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 | ESRD Consolidated BillingPayerPolicy · MOLINA-MI-MEDICARE-ESRD-ESRD-CONSOLIDATED-BILLING | Retired |
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| Sep 30, 2026 | Molina Healthcare | DME Place of Service Separately ReimbursablePayerPolicy · MOLINA-MI-MEDICARE-DME-DME-PLACE-OF-SERVICE-SEPARATELY-REIMBURSABLE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Recovery Policy Variable Discount Payments for ProvidersPayerPolicy · MOLINA-MI-MEDICARE-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-MI-MEDICARE-ADMINISTRATIVE-RECOVERY-POLICY-FOR-CPT-TO-CPT-CODE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Overlapping Room and BoradPayerPolicy · MOLINA-MI-MEDICARE-ADMINISTRATIVE-OVERLAPPING-ROOM-AND-BORAD | Retired |
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| Sep 30, 2026 | Molina Healthcare | General Billing and Coding PolicyPayerPolicy · MOLINA-MI-MEDICARE-ADMINISTRATIVE-GENERAL-BILLING-AND-CODING-POLICY | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2022 Biomarker Testing for Autoimmune Rheumatic DiseasePayerPolicy · MOLINA-MI-MARKETPLACE-LAB-G2022-BIOMARKER-TESTING-FOR-AUTOIMMUNE-RHEUMATIC | Retired |
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| Sep 30, 2026 | Molina Healthcare | Optum EDC Analyzer - Facility ER E&M Leveling PrepaymentPayerPolicy · MOLINA-MI-MARKETPLACE-CLINICAL-OPTUM-EDC-ANALYZER-FACILITY-ER-E-M-LEVELING | Retired |
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| Sep 30, 2026 | Molina Healthcare | ObservationPayerPolicy · MOLINA-MI-MARKETPLACE-CLINICAL-OBSERVATION | Retired |
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| Sep 30, 2026 | Molina Healthcare | HospicePayerPolicy · MOLINA-MI-MARKETPLACE-CLINICAL-HOSPICE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Unspecified Codes in an Inpatient SettingPayerPolicy · MOLINA-MI-MARKETPLACE-UNSPECIFIED-CODES-IN-AN-INPATIENT-SETTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Unlisted CodingPayerPolicy · MOLINA-MI-MARKETPLACE-CODING-UNLISTED-CODING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Therapy Modifier CodingPayerPolicy · MOLINA-MI-MARKETPLACE-CODING-THERAPY-MODIFIER-CODING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Podiatric Q ModifiersPayerPolicy · MOLINA-MI-MARKETPLACE-PODIATRIC-Q-MODIFIERS | Retired |
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| Sep 30, 2026 | Molina Healthcare | PT OT ST Yearly LimitPayerPolicy · MOLINA-MI-MARKETPLACE-PT-OT-ST-YEARLY-LIMIT | Retired |
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| Sep 30, 2026 | Molina Healthcare | Modifiers XE XS XP XU and 59 UsagePayerPolicy · MOLINA-MI-MARKETPLACE-MODIFIERS-XE-XS-XP-XU-AND-59-USAGE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Modifier 26PayerPolicy · MOLINA-MI-MARKETPLACE-MODIFIER-26 | Retired |
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| Sep 30, 2026 | Molina Healthcare | ICD-10 First Listed Diagnosis Coding PolicyPayerPolicy · MOLINA-MI-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-MI-MARKETPLACE-GLOBAL-SURGICAL-PACKAGES-FOR-PROFESSIONAL | Retired |
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| Sep 30, 2026 | Molina Healthcare | Discontinued ProceduresPayerPolicy · MOLINA-MI-MARKETPLACE-DISCONTINUED-PROCEDURES | Retired |
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| Sep 30, 2026 | Molina Healthcare | Decision for Surgery Modifier 57PayerPolicy · MOLINA-MI-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-MI-MARKETPLACE-CRITICAL-CARE-CODES-WHEN-DISCHARGING-HOME-FROM | Retired |
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| Sep 30, 2026 | Molina Healthcare | Co Surgeon Team Surgeon ProfessionalPayerPolicy · MOLINA-MI-MARKETPLACE-CO-SURGEON-TEAM-SURGEON-PROFESSIONAL | Retired |
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| Sep 30, 2026 | Molina Healthcare | Advanced Beneficiary Notice ABN Modifiers GA GX GY GZPayerPolicy · MOLINA-MI-MARKETPLACE-ADVANCED-BENEFICIARY-NOTICE-ABN-MODIFIERS-GA-GX | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2014 Vitamin B12 and Methylmalonic Acid TestingPayerPolicy · MOLINA-MI-MARKETPLACE-LAB-G2014-VITAMIN-B12-AND-METHYLMALONIC-ACID-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2151 Serum Testing For Evidence of Mild Traumatic Brain InjuryPayerPolicy · MOLINA-MI-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-MI-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-MI-MARKETPLACE-LAB-G2164-PARATHYROID-HORMONE-PHOSPHORUS-CALCIUM-AND | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2099 Intracellular Micronutrient AnalysisPayerPolicy · MOLINA-MI-MARKETPLACE-LAB-G2099-INTRACELLULAR-MICRONUTRIENT-ANALYSIS | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2036 Hepatitis TestingPayerPolicy · MOLINA-MI-MARKETPLACE-LAB-G2036-HEPATITIS-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Authorized Pain Management Services with a Claim Modifier MismatchPayerPolicy · MOLINA-KY-MEDICARE-PHARMACY-AUTHORIZED-PAIN-MANAGEMENT-SERVICES-WITH-A-CLAIM | Retired |
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| Sep 30, 2026 | Molina Healthcare | CT Computed Tomography of the Abdomen and PelvisPayerPolicy · MOLINA-KY-MEDICARE-RADIOLOGY-CT-COMPUTED-TOMOGRAPHY-OF-THE-ABDOMEN-AND-PELVIS | Retired |
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| Sep 30, 2026 | Molina Healthcare | DME Place of Service Separately ReimbursablePayerPolicy · MOLINA-KY-MEDICARE-DME-DME-PLACE-OF-SERVICE-SEPARATELY-REIMBURSABLE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Recovery Policy for CPT to CPT CodePayerPolicy · MOLINA-KY-MEDICARE-ADMINISTRATIVE-RECOVERY-POLICY-FOR-CPT-TO-CPT-CODE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Cross-Departmental Recovery PolicyPayerPolicy · MOLINA-KY-MEDICARE-ADMINISTRATIVE-CROSS-DEPARTMENTAL-RECOVERY-POLICY | Retired |
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| Sep 30, 2026 | Molina Healthcare | Annual Wellness Visit sooner than 11 months following Initial IPPEPayerPolicy · MOLINA-KY-MEDICARE-ADMINISTRATIVE-ANNUAL-WELLNESS-VISIT-SOONER-THAN-11-MONTHS | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2035 Prenatal Screening Nongenetic Prior VariancePayerPolicy · MOLINA-KY-MEDICARE-LAB-G2035-PRENATAL-SCREENING-NONGENETIC-PRIOR-VARIANCE | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2050 Cardiovascular Disease Risk AssessmentPayerPolicy · MOLINA-KY-MEDICARE-LAB-G2050-CARDIOVASCULAR-DISEASE-RISK-ASSESSMENT | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2164 Parathyroid Hormone Phosphorus Calcium and Magnesium TestingPayerPolicy · MOLINA-KY-MEDICARE-LAB-G2164-PARATHYROID-HORMONE-PHOSPHORUS-CALCIUM-AND | Retired |
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| Sep 30, 2026 | Molina Healthcare | M2057 Diagnosis of Vaginitis Prior VariancePayerPolicy · MOLINA-KY-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-KY-MEDICARE-LAB-M2097-IDENTIFICATION-OF-MICROORGANISMS-USING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Respiratory Pathogen Panel TestingPayerPolicy · MOLINA-KY-MEDICARE-LAB-RESPIRATORY-PATHOGEN-PANEL-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Packaged and conditionally packaged lab servicesPayerPolicy · MOLINA-KY-MEDICARE-LAB-PACKAGED-AND-CONDITIONALLY-PACKAGED-LAB-SERVICES | Retired |
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| Sep 30, 2026 | Molina Healthcare | Allergy TestingPayerPolicy · MOLINA-KY-MEDICARE-LAB-ALLERGY-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Optum EDC Analyzer - Facility ER E&M Leveling PrepaymentPayerPolicy · MOLINA-KY-MEDICARE-CLINICAL-OPTUM-EDC-ANALYZER-FACILITY-ER-E-M-LEVELING | Retired |
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| Sep 30, 2026 | Molina Healthcare | HospicePayerPolicy · MOLINA-KY-MEDICARE-CLINICAL-HOSPICE | Retired |
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| Sep 30, 2026 | Molina Healthcare | DRG Clinical ValidationPayerPolicy · MOLINA-KY-MEDICARE-CLINICAL-DRG-CLINICAL-VALIDATION | Retired |
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| Sep 30, 2026 | Molina Healthcare | Repeat Procedure Modifiers 76 77PayerPolicy · MOLINA-KY-MEDICARE-REPEAT-PROCEDURE-MODIFIERS-76-77 | Retired |
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| Sep 30, 2026 | Molina Healthcare | Reduced Services and Discontinued ProceduresPayerPolicy · MOLINA-KY-MEDICARE-REDUCED-SERVICES-AND-DISCONTINUED-PROCEDURES | Retired |
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| Sep 30, 2026 | Molina Healthcare | Physical Therapy Max Units Per DayPayerPolicy · MOLINA-KY-MEDICARE-PHYSICAL-THERAPY-MAX-UNITS-PER-DAY | Retired |
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