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 | Medical Supplies Home Health Consolidated BillingPayerPolicy · MOLINA-SC-MARKETPLACE-ADMINISTRATIVE-MEDICAL-SUPPLIES-HOME-HEALTH-CONSOLIDATED-BILLING | Retired |
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| Sep 30, 2026 | Molina Healthcare | General Billing and Coding PolicyPayerPolicy · MOLINA-SC-MARKETPLACE-ADMINISTRATIVE-GENERAL-BILLING-AND-CODING-POLICY | Retired |
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| Sep 30, 2026 | Molina Healthcare | Fee SchedulePayerPolicy · MOLINA-SC-MARKETPLACE-ADMINISTRATIVE-FEE-SCHEDULE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Duplicate ClaimsPayerPolicy · MOLINA-SC-MARKETPLACE-ADMINISTRATIVE-DUPLICATE-CLAIMS | Retired |
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| Sep 30, 2026 | Molina Healthcare | Corrected ClaimsPayerPolicy · MOLINA-SC-MARKETPLACE-ADMINISTRATIVE-CORRECTED-CLAIMS | Retired |
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| Sep 30, 2026 | Molina Healthcare | Authorization ReviewPayerPolicy · MOLINA-SC-MARKETPLACE-ADMINISTRATIVE-AUTHORIZATION-REVIEW | Retired |
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| Sep 30, 2026 | Molina Healthcare | After Hours and Weekend Care ProfessionalPayerPolicy · MOLINA-SC-MARKETPLACE-ADMINISTRATIVE-AFTER-HOURS-AND-WEEKEND-CARE-PROFESSIONAL | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2045 Thyroid Disease TestingPayerPolicy · MOLINA-SC-MARKETPLACE-LAB-G2045-THYROID-DISEASE-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Specimen Validity TestingPayerPolicy · MOLINA-SC-MARKETPLACE-LAB-SPECIMEN-VALIDITY-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2124 Serum Tumor Markers for MalignanciesPayerPolicy · MOLINA-SC-MARKETPLACE-LAB-G2124-SERUM-TUMOR-MARKERS-FOR-MALIGNANCIES | Retired |
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| Sep 30, 2026 | Molina Healthcare | M2041 RTM Venous and Arterial Thrombosis Risk TestingPayerPolicy · MOLINA-SC-MARKETPLACE-LAB-M2041-RTM-VENOUS-AND-ARTERIAL-THROMBOSIS-RISK | Retired |
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| Sep 30, 2026 | Molina Healthcare | Respiratory Pathogen Panel TestingPayerPolicy · MOLINA-SC-MARKETPLACE-LAB-RESPIRATORY-PATHOGEN-PANEL-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Physician Office Laboratory TestingPayerPolicy · MOLINA-SC-MARKETPLACE-LAB-PHYSICIAN-OFFICE-LABORATORY-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2042 Pediatric Preventive ScreeningPayerPolicy · MOLINA-SC-MARKETPLACE-LAB-G2042-PEDIATRIC-PREVENTIVE-SCREENING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2164 Parathyroid Hormone Phosphorus Calcium and Magnesium TestingPayerPolicy · MOLINA-SC-MARKETPLACE-LAB-G2164-PARATHYROID-HORMONE-PHOSPHORUS-CALCIUM-AND | Retired |
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| Sep 30, 2026 | Molina Healthcare | Packaged and conditionally packaged lab servicesPayerPolicy · MOLINA-SC-MARKETPLACE-LAB-PACKAGED-AND-CONDITIONALLY-PACKAGED-LAB-SERVICES | Retired |
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| Sep 30, 2026 | Molina Healthcare | M2172 Onychomycosis TestingPayerPolicy · MOLINA-SC-MARKETPLACE-LAB-M2172-ONYCHOMYCOSIS-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Non-Invasive Prenatal TestingPayerPolicy · MOLINA-SC-MARKETPLACE-LAB-NON-INVASIVE-PRENATAL-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Lab Codes with Modifiers 59 and 91PayerPolicy · MOLINA-SC-MARKETPLACE-LAB-LAB-CODES-WITH-MODIFIERS-59-AND-91 | Retired |
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| Sep 30, 2026 | Molina Healthcare | M2097 Identification of Microorganisms using Nucleic Acid ProbesPayerPolicy · MOLINA-SC-MARKETPLACE-LAB-M2097-IDENTIFICATION-OF-MICROORGANISMS-USING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2044 Helicobacter pylori TestingPayerPolicy · MOLINA-SC-MARKETPLACE-LAB-G2044-HELICOBACTER-PYLORI-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2155 General Inflammation TestingPayerPolicy · MOLINA-SC-MARKETPLACE-LAB-G2155-GENERAL-INFLAMMATION-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2011 Diagnostic Testing of Iron Homeostasis MetabolismPayerPolicy · MOLINA-SC-MARKETPLACE-LAB-G2011-DIAGNOSTIC-TESTING-OF-IRON-HOMEOSTASIS | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2174 Coronavirus Testing in the Outpatient SettingPayerPolicy · MOLINA-SC-MARKETPLACE-LAB-G2174-CORONAVIRUS-TESTING-IN-THE-OUTPATIENT | Retired |
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| Sep 30, 2026 | Molina Healthcare | Clinical Diagnostic Laboratory ServicesPayerPolicy · MOLINA-SC-MARKETPLACE-LAB-CLINICAL-DIAGNOSTIC-LABORATORY-SERVICES | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2050 Cardiovascular Disease Risk AssessmentPayerPolicy · MOLINA-SC-MARKETPLACE-LAB-G2050-CARDIOVASCULAR-DISEASE-RISK-ASSESSMENT | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2022 Biomarker Testing for Autoimmune Rheumatic DiseasePayerPolicy · MOLINA-SC-MARKETPLACE-LAB-G2022-BIOMARKER-TESTING-FOR-AUTOIMMUNE-RHEUMATIC | Retired |
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| Sep 30, 2026 | Molina Healthcare | Psychotherapy Add On with High Level EMPayerPolicy · MOLINA-SC-MARKETPLACE-CLINICAL-PSYCHOTHERAPY-ADD-ON-WITH-HIGH-LEVEL-EM | Retired |
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| Sep 30, 2026 | Molina Healthcare | Optum EDC Analyzer - Facility ER E&M Leveling PrepaymentPayerPolicy · MOLINA-SC-MARKETPLACE-CLINICAL-OPTUM-EDC-ANALYZER-FACILITY-ER-E-M-LEVELING | Retired |
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| Sep 30, 2026 | Molina Healthcare | ObservationPayerPolicy · MOLINA-SC-MARKETPLACE-CLINICAL-OBSERVATION | Retired |
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| Sep 30, 2026 | Molina Healthcare | High Level Evaluation and Management with Preventive MedicinePayerPolicy · MOLINA-SC-MARKETPLACE-CLINICAL-HIGH-LEVEL-EVALUATION-AND-MANAGEMENT-WITH | Retired |
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| Sep 30, 2026 | Molina Healthcare | Unspecified Codes in an Inpatient SettingPayerPolicy · MOLINA-SC-MARKETPLACE-UNSPECIFIED-CODES-IN-AN-INPATIENT-SETTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Status Indicator Flag B Bundled CodesPayerPolicy · MOLINA-SC-MARKETPLACE-STATUS-INDICATOR-FLAG-B-BUNDLED-CODES | Retired |
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| Sep 30, 2026 | Molina Healthcare | Repeat Procedure Modifiers 76 77PayerPolicy · MOLINA-SC-MARKETPLACE-REPEAT-PROCEDURE-MODIFIERS-76-77 | Retired |
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| Sep 30, 2026 | Molina Healthcare | PT OT Initial EvaluationsPayerPolicy · MOLINA-SC-MARKETPLACE-PT-OT-INITIAL-EVALUATIONS | Retired |
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| Sep 30, 2026 | Molina Healthcare | PT OT ST Yearly LimitPayerPolicy · MOLINA-SC-MARKETPLACE-PT-OT-ST-YEARLY-LIMIT | Retired |
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| Sep 30, 2026 | Molina Healthcare | Modifier KXPayerPolicy · MOLINA-SC-MARKETPLACE-MODIFIER-KX | Retired |
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| Sep 30, 2026 | Molina Healthcare | Incarceration Diagnosis CodePayerPolicy · MOLINA-SC-MARKETPLACE-INCARCERATION-DIAGNOSIS-CODE | Retired |
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| Sep 30, 2026 | Molina Healthcare | ICD-10 First Listed Diagnosis Coding PolicyPayerPolicy · MOLINA-SC-MARKETPLACE-CODING-ICD-10-FIRST-LISTED-DIAGNOSIS-CODING-POLICY | Retired |
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| Sep 30, 2026 | Molina Healthcare | Global Surgical Packages for Professional ProvidersPayerPolicy · MOLINA-SC-MARKETPLACE-GLOBAL-SURGICAL-PACKAGES-FOR-PROFESSIONAL | Retired |
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| Sep 30, 2026 | Molina Healthcare | Discontinued ProceduresPayerPolicy · MOLINA-SC-MARKETPLACE-DISCONTINUED-PROCEDURES | Retired |
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| Sep 30, 2026 | Molina Healthcare | CMS Replacement CodesPayerPolicy · MOLINA-SC-MARKETPLACE-CMS-REPLACEMENT-CODES | Retired |
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| Sep 30, 2026 | Molina Healthcare | Advanced Beneficiary Notice ABN Modifiers GA GX GY GZPayerPolicy · MOLINA-SC-MARKETPLACE-ADVANCED-BENEFICIARY-NOTICE-ABN-MODIFIERS-GA-GX | Retired |
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| Sep 30, 2026 | Molina Healthcare | NDCPayerPolicy · MOLINA-OH-MEDICARE-PHARMACY-NDC | Retired |
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| Sep 30, 2026 | Molina Healthcare | Authorized Pain Management Services with a Claim Modifier MismatchPayerPolicy · MOLINA-OH-MEDICARE-PHARMACY-AUTHORIZED-PAIN-MANAGEMENT-SERVICES-WITH-A-CLAIM | Retired |
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| Sep 30, 2026 | Molina Healthcare | Electrocardiographic EKG or ECG Monitoring Holteror Real Time MonitoringPayerPolicy · MOLINA-OH-MEDICARE-RADIOLOGY-ELECTROCARDIOGRAPHIC-EKG-OR-ECG-MONITORING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Autonomic FunctionTestingPayerPolicy · MOLINA-OH-MEDICARE-RADIOLOGY-AUTONOMIC-FUNCTIONTESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | DME Place of Service Separately ReimbursablePayerPolicy · MOLINA-OH-MEDICARE-DME-DME-PLACE-OF-SERVICE-SEPARATELY-REIMBURSABLE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Recovery Policy for Revenue to CPT Code ReviewPayerPolicy · MOLINA-OH-MEDICARE-ADMINISTRATIVE-RECOVERY-POLICY-FOR-REVENUE-TO-CPT-CODE-REVIEW | Retired |
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| Sep 30, 2026 | Molina Healthcare | Recovery Policy for CPT to CPT CodePayerPolicy · MOLINA-OH-MEDICARE-ADMINISTRATIVE-RECOVERY-POLICY-FOR-CPT-TO-CPT-CODE | Retired |
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