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 | DME Non Invasive Ventilator SettingsPayerPolicy · MOLINA-NE-MARKETPLACE-DME-DME-NON-INVASIVE-VENTILATOR-SETTINGS | Retired |
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| Sep 30, 2026 | Molina Healthcare | Recovery Policy Variable Discount Payments for ProvidersPayerPolicy · MOLINA-NE-MARKETPLACE-ADMINISTRATIVE-RECOVERY-POLICY-VARIABLE-DISCOUNT-PAYMENTS-FOR | Retired |
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| Sep 30, 2026 | Molina Healthcare | Recovery Policy for Revenue to CPT Code ReviewPayerPolicy · MOLINA-NE-MARKETPLACE-ADMINISTRATIVE-RECOVERY-POLICY-FOR-REVENUE-TO-CPT-CODE-REVIEW | Retired |
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| Sep 30, 2026 | Molina Healthcare | Recovery Policy for Diagnosis CodesPayerPolicy · MOLINA-NE-MARKETPLACE-ADMINISTRATIVE-RECOVERY-POLICY-FOR-DIAGNOSIS-CODES | Retired |
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| Sep 30, 2026 | Molina Healthcare | Paid Amount Exceeded Billed AmountPayerPolicy · MOLINA-NE-MARKETPLACE-ADMINISTRATIVE-PAID-AMOUNT-EXCEEDED-BILLED-AMOUNT | Retired |
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| Sep 30, 2026 | Molina Healthcare | Multiple Procedure Payment ReductionPayerPolicy · MOLINA-NE-MARKETPLACE-ADMINISTRATIVE-MULTIPLE-PROCEDURE-PAYMENT-REDUCTION | Retired |
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| Sep 30, 2026 | Molina Healthcare | Medical Supplies Home Health Consolidated BillingPayerPolicy · MOLINA-NE-MARKETPLACE-ADMINISTRATIVE-MEDICAL-SUPPLIES-HOME-HEALTH-CONSOLIDATED-BILLING | Retired |
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| Sep 30, 2026 | Molina Healthcare | General Billing and Coding PolicyPayerPolicy · MOLINA-NE-MARKETPLACE-ADMINISTRATIVE-GENERAL-BILLING-AND-CODING-POLICY | Retired |
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| Sep 30, 2026 | Molina Healthcare | Fee SchedulePayerPolicy · MOLINA-NE-MARKETPLACE-ADMINISTRATIVE-FEE-SCHEDULE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Corrected ClaimsPayerPolicy · MOLINA-NE-MARKETPLACE-ADMINISTRATIVE-CORRECTED-CLAIMS | Retired |
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| Sep 30, 2026 | Molina Healthcare | After Hours and Weekend Care ProfessionalPayerPolicy · MOLINA-NE-MARKETPLACE-ADMINISTRATIVE-AFTER-HOURS-AND-WEEKEND-CARE-PROFESSIONAL | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2014 Vitamin B12 and Methylmalonic Acid TestingPayerPolicy · MOLINA-NE-MARKETPLACE-LAB-G2014-VITAMIN-B12-AND-METHYLMALONIC-ACID-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2045 Thyroid Disease TestingPayerPolicy · MOLINA-NE-MARKETPLACE-LAB-G2045-THYROID-DISEASE-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Specimen Validity TestingPayerPolicy · MOLINA-NE-MARKETPLACE-LAB-SPECIMEN-VALIDITY-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2120 Salivary Hormone TestingPayerPolicy · MOLINA-NE-MARKETPLACE-LAB-G2120-SALIVARY-HORMONE-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Respiratory Pathogen Panel TestingPayerPolicy · MOLINA-NE-MARKETPLACE-LAB-RESPIRATORY-PATHOGEN-PANEL-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Physician Office Laboratory TestingPayerPolicy · MOLINA-NE-MARKETPLACE-LAB-PHYSICIAN-OFFICE-LABORATORY-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2149 Pathogen Panel TestingPayerPolicy · MOLINA-NE-MARKETPLACE-LAB-G2149-PATHOGEN-PANEL-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2153 Pancreatic Enzyme Testing for Acute PancreatitisPayerPolicy · MOLINA-NE-MARKETPLACE-LAB-G2153-PANCREATIC-ENZYME-TESTING-FOR-ACUTE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Non-Invasive Prenatal TestingPayerPolicy · MOLINA-NE-MARKETPLACE-LAB-NON-INVASIVE-PRENATAL-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | R2162 Laboratory Procedures ReimbursementPayerPolicy · MOLINA-NE-MARKETPLACE-LAB-R2162-LABORATORY-PROCEDURES-REIMBURSEMENT | Retired |
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| Sep 30, 2026 | Molina Healthcare | Lab PanelPayerPolicy · MOLINA-NE-MARKETPLACE-LAB-LAB-PANEL | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2099 Intracellular Micronutrient AnalysisPayerPolicy · MOLINA-NE-MARKETPLACE-LAB-G2099-INTRACELLULAR-MICRONUTRIENT-ANALYSIS | Retired |
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| Sep 30, 2026 | Molina Healthcare | M2116 Human Immunodeficiency Virus HIVPayerPolicy · MOLINA-NE-MARKETPLACE-LAB-M2116-HUMAN-IMMUNODEFICIENCY-VIRUS-HIV | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2036 Hepatitis TestingPayerPolicy · MOLINA-NE-MARKETPLACE-LAB-G2036-HEPATITIS-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2044 Helicobacter pylori TestingPayerPolicy · MOLINA-NE-MARKETPLACE-LAB-G2044-HELICOBACTER-PYLORI-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2155 General Inflammation TestingPayerPolicy · MOLINA-NE-MARKETPLACE-LAB-G2155-GENERAL-INFLAMMATION-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | F2019 Flow CytometryPayerPolicy · MOLINA-NE-MARKETPLACE-LAB-F2019-FLOW-CYTOMETRY | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2011 Diagnostic Testing of Iron Homeostasis MetabolismPayerPolicy · MOLINA-NE-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-NE-MARKETPLACE-LAB-G2174-CORONAVIRUS-TESTING-IN-THE-OUTPATIENT | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2181 Colorectal Cancer Screening Prior VariancePayerPolicy · MOLINA-NE-MARKETPLACE-LAB-G2181-COLORECTAL-CANCER-SCREENING-PRIOR-VARIANCE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Clinical Diagnostic Laboratory ServicesPayerPolicy · MOLINA-NE-MARKETPLACE-LAB-CLINICAL-DIAGNOSTIC-LABORATORY-SERVICES | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2031 Allergen TestingPayerPolicy · MOLINA-NE-MARKETPLACE-LAB-G2031-ALLERGEN-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Split-Night-Sleep-StudyPayerPolicy · MOLINA-NE-MARKETPLACE-CLINICAL-SPLIT-NIGHT-SLEEP-STUDY | Retired |
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| Sep 30, 2026 | Molina Healthcare | SepsisPayerPolicy · MOLINA-NE-MARKETPLACE-CLINICAL-SEPSIS | Retired |
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| Sep 30, 2026 | Molina Healthcare | Optum EDC Analyzer - Facility ER E&M Leveling PrepaymentPayerPolicy · MOLINA-NE-MARKETPLACE-CLINICAL-OPTUM-EDC-ANALYZER-FACILITY-ER-E-M-LEVELING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Facility Emergency Department Evaluation and Management levelingPayerPolicy · MOLINA-NE-MARKETPLACE-CLINICAL-FACILITY-EMERGENCY-DEPARTMENT-EVALUATION-AND | Retired |
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| Sep 30, 2026 | Molina Healthcare | DRG Clinical ValidationPayerPolicy · MOLINA-NE-MARKETPLACE-CLINICAL-DRG-CLINICAL-VALIDATION | Retired |
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| Sep 30, 2026 | Molina Healthcare | Breast Cancer Genetic Testing Tier 1 vs Tier 2PayerPolicy · MOLINA-NE-MARKETPLACE-CLINICAL-BREAST-CANCER-GENETIC-TESTING-TIER-1-VS-TIER-2 | Retired |
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| Sep 30, 2026 | Molina Healthcare | EpiduralSteroidInjectionsForPainManagementPayerPolicy · MOLINA-MS-MEDICAID-PHARMACY-EPIDURALSTEROIDINJECTIONSFORPAINMANAGEMENT | Retired |
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| Sep 30, 2026 | Molina Healthcare | Authorized Pain Management Services with a Claim Modifier MismatchPayerPolicy · MOLINA-MS-MEDICAID-PHARMACY-AUTHORIZED-PAIN-MANAGEMENT-SERVICES-WITH-A-CLAIM | Retired |
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| Sep 30, 2026 | Molina Healthcare | Pulmonary Function TestingPayerPolicy · MOLINA-MS-MEDICAID-RADIOLOGY-PULMONARY-FUNCTION-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Image Guided Radiation TherapyPayerPolicy · MOLINA-MS-MEDICAID-RADIOLOGY-IMAGE-GUIDED-RADIATION-THERAPY | Retired |
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| Sep 30, 2026 | Molina Healthcare | CT Computed Tomography of the Abdomen and PelvisPayerPolicy · MOLINA-MS-MEDICAID-RADIOLOGY-CT-COMPUTED-TOMOGRAPHY-OF-THE-ABDOMEN-AND-PELVIS | Retired |
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| Sep 30, 2026 | Molina Healthcare | ESRD Maximum Units of Service and Modifier PolicyPayerPolicy · MOLINA-MS-MEDICAID-ESRD-ESRD-MAXIMUM-UNITS-OF-SERVICE-AND-MODIFIER-POLICY | Retired |
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| Sep 30, 2026 | Molina Healthcare | DME Place of Service separately reimbursablePayerPolicy · MOLINA-MS-MEDICAID-DME-DME-PLACE-OF-SERVICE-SEPARATELY-REIMBURSABLE | Retired |
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| Sep 30, 2026 | Molina Healthcare | DME Non Invasive Ventilator SettingsPayerPolicy · MOLINA-MS-MEDICAID-DME-DME-NON-INVASIVE-VENTILATOR-SETTINGS | Retired |
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| Sep 30, 2026 | Molina Healthcare | Advanced Beneficiary Notice ABN Modifiers GA GX GY GZPayerPolicy · MOLINA-MS-MEDICAID-ADMINISTRATIVE-ADVANCED-BENEFICIARY-NOTICE-ABN-MODIFIERS-GA-GX | Retired |
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| Sep 30, 2026 | Molina Healthcare | Recovery Policy Variable Discount Payments for ProvidersPayerPolicy · MOLINA-MS-MEDICAID-ADMINISTRATIVE-RECOVERY-POLICY-VARIABLE-DISCOUNT-PAYMENTS-FOR | Retired |
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| Sep 30, 2026 | Molina Healthcare | Recovery Policy for Billed Units Service AccumulatorPayerPolicy · MOLINA-MS-MEDICAID-ADMINISTRATIVE-RECOVERY-POLICY-FOR-BILLED-UNITS-SERVICE | Retired |
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