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 | Multiple Procedure Payment ReductionPayerPolicy · MOLINA-OH-MEDICARE-ADMINISTRATIVE-MULTIPLE-PROCEDURE-PAYMENT-REDUCTION | Retired |
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| Sep 30, 2026 | Molina Healthcare | MemberNotActive12162024lPayerPolicy · MOLINA-OH-MEDICARE-ADMINISTRATIVE-MEMBERNOTACTIVE12162024L | Retired |
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| Sep 30, 2026 | Molina Healthcare | Cross-Departmental Recovery PolicyPayerPolicy · MOLINA-OH-MEDICARE-ADMINISTRATIVE-CROSS-DEPARTMENTAL-RECOVERY-POLICY | Retired |
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| Sep 30, 2026 | Molina Healthcare | After Hours and Weekend Care ProfessionalPayerPolicy · MOLINA-OH-MEDICARE-ADMINISTRATIVE-AFTER-HOURS-AND-WEEKEND-CARE-PROFESSIONAL | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2022 Biomarker Testing for Autoimmune Rheumatic DiseasePayerPolicy · MOLINA-OH-MEDICARE-LAB-G2022-BIOMARKER-TESTING-FOR-AUTOIMMUNE-RHEUMATIC | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2036 Hepatitis TestingPayerPolicy · MOLINA-OH-MEDICARE-LAB-G2036-HEPATITIS-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2044 Helicobacter pylori TestingPayerPolicy · MOLINA-OH-MEDICARE-LAB-G2044-HELICOBACTER-PYLORI-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2045 Thyroid Disease TestingPayerPolicy · MOLINA-OH-MEDICARE-LAB-G2045-THYROID-DISEASE-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2099 Intracellular Micronutrient AnalysisPayerPolicy · MOLINA-OH-MEDICARE-LAB-G2099-INTRACELLULAR-MICRONUTRIENT-ANALYSIS | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2120 Salivary Hormone TestingPayerPolicy · MOLINA-OH-MEDICARE-LAB-G2120-SALIVARY-HORMONE-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2149 Pathogen Panel TestingPayerPolicy · MOLINA-OH-MEDICARE-LAB-G2149-PATHOGEN-PANEL-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2150 Biomarkers for Myocardial Infarction and Chronic Heart FailurePayerPolicy · MOLINA-OH-MEDICARE-LAB-G2150-BIOMARKERS-FOR-MYOCARDIAL-INFARCTION-AND | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2153 Pancreatic Enzyme Testing for Acute PancreatitisPayerPolicy · MOLINA-OH-MEDICARE-LAB-G2153-PANCREATIC-ENZYME-TESTING-FOR-ACUTE | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2154 Folate TestingPayerPolicy · MOLINA-OH-MEDICARE-LAB-G2154-FOLATE-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | M2057 Diagnosis of Vaginitis Prior VariancePayerPolicy · MOLINA-OH-MEDICARE-LAB-M2057-DIAGNOSIS-OF-VAGINITIS-PRIOR-VARIANCE | Retired |
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| Sep 30, 2026 | Molina Healthcare | M2097 Identification of Microorganisms using Nucleic Acid ProbesPayerPolicy · MOLINA-OH-MEDICARE-LAB-M2097-IDENTIFICATION-OF-MICROORGANISMS-USING | Retired |
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| Sep 30, 2026 | Molina Healthcare | R2162 Laboratory Procedures ReimbursementPayerPolicy · MOLINA-OH-MEDICARE-LAB-R2162-LABORATORY-PROCEDURES-REIMBURSEMENT | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2011 Diagnostic Testing of Iron Homeostasis MetabolismPayerPolicy · MOLINA-OH-MEDICARE-LAB-G2011-DIAGNOSTIC-TESTING-OF-IRON-HOMEOSTASIS | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2005 Vitamin D TestingPayerPolicy · MOLINA-OH-MEDICARE-LAB-G2005-VITAMIN-D-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Reduced Services and Discontinued ProceduresPayerPolicy · MOLINA-OH-MEDICARE-REDUCED-SERVICES-AND-DISCONTINUED-PROCEDURES | Retired |
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| Sep 30, 2026 | Molina Healthcare | PT OT ST Yearly LimitPayerPolicy · MOLINA-OH-MEDICARE-PT-OT-ST-YEARLY-LIMIT | Retired |
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| Sep 30, 2026 | Molina Healthcare | Physical Therapy Max Units Per DayPayerPolicy · MOLINA-OH-MEDICARE-PHYSICAL-THERAPY-MAX-UNITS-PER-DAY | Retired |
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| Sep 30, 2026 | Molina Healthcare | Modifiers XE XS XP XU and 59 UsagePayerPolicy · MOLINA-OH-MEDICARE-MODIFIERS-XE-XS-XP-XU-AND-59-USAGE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Modifier 25PayerPolicy · MOLINA-OH-MEDICARE-MODIFIER-25 | Retired |
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| Sep 30, 2026 | Molina Healthcare | ICD-10 First Listed Diagnosis Coding PolicyPayerPolicy · MOLINA-OH-MEDICARE-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-OH-MEDICARE-GLOBAL-SURGICAL-PACKAGES-FOR-PROFESSIONAL | Retired |
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| Sep 30, 2026 | Molina Healthcare | Emergency EM Codesand Place of ServicePayerPolicy · MOLINA-OH-MEDICARE-EMERGENCY-EM-CODESAND-PLACE-OF-SERVICE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Critical Care Codes when Discharging Home from the Emergency DepartmentPayerPolicy · MOLINA-OH-MEDICARE-CRITICAL-CARE-CODES-WHEN-DISCHARGING-HOME-FROM | Retired |
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| Sep 30, 2026 | Molina Healthcare | Opioid Treatment ServicePayerPolicy · MOLINA-OH-MARKETPLACE-PHARMACY-OPIOID-TREATMENT-SERVICE | Retired |
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| Sep 30, 2026 | Molina Healthcare | High Dollar PharmacyPayerPolicy · MOLINA-OH-MARKETPLACE-PHARMACY-HIGH-DOLLAR-PHARMACY | Retired |
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| Sep 30, 2026 | Molina Healthcare | Electrocardiographic EKG or ECG Monitoring Holter or Real Time MonitoringPayerPolicy · MOLINA-OH-MARKETPLACE-RADIOLOGY-ELECTROCARDIOGRAPHIC-EKG-OR-ECG-MONITORING-HOLTER | Retired |
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| Sep 30, 2026 | Molina Healthcare | CT Computed Tomography of the Abdomen and PelvisPayerPolicy · MOLINA-OH-MARKETPLACE-RADIOLOGY-CT-COMPUTED-TOMOGRAPHY-OF-THE-ABDOMEN-AND-PELVIS | Retired |
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| Sep 30, 2026 | Molina Healthcare | ESRD Consolidated BillingPayerPolicy · MOLINA-OH-MARKETPLACE-ESRD-ESRD-CONSOLIDATED-BILLING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Split-Night-Sleep-StudyPayerPolicy · MOLINA-VA-MARKETPLACE-CLINICAL-SPLIT-NIGHT-SLEEP-STUDY | Retired |
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| Sep 30, 2026 | Molina Healthcare | Recovery Policy Variable Discount Payments for ProvidersPayerPolicy · MOLINA-OH-MARKETPLACE-ADMINISTRATIVE-RECOVERY-POLICY-VARIABLE-DISCOUNT-PAYMENTS-FOR | Retired |
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| Sep 30, 2026 | Molina Healthcare | Recovery Policy for CPT to CPT CodePayerPolicy · MOLINA-OH-MARKETPLACE-ADMINISTRATIVE-RECOVERY-POLICY-FOR-CPT-TO-CPT-CODE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Multiple Procedure Payment ReductionPayerPolicy · MOLINA-OH-MARKETPLACE-ADMINISTRATIVE-MULTIPLE-PROCEDURE-PAYMENT-REDUCTION | Retired |
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| Sep 30, 2026 | Molina Healthcare | General Billing and Coding PolicyPayerPolicy · MOLINA-OH-MARKETPLACE-ADMINISTRATIVE-GENERAL-BILLING-AND-CODING-POLICY | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2014 Vitamin B12 and Methylmalonic Acid TestingPayerPolicy · MOLINA-OH-MARKETPLACE-LAB-G2014-VITAMIN-B12-AND-METHYLMALONIC-ACID-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2045 Thyroid Disease TestingPayerPolicy · MOLINA-OH-MARKETPLACE-LAB-G2045-THYROID-DISEASE-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | M2041 RTM Venous and Arterial Thrombosis Risk TestingPayerPolicy · MOLINA-OH-MARKETPLACE-LAB-M2041-RTM-VENOUS-AND-ARTERIAL-THROMBOSIS-RISK | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2008 Prostate Specific Antigen PSA TestingPayerPolicy · MOLINA-OH-MARKETPLACE-LAB-G2008-PROSTATE-SPECIFIC-ANTIGEN-PSA-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2035 Prenatal Screening Nongenetic Prior VariancePayerPolicy · MOLINA-OH-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-OH-MARKETPLACE-LAB-G2164-PARATHYROID-HORMONE-PHOSPHORUS-CALCIUM-AND | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2143 Lyme Disease TestingPayerPolicy · MOLINA-OH-MARKETPLACE-LAB-G2143-LYME-DISEASE-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Lab Codes with Modifiers 59 and 91PayerPolicy · MOLINA-OH-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-OH-MARKETPLACE-LAB-M2097-IDENTIFICATION-OF-MICROORGANISMS-USING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2044 Helicobacter pylori TestingPayerPolicy · MOLINA-OH-MARKETPLACE-LAB-G2044-HELICOBACTER-PYLORI-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2155 General Inflammation TestingPayerPolicy · MOLINA-OH-MARKETPLACE-LAB-G2155-GENERAL-INFLAMMATION-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2011 Diagnostic Testing of Iron Homeostasis MetabolismPayerPolicy · MOLINA-OH-MARKETPLACE-LAB-G2011-DIAGNOSTIC-TESTING-OF-IRON-HOMEOSTASIS | Retired |
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