves look a little different. There is more electron density on the more electronegative atom if the orbital is bonding and less electron density if the orbital is antibonding. So the orbitals look a bit "lopsided".
MOs for polynuclear molecules can get much more difficult to generate, you need group theory to help you. If the molecule is really large, it's just easier to plug it into the computer. I can come up with MOs for 3 and 4 atom molecules (like ammonia or water) by hand.