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 | Physician Office Laboratory TestingPayerPolicy · MOLINA-MS-MEDICARE-LAB-PHYSICIAN-OFFICE-LABORATORY-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Psychotherapy Add On with High Level EMPayerPolicy · MOLINA-MS-MEDICARE-CLINICAL-PSYCHOTHERAPY-ADD-ON-WITH-HIGH-LEVEL-EM | Retired |
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| Sep 30, 2026 | Molina Healthcare | Optum Pause and PayPayerPolicy · MOLINA-MS-MEDICARE-CLINICAL-OPTUM-PAUSE-AND-PAY | Retired |
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| Sep 30, 2026 | Molina Healthcare | High Level Evaluation and Management with Preventive MedicinePayerPolicy · MOLINA-MS-MEDICARE-CLINICAL-HIGH-LEVEL-EVALUATION-AND-MANAGEMENT-WITH | Retired |
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| Sep 30, 2026 | Molina Healthcare | Breast Cancer Genetic Testing Tier 1 vs Tier 2PayerPolicy · MOLINA-MS-MEDICARE-CLINICAL-BREAST-CANCER-GENETIC-TESTING-TIER-1-VS-TIER-2 | Retired |
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| Sep 30, 2026 | Molina Healthcare | PT OT Initial EvaluationsPayerPolicy · MOLINA-MS-MEDICARE-PT-OT-INITIAL-EVALUATIONS | Retired |
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| Sep 30, 2026 | Molina Healthcare | Physical Therapy Max Units Per DayPayerPolicy · MOLINA-MS-MEDICARE-PHYSICAL-THERAPY-MAX-UNITS-PER-DAY | Retired |
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| Sep 30, 2026 | Molina Healthcare | NPFS Status Indicator TPayerPolicy · MOLINA-MS-MEDICARE-NPFS-STATUS-INDICATOR-T | Retired |
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| Sep 30, 2026 | Molina Healthcare | Multiple EM codes for the same provider same date of servicePayerPolicy · MOLINA-MS-MEDICARE-MULTIPLE-EM-CODES-FOR-THE-SAME-PROVIDER-SAME-DATE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Member PCP as Attending Provider in a ER Facility SettingPayerPolicy · MOLINA-MS-MEDICARE-MEMBER-PCP-AS-ATTENDING-PROVIDER-IN-A-ER-FACILITY | Retired |
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| Sep 30, 2026 | Molina Healthcare | Global Surgical Packages for Professional ProvidersPayerPolicy · MOLINA-MS-MEDICARE-GLOBAL-SURGICAL-PACKAGES-FOR-PROFESSIONAL | Retired |
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| Sep 30, 2026 | Molina Healthcare | Critical Care Codes when Discharging Home from the Emergency DepartmentPayerPolicy · MOLINA-MS-MEDICARE-CRITICAL-CARE-CODES-WHEN-DISCHARGING-HOME-FROM | Retired |
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| Sep 30, 2026 | Molina Healthcare | Co Surgeon Team Surgeon ProfessionalPayerPolicy · MOLINA-MS-MEDICARE-CO-SURGEON-TEAM-SURGEON-PROFESSIONAL | Retired |
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| Sep 30, 2026 | Molina Healthcare | CMS Replacement CodesPayerPolicy · MOLINA-MS-MEDICARE-CMS-REPLACEMENT-CODES | Retired |
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| Sep 30, 2026 | Molina Healthcare | Add-on CodingPayerPolicy · MOLINA-MS-MEDICARE-CODING-ADD-ON-CODING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Opioid Treatment ServicePayerPolicy · MOLINA-MS-MARKETPLACE-PHARMACY-OPIOID-TREATMENT-SERVICE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Epidural Steroid Injections For Pain ManagementPayerPolicy · MOLINA-MS-MARKETPLACE-PHARMACY-EPIDURAL-STEROID-INJECTIONS-FOR-PAIN-MANAGEMENT | Retired |
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| Sep 30, 2026 | Molina Healthcare | Authorized Pain Management Services with a Claim Modifier MismatchPayerPolicy · MOLINA-MS-MARKETPLACE-PHARMACY-AUTHORIZED-PAIN-MANAGEMENT-SERVICES-WITH-A-CLAIM | Retired |
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| Sep 30, 2026 | Molina Healthcare | Radiology for chestPayerPolicy · MOLINA-MS-MARKETPLACE-RADIOLOGY-RADIOLOGY-FOR-CHEST | Retired |
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| Sep 30, 2026 | Molina Healthcare | Image Guided Radiation TherapyPayerPolicy · MOLINA-MS-MARKETPLACE-RADIOLOGY-IMAGE-GUIDED-RADIATION-THERAPY | Retired |
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| Sep 30, 2026 | Molina Healthcare | Aortography and Peripheral AngiographyPayerPolicy · MOLINA-MS-MARKETPLACE-RADIOLOGY-AORTOGRAPHY-AND-PERIPHERAL-ANGIOGRAPHY | Retired |
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| Sep 30, 2026 | Molina Healthcare | DME Rental Vs PurchasePayerPolicy · MOLINA-MS-MARKETPLACE-DME-DME-RENTAL-VS-PURCHASE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Semiprivate Vs Private RoomPayerPolicy · MOLINA-MS-MARKETPLACE-ADMINISTRATIVE-SEMIPRIVATE-VS-PRIVATE-ROOM | Retired |
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| Sep 30, 2026 | Molina Healthcare | Recovery Policy for Diagnosis CodesPayerPolicy · MOLINA-MS-MARKETPLACE-ADMINISTRATIVE-RECOVERY-POLICY-FOR-DIAGNOSIS-CODES | Retired |
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| Sep 30, 2026 | Molina Healthcare | General Billing and Coding PolicyPayerPolicy · MOLINA-MS-MARKETPLACE-ADMINISTRATIVE-GENERAL-BILLING-AND-CODING-POLICY | Retired |
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| Sep 30, 2026 | Molina Healthcare | Duplicate ClaimsPayerPolicy · MOLINA-MS-MARKETPLACE-ADMINISTRATIVE-DUPLICATE-CLAIMS | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2125 Urinary Tumor Markers for Bladder CancerPayerPolicy · MOLINA-MS-MARKETPLACE-LAB-G2125-URINARY-TUMOR-MARKERS-FOR-BLADDER-CANCER | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2035 Prenatal Screening Nongenetic Prior VariancePayerPolicy · MOLINA-MS-MARKETPLACE-LAB-G2035-PRENATAL-SCREENING-NONGENETIC-PRIOR-VARIANCE | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2153 Pancreatic Enzyme Testing for Acute PancreatitisPayerPolicy · MOLINA-MS-MARKETPLACE-LAB-G2153-PANCREATIC-ENZYME-TESTING-FOR-ACUTE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Non-Invasive Prenatal TestingPayerPolicy · MOLINA-MS-MARKETPLACE-LAB-NON-INVASIVE-PRENATAL-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2099 Intracellular Micronutrient AnalysisPayerPolicy · MOLINA-MS-MARKETPLACE-LAB-G2099-INTRACELLULAR-MICRONUTRIENT-ANALYSIS | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2155 General Inflammation TestingPayerPolicy · MOLINA-MS-MARKETPLACE-LAB-G2155-GENERAL-INFLAMMATION-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2011 Diagnostic Testing of Iron Homeostasis MetabolismPayerPolicy · MOLINA-MS-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-MS-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-MS-MARKETPLACE-LAB-G2181-COLORECTAL-CANCER-SCREENING-PRIOR-VARIANCE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Split-Night-Sleep-StudyPayerPolicy · MOLINA-MS-MARKETPLACE-CLINICAL-SPLIT-NIGHT-SLEEP-STUDY | Retired |
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| Sep 30, 2026 | Molina Healthcare | Newborn and NICUPayerPolicy · MOLINA-MS-MARKETPLACE-CLINICAL-NEWBORN-AND-NICU | Retired |
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| Sep 30, 2026 | Molina Healthcare | Breast Cancer Genetic Testing Tier 1 vs Tier 2PayerPolicy · MOLINA-MS-MARKETPLACE-CLINICAL-BREAST-CANCER-GENETIC-TESTING-TIER-1-VS-TIER-2 | Retired |
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| Sep 30, 2026 | Molina Healthcare | Status Indicator Flag B Bundled CodesPayerPolicy · MOLINA-MS-MARKETPLACE-STATUS-INDICATOR-FLAG-B-BUNDLED-CODES | Retired |
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| Sep 30, 2026 | Molina Healthcare | Multiple EM codes for the same provider same date of servicePayerPolicy · MOLINA-MS-MARKETPLACE-MULTIPLE-EM-CODES-FOR-THE-SAME-PROVIDER-SAME-DATE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Modifiers XE XS XP XU and 59 UsagePayerPolicy · MOLINA-MS-MARKETPLACE-MODIFIERS-XE-XS-XP-XU-AND-59-USAGE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Modifier 26PayerPolicy · MOLINA-MS-MARKETPLACE-MODIFIER-26 | Retired |
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| Sep 30, 2026 | Molina Healthcare | ICD-10 First Listed Diagnosis Coding PolicyPayerPolicy · MOLINA-MS-MARKETPLACE-CODING-ICD-10-FIRST-LISTED-DIAGNOSIS-CODING-POLICY | Retired |
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| Sep 30, 2026 | Molina Healthcare | Facility Bilateral or Anatomical Modifier UsePayerPolicy · MOLINA-MS-MARKETPLACE-FACILITY-BILATERAL-OR-ANATOMICAL-MODIFIER-USE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Emergency EM Codes and Place of ServicePayerPolicy · MOLINA-MS-MARKETPLACE-EMERGENCY-EM-CODES-AND-PLACE-OF-SERVICE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Critical Care Codes when Discharging Home from the Emergency DepartmentPayerPolicy · MOLINA-MS-MARKETPLACE-CRITICAL-CARE-CODES-WHEN-DISCHARGING-HOME-FROM | Retired |
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| Sep 30, 2026 | Molina Healthcare | Add-on CodingPayerPolicy · MOLINA-MS-MARKETPLACE-CODING-ADD-ON-CODING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Cross-Departmental Recovery PolicyPayerPolicy · MOLINA-MS-MEDICARE-ADMINISTRATIVE-CROSS-DEPARTMENTAL-RECOVERY-POLICY | Retired |
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| Sep 30, 2026 | Molina Healthcare | Authorization ReviewPayerPolicy · MOLINA-MS-MEDICARE-ADMINISTRATIVE-AUTHORIZATION-REVIEW | Retired |
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| Sep 30, 2026 | Molina Healthcare | Annual Wellness Visit sooner than 11 months following Initial IPPEPayerPolicy · MOLINA-MS-MEDICARE-ADMINISTRATIVE-ANNUAL-WELLNESS-VISIT-SOONER-THAN-11-MONTHS | Retired |
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