Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Recorded changes
82,180 on record
Recorded policy changes, newest first| Recorded | Payer | Policy | Change |
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| Sep 30, 2026 | Molina Healthcare | ICD-10 SpecificityPayerPolicy · MOLINA-TX-MEDICARE-ICD-10-SPECIFICITY | Retired |
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| Sep 30, 2026 | Molina Healthcare | Facility Bilateralor Anatomical Modifier UsePayerPolicy · MOLINA-TX-MEDICARE-FACILITY-BILATERALOR-ANATOMICAL-MODIFIER-USE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Emergency EM Codesand Place of ServicePayerPolicy · MOLINA-TX-MEDICARE-EMERGENCY-EM-CODESAND-PLACE-OF-SERVICE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Decision for Surgery Modifier 57PayerPolicy · MOLINA-TX-MEDICARE-DECISION-FOR-SURGERY-MODIFIER-57 | Retired |
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| Sep 30, 2026 | Molina Healthcare | Self Administered DrugsPayerPolicy · MOLINA-TX-MARKETPLACE-PHARMACY-SELF-ADMINISTERED-DRUGS | Retired |
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| Sep 30, 2026 | Molina Healthcare | Authorized Pain Management Services with a Claim Modifier MismatchPayerPolicy · MOLINA-TX-MARKETPLACE-PHARMACY-AUTHORIZED-PAIN-MANAGEMENT-SERVICES-WITH-A-CLAIM | Retired |
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| Sep 30, 2026 | Molina Healthcare | Radiology Bone DensityPayerPolicy · MOLINA-TX-MARKETPLACE-RADIOLOGY-RADIOLOGY-BONE-DENSITY | Retired |
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| Sep 30, 2026 | Molina Healthcare | Image Guided Radiation TherapyPayerPolicy · MOLINA-TX-MARKETPLACE-RADIOLOGY-IMAGE-GUIDED-RADIATION-THERAPY | Retired |
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| Sep 30, 2026 | Molina Healthcare | CT Computed Tomography of the Abdomen and PelvisPayerPolicy · MOLINA-TX-MARKETPLACE-RADIOLOGY-CT-COMPUTED-TOMOGRAPHY-OF-THE-ABDOMEN-AND-PELVIS | Retired |
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| Sep 30, 2026 | Molina Healthcare | ESRD Consolidated BillingPayerPolicy · MOLINA-TX-MARKETPLACE-ESRD-ESRD-CONSOLIDATED-BILLING | Retired |
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| Sep 30, 2026 | Molina Healthcare | DME Place of Service Separately ReimbursablePayerPolicy · MOLINA-TX-MARKETPLACE-DME-DME-PLACE-OF-SERVICE-SEPARATELY-REIMBURSABLE | Retired |
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| Sep 30, 2026 | Molina Healthcare | DME Non Invasive Ventilator SettingsPayerPolicy · MOLINA-TX-MARKETPLACE-DME-DME-NON-INVASIVE-VENTILATOR-SETTINGS | Retired |
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| Sep 30, 2026 | Molina Healthcare | Recovery Policy for Revenue to CPT Code ReviewPayerPolicy · MOLINA-TX-MARKETPLACE-ADMINISTRATIVE-RECOVERY-POLICY-FOR-REVENUE-TO-CPT-CODE-REVIEW | Retired |
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| Sep 30, 2026 | Molina Healthcare | Multiple Procedure Payment ReductionPayerPolicy · MOLINA-TX-MARKETPLACE-ADMINISTRATIVE-MULTIPLE-PROCEDURE-PAYMENT-REDUCTION | Retired |
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| Sep 30, 2026 | Molina Healthcare | After Hours and Weekend Care ProfessionalPayerPolicy · MOLINA-TX-MARKETPLACE-ADMINISTRATIVE-AFTER-HOURS-AND-WEEKEND-CARE-PROFESSIONAL | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2005 Vitamin D TestingPayerPolicy · MOLINA-TX-MARKETPLACE-LAB-G2005-VITAMIN-D-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2045 Thyroid Disease TestingPayerPolicy · MOLINA-TX-MARKETPLACE-LAB-G2045-THYROID-DISEASE-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | STI Lab Panel TestingPayerPolicy · MOLINA-TX-MARKETPLACE-LAB-STI-LAB-PANEL-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Specimen Validity TestingPayerPolicy · MOLINA-TX-MARKETPLACE-LAB-SPECIMEN-VALIDITY-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2124 Serum Tumor Markers for MalignanciesPayerPolicy · MOLINA-TX-MARKETPLACE-LAB-G2124-SERUM-TUMOR-MARKERS-FOR-MALIGNANCIES | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2151 Serum Testing For Evidence of Mild Traumatic Brain InjuryPayerPolicy · MOLINA-TX-MARKETPLACE-LAB-G2151-SERUM-TESTING-FOR-EVIDENCE-OF-MILD | Retired |
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| Sep 30, 2026 | Molina Healthcare | M2041 RTM Venous and Arterial Thrombosis Risk TestingPayerPolicy · MOLINA-TX-MARKETPLACE-LAB-M2041-RTM-VENOUS-AND-ARTERIAL-THROMBOSIS-RISK | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2035 Prenatal Screening Nongenetic Prior VariancePayerPolicy · MOLINA-TX-MARKETPLACE-LAB-G2035-PRENATAL-SCREENING-NONGENETIC-PRIOR-VARIANCE | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2164 Parathyroid Hormone Phosphorus Calcium and Magnesium TestingPayerPolicy · MOLINA-TX-MARKETPLACE-LAB-G2164-PARATHYROID-HORMONE-PHOSPHORUS-CALCIUM-AND | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2153 Pancreatic Enzyme Testing for Acute PancreatitisPayerPolicy · MOLINA-TX-MARKETPLACE-LAB-G2153-PANCREATIC-ENZYME-TESTING-FOR-ACUTE | Retired |
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| Sep 30, 2026 | Molina Healthcare | R2162 Laboratory Procedures ReimbursementPayerPolicy · MOLINA-TX-MARKETPLACE-LAB-R2162-LABORATORY-PROCEDURES-REIMBURSEMENT | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2099 Intracellular Micronutrient AnalysisPayerPolicy · MOLINA-TX-MARKETPLACE-LAB-G2099-INTRACELLULAR-MICRONUTRIENT-ANALYSIS | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2036 Hepatitis TestingPayerPolicy · MOLINA-TX-MARKETPLACE-LAB-G2036-HEPATITIS-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | F2019 Flow CytometryPayerPolicy · MOLINA-TX-MARKETPLACE-LAB-F2019-FLOW-CYTOMETRY | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2011 Diagnostic Testing of Iron Homeostasis MetabolismPayerPolicy · MOLINA-TX-MARKETPLACE-LAB-G2011-DIAGNOSTIC-TESTING-OF-IRON-HOMEOSTASIS | Retired |
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| Sep 30, 2026 | Molina Healthcare | Clinical Diagnostic Laboratory ServicesPayerPolicy · MOLINA-TX-MARKETPLACE-LAB-CLINICAL-DIAGNOSTIC-LABORATORY-SERVICES | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2150 Biomarkers for Myocardial Infarction and Chronic Heart FailurePayerPolicy · MOLINA-TX-MARKETPLACE-LAB-G2150-BIOMARKERS-FOR-MYOCARDIAL-INFARCTION-AND | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2022 Biomarker Testing for Autoimmune Rheumatic DiseasePayerPolicy · MOLINA-TX-MARKETPLACE-LAB-G2022-BIOMARKER-TESTING-FOR-AUTOIMMUNE-RHEUMATIC | Retired |
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| Sep 30, 2026 | Molina Healthcare | Optum EDC Analyzer - Facility ER E&M Leveling PrepaymentPayerPolicy · MOLINA-TX-MARKETPLACE-CLINICAL-OPTUM-EDC-ANALYZER-FACILITY-ER-E-M-LEVELING | Retired |
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| Sep 30, 2026 | Molina Healthcare | ObservationPayerPolicy · MOLINA-TX-MARKETPLACE-CLINICAL-OBSERVATION | Retired |
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| Sep 30, 2026 | Molina Healthcare | Hospital Routine Supplies ServicesPayerPolicy · MOLINA-TX-MARKETPLACE-CLINICAL-HOSPITAL-ROUTINE-SUPPLIES-SERVICES | Retired |
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| Sep 30, 2026 | Molina Healthcare | High Level Evaluation and Management with Preventive MedicinePayerPolicy · MOLINA-TX-MARKETPLACE-CLINICAL-HIGH-LEVEL-EVALUATION-AND-MANAGEMENT-WITH | Retired |
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| Sep 30, 2026 | Molina Healthcare | Facility Emergency Department Evaluation and Management levelingPayerPolicy · MOLINA-TX-MARKETPLACE-CLINICAL-FACILITY-EMERGENCY-DEPARTMENT-EVALUATION-AND | Retired |
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| Sep 30, 2026 | Molina Healthcare | Unspecified Codes in an Inpatient SettingPayerPolicy · MOLINA-TX-MARKETPLACE-UNSPECIFIED-CODES-IN-AN-INPATIENT-SETTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Therapy Modifier CodingPayerPolicy · MOLINA-TX-MARKETPLACE-CODING-THERAPY-MODIFIER-CODING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Tendon Injections Missing DiagnosisPayerPolicy · MOLINA-TX-MARKETPLACE-TENDON-INJECTIONS-MISSING-DIAGNOSIS | Retired |
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| Sep 30, 2026 | Molina Healthcare | Status Indicator Flag B Bundled CodesPayerPolicy · MOLINA-TX-MARKETPLACE-STATUS-INDICATOR-FLAG-B-BUNDLED-CODES | Retired |
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| Sep 30, 2026 | Molina Healthcare | Repeat Procedure Modifiers 76 77PayerPolicy · MOLINA-TX-MARKETPLACE-REPEAT-PROCEDURE-MODIFIERS-76-77 | Retired |
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| Sep 30, 2026 | Molina Healthcare | Reduced Services and Discontinued ProceduresPayerPolicy · MOLINA-TX-MARKETPLACE-REDUCED-SERVICES-AND-DISCONTINUED-PROCEDURES | Retired |
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| Sep 30, 2026 | Molina Healthcare | PT OT Initial EvaluationsPayerPolicy · MOLINA-TX-MARKETPLACE-PT-OT-INITIAL-EVALUATIONS | Retired |
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| Sep 30, 2026 | Molina Healthcare | Modifiers XE XS XP XU and 59 UsagePayerPolicy · MOLINA-TX-MARKETPLACE-MODIFIERS-XE-XS-XP-XU-AND-59-USAGE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Modifier TCPayerPolicy · MOLINA-TX-MARKETPLACE-MODIFIER-TC | Retired |
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| Sep 30, 2026 | Molina Healthcare | Modifier 25PayerPolicy · MOLINA-TX-MARKETPLACE-MODIFIER-25 | Retired |
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| Sep 30, 2026 | Molina Healthcare | Member PCP as Attending Provider in a ER Facility SettingPayerPolicy · MOLINA-TX-MARKETPLACE-MEMBER-PCP-AS-ATTENDING-PROVIDER-IN-A-ER-FACILITY | Retired |
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| Sep 30, 2026 | Molina Healthcare | Medically Unlikely EditsPayerPolicy · MOLINA-TX-MARKETPLACE-MEDICALLY-UNLIKELY-EDITS | Retired |
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