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 | Aortography and Peripheral AngiographyPayerPolicy · MOLINA-NY-MARKETPLACE-RADIOLOGY-AORTOGRAPHY-AND-PERIPHERAL-ANGIOGRAPHY | Retired |
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| Sep 30, 2026 | Molina Healthcare | Ambulatory Echocardiograph MonitoringPayerPolicy · MOLINA-NY-MARKETPLACE-RADIOLOGY-AMBULATORY-ECHOCARDIOGRAPH-MONITORING | Retired |
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| Sep 30, 2026 | Molina Healthcare | ESRD 90999 No Modifier Weekly and Monthly LimitsPayerPolicy · MOLINA-NY-MARKETPLACE-ESRD-ESRD-90999-NO-MODIFIER-WEEKLY-AND-MONTHLY-LIMITS | Retired |
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| Sep 30, 2026 | Molina Healthcare | DME Non Invasive Ventilator SettingsPayerPolicy · MOLINA-NY-MARKETPLACE-DME-DME-NON-INVASIVE-VENTILATOR-SETTINGS | Retired |
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| Sep 30, 2026 | Molina Healthcare | Semiprivate Vs Private RoomPayerPolicy · MOLINA-NY-MARKETPLACE-ADMINISTRATIVE-SEMIPRIVATE-VS-PRIVATE-ROOM | Retired |
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| Sep 30, 2026 | Molina Healthcare | Recovery Policy for Revenue to CPT Code ReviewPayerPolicy · MOLINA-NY-MARKETPLACE-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-NY-MARKETPLACE-ADMINISTRATIVE-RECOVERY-POLICY-FOR-CPT-TO-CPT-CODE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Multiple Procedure Payment ReductionPayerPolicy · MOLINA-NY-MARKETPLACE-ADMINISTRATIVE-MULTIPLE-PROCEDURE-PAYMENT-REDUCTION | Retired |
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| Sep 30, 2026 | Molina Healthcare | Member Not ActivePayerPolicy · MOLINA-NY-MARKETPLACE-ADMINISTRATIVE-MEMBER-NOT-ACTIVE | Retired |
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| Sep 30, 2026 | Molina Healthcare | General Billing and Coding PolicyPayerPolicy · MOLINA-NY-MARKETPLACE-ADMINISTRATIVE-GENERAL-BILLING-AND-CODING-POLICY | Retired |
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| Sep 30, 2026 | Molina Healthcare | Corrected ClaimsPayerPolicy · MOLINA-NY-MARKETPLACE-ADMINISTRATIVE-CORRECTED-CLAIMS | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2014 Vitamin B12 and Methylmalonic Acid TestingPayerPolicy · MOLINA-NY-MARKETPLACE-LAB-G2014-VITAMIN-B12-AND-METHYLMALONIC-ACID-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Specimen Validity TestingPayerPolicy · MOLINA-NY-MARKETPLACE-LAB-SPECIMEN-VALIDITY-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2151 Serum Testing For Evidence of Mild Traumatic Brain InjuryPayerPolicy · MOLINA-NY-MARKETPLACE-LAB-G2151-SERUM-TESTING-FOR-EVIDENCE-OF-MILD | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2035 Prenatal Screening Nongenetic Prior VariancePayerPolicy · MOLINA-NY-MARKETPLACE-LAB-G2035-PRENATAL-SCREENING-NONGENETIC-PRIOR-VARIANCE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Physician Office Laboratory TestingPayerPolicy · MOLINA-NY-MARKETPLACE-LAB-PHYSICIAN-OFFICE-LABORATORY-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2164 Parathyroid Hormone Phosphorus Calcium and Magnesium TestingPayerPolicy · MOLINA-NY-MARKETPLACE-LAB-G2164-PARATHYROID-HORMONE-PHOSPHORUS-CALCIUM-AND | Retired |
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| Sep 30, 2026 | Molina Healthcare | Non-Invasive Prenatal TestingPayerPolicy · MOLINA-NY-MARKETPLACE-LAB-NON-INVASIVE-PRENATAL-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Lab Codes with Modifiers 59 and 91PayerPolicy · MOLINA-NY-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-NY-MARKETPLACE-LAB-M2097-IDENTIFICATION-OF-MICROORGANISMS-USING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2036 Hepatitis TestingPayerPolicy · MOLINA-NY-MARKETPLACE-LAB-G2036-HEPATITIS-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2181 Colorectal Cancer Screening Prior VariancePayerPolicy · MOLINA-NY-MARKETPLACE-LAB-G2181-COLORECTAL-CANCER-SCREENING-PRIOR-VARIANCE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Clinical Diagnostic Laboratory ServicesPayerPolicy · MOLINA-NY-MARKETPLACE-LAB-CLINICAL-DIAGNOSTIC-LABORATORY-SERVICES | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2050 Cardiovascular Disease Risk AssessmentPayerPolicy · MOLINA-NY-MARKETPLACE-LAB-G2050-CARDIOVASCULAR-DISEASE-RISK-ASSESSMENT | Retired |
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| Sep 30, 2026 | Molina Healthcare | ReadmissionPayerPolicy · MOLINA-NY-MARKETPLACE-CLINICAL-READMISSION | Retired |
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| Sep 30, 2026 | Molina Healthcare | Podiatric Q ModifiersPayerPolicy · MOLINA-NY-MARKETPLACE-PODIATRIC-Q-MODIFIERS | Retired |
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| Sep 30, 2026 | Molina Healthcare | Decision for Surgery Modifier 57PayerPolicy · MOLINA-NY-MARKETPLACE-DECISION-FOR-SURGERY-MODIFIER-57 | Retired |
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| Sep 30, 2026 | Molina Healthcare | Critical Care Codes when Discharging Home from the Emergency DepartmentPayerPolicy · MOLINA-NY-MARKETPLACE-CRITICAL-CARE-CODES-WHEN-DISCHARGING-HOME-FROM | Retired |
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| Sep 30, 2026 | Molina Healthcare | EpiduralSteroidInjectionsForPainManagementPayerPolicy · MOLINA-NM-MEDICARE-PHARMACY-EPIDURALSTEROIDINJECTIONSFORPAINMANAGEMENT | Retired |
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| Sep 30, 2026 | Molina Healthcare | Authorized Pain Management Services with a Claim Modifier MismatchPayerPolicy · MOLINA-NM-MEDICARE-PHARMACY-AUTHORIZED-PAIN-MANAGEMENT-SERVICES-WITH-A-CLAIM | Retired |
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| Sep 30, 2026 | Molina Healthcare | Image Guided Radiation TherapyPayerPolicy · MOLINA-NM-MEDICARE-RADIOLOGY-IMAGE-GUIDED-RADIATION-THERAPY | Retired |
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| Sep 30, 2026 | Molina Healthcare | ESRD Billing for J0406 or J0606 with Modifier AXPayerPolicy · MOLINA-NM-MEDICARE-ESRD-ESRD-BILLING-FOR-J0406-OR-J0606-WITH-MODIFIER-AX | Retired |
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| Sep 30, 2026 | Molina Healthcare | DME Place of Service 31or 32PayerPolicy · MOLINA-NM-MEDICARE-DME-DME-PLACE-OF-SERVICE-31OR-32 | Retired |
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| Sep 30, 2026 | Molina Healthcare | DME Non Invasive Ventilator SettingsPayerPolicy · MOLINA-NM-MEDICARE-DME-DME-NON-INVASIVE-VENTILATOR-SETTINGS | Retired |
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| Sep 30, 2026 | Molina Healthcare | Recovery Policy for CPT to CPT CodePayerPolicy · MOLINA-NM-MEDICARE-ADMINISTRATIVE-RECOVERY-POLICY-FOR-CPT-TO-CPT-CODE | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2050 Cardiovascular Disease Risk AssessmentPayerPolicy · MOLINA-NM-MEDICARE-LAB-G2050-CARDIOVASCULAR-DISEASE-RISK-ASSESSMENT | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2125 Urinary Tumor Markers for Bladder CancerPayerPolicy · MOLINA-NM-MEDICARE-LAB-G2125-URINARY-TUMOR-MARKERS-FOR-BLADDER-CANCER | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2153 Pancreatic Enzyme Testing for Acute PancreatitisPayerPolicy · MOLINA-NM-MEDICARE-LAB-G2153-PANCREATIC-ENZYME-TESTING-FOR-ACUTE | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2155 General Inflammation TestingPayerPolicy · MOLINA-NM-MEDICARE-LAB-G2155-GENERAL-INFLAMMATION-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2008 Prostate Specific Antigen PSA TestingPayerPolicy · MOLINA-NM-MEDICARE-LAB-G2008-PROSTATE-SPECIFIC-ANTIGEN-PSA-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2005 Vitamin D TestingPayerPolicy · MOLINA-NM-MEDICARE-LAB-G2005-VITAMIN-D-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Clinical Diagnostic Laboratory ServicesPayerPolicy · MOLINA-NM-MEDICARE-LAB-CLINICAL-DIAGNOSTIC-LABORATORY-SERVICES | Retired |
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| Sep 30, 2026 | Molina Healthcare | Psychotherapy Add On with High Level EMPayerPolicy · MOLINA-NM-MEDICARE-CLINICAL-PSYCHOTHERAPY-ADD-ON-WITH-HIGH-LEVEL-EM | Retired |
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| Sep 30, 2026 | Molina Healthcare | High Level Evaluation and Management with Preventive MedicinePayerPolicy · MOLINA-NM-MEDICARE-CLINICAL-HIGH-LEVEL-EVALUATION-AND-MANAGEMENT-WITH | Retired |
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| Sep 30, 2026 | Molina Healthcare | Unspecified Codes in an Inpatient SettingPayerPolicy · MOLINA-NM-MEDICARE-UNSPECIFIED-CODES-IN-AN-INPATIENT-SETTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Unlisted CodingPayerPolicy · MOLINA-NM-MEDICARE-CODING-UNLISTED-CODING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Modifiers XE XS XP XU and 59 UsagePayerPolicy · MOLINA-NM-MEDICARE-MODIFIERS-XE-XS-XP-XU-AND-59-USAGE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Facility Bilateralor Anatomical Modifier UsePayerPolicy · MOLINA-NM-MEDICARE-FACILITY-BILATERALOR-ANATOMICAL-MODIFIER-USE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Add-on CodingPayerPolicy · MOLINA-NM-MEDICARE-CODING-ADD-ON-CODING | Retired |
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| Sep 30, 2026 | Molina Healthcare | CT Computed Tomography of the Abdomen and PelvisPayerPolicy · MOLINA-NM-MARKETPLACE-RADIOLOGY-CT-COMPUTED-TOMOGRAPHY-OF-THE-ABDOMEN-AND-PELVIS | Retired |
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