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 EM codes for the same provider same date of servicePayerPolicy · MOLINA-KY-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-KY-MEDICARE-MEMBER-PCP-AS-ATTENDING-PROVIDER-IN-A-ER-FACILITY | Retired |
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| Sep 30, 2026 | Molina Healthcare | Facility Bilateralor Anatomical Modifier UsePayerPolicy · MOLINA-KY-MEDICARE-FACILITY-BILATERALOR-ANATOMICAL-MODIFIER-USE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Anesthesia BundlingPayerPolicy · MOLINA-KY-MEDICARE-ANESTHESIA-BUNDLING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Advanced Beneficiary Notice ABN Modifiers GA GX GY GZPayerPolicy · MOLINA-KY-MEDICARE-ADVANCED-BENEFICIARY-NOTICE-ABN-MODIFIERS-GA-GX | Retired |
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| Sep 30, 2026 | Molina Healthcare | Radiology Bone DensityPayerPolicy · MOLINA-KY-MARKETPLACE-RADIOLOGY-RADIOLOGY-BONE-DENSITY | Retired |
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| Sep 30, 2026 | Molina Healthcare | ESRD 90999 No Modifier Weekly and Monthly LimitsPayerPolicy · MOLINA-KY-MARKETPLACE-ESRD-ESRD-90999-NO-MODIFIER-WEEKLY-AND-MONTHLY-LIMITS | Retired |
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| Sep 30, 2026 | Molina Healthcare | DME Rental Vs PurchasePayerPolicy · MOLINA-KY-MARKETPLACE-DME-DME-RENTAL-VS-PURCHASE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Recovery Policy Variable Discount Payments for ProvidersPayerPolicy · MOLINA-KY-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-KY-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-KY-MARKETPLACE-ADMINISTRATIVE-RECOVERY-POLICY-FOR-CPT-TO-CPT-CODE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Multiple Procedure Payment ReductionPayerPolicy · MOLINA-KY-MARKETPLACE-ADMINISTRATIVE-MULTIPLE-PROCEDURE-PAYMENT-REDUCTION | Retired |
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| Sep 30, 2026 | Molina Healthcare | Member Not ActivePayerPolicy · MOLINA-KY-MARKETPLACE-ADMINISTRATIVE-MEMBER-NOT-ACTIVE | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2014 Vitamin B12 and Methylmalonic Acid TestingPayerPolicy · MOLINA-KY-MARKETPLACE-LAB-G2014-VITAMIN-B12-AND-METHYLMALONIC-ACID-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2120 Salivary Hormone TestingPayerPolicy · MOLINA-KY-MARKETPLACE-LAB-G2120-SALIVARY-HORMONE-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | M2041 RTM Venous and Arterial Thrombosis Risk TestingPayerPolicy · MOLINA-KY-MARKETPLACE-LAB-M2041-RTM-VENOUS-AND-ARTERIAL-THROMBOSIS-RISK | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2149 Pathogen Panel TestingPayerPolicy · MOLINA-KY-MARKETPLACE-LAB-G2149-PATHOGEN-PANEL-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Packaged and conditionally packaged lab servicesPayerPolicy · MOLINA-KY-MARKETPLACE-LAB-PACKAGED-AND-CONDITIONALLY-PACKAGED-LAB-SERVICES | Retired |
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| Sep 30, 2026 | Molina Healthcare | Non-Invasive Prenatal TestingPayerPolicy · MOLINA-KY-MARKETPLACE-LAB-NON-INVASIVE-PRENATAL-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2099 Intracellular Micronutrient AnalysisPayerPolicy · MOLINA-KY-MARKETPLACE-LAB-G2099-INTRACELLULAR-MICRONUTRIENT-ANALYSIS | Retired |
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| Sep 30, 2026 | Molina Healthcare | M2057 Diagnosis of Vaginitis Prior VariancePayerPolicy · MOLINA-KY-MARKETPLACE-LAB-M2057-DIAGNOSIS-OF-VAGINITIS-PRIOR-VARIANCE | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2050 Cardiovascular Disease Risk AssessmentPayerPolicy · MOLINA-KY-MARKETPLACE-LAB-G2050-CARDIOVASCULAR-DISEASE-RISK-ASSESSMENT | Retired |
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| Sep 30, 2026 | Molina Healthcare | ReadmissionPayerPolicy · MOLINA-KY-MARKETPLACE-CLINICAL-READMISSION | Retired |
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| Sep 30, 2026 | Molina Healthcare | Optum EDC Analyzer - Facility ER E&M Leveling PrepaymentPayerPolicy · MOLINA-KY-MARKETPLACE-CLINICAL-OPTUM-EDC-ANALYZER-FACILITY-ER-E-M-LEVELING | Retired |
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| Sep 30, 2026 | Molina Healthcare | High Level Evaluation and Management with Preventive MedicinePayerPolicy · MOLINA-KY-MARKETPLACE-CLINICAL-HIGH-LEVEL-EVALUATION-AND-MANAGEMENT-WITH | Retired |
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| Sep 30, 2026 | Molina Healthcare | Repeat Procedure Modifiers 76 77PayerPolicy · MOLINA-KY-MARKETPLACE-REPEAT-PROCEDURE-MODIFIERS-76-77 | Retired |
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| Sep 30, 2026 | Molina Healthcare | Modifier KXPayerPolicy · MOLINA-KY-MARKETPLACE-MODIFIER-KX | Retired |
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| Sep 30, 2026 | Molina Healthcare | Member PCP as Attending Provider in a ER Facility SettingPayerPolicy · MOLINA-KY-MARKETPLACE-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-KY-MARKETPLACE-GLOBAL-SURGICAL-PACKAGES-FOR-PROFESSIONAL | Retired |
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| Sep 30, 2026 | Molina Healthcare | Co Surgeon Team Surgeon ProfessionalPayerPolicy · MOLINA-KY-MARKETPLACE-CO-SURGEON-TEAM-SURGEON-PROFESSIONAL | Retired |
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| Sep 30, 2026 | Molina Healthcare | EpiduralSteroidInjectionsForPainManagementPayerPolicy · MOLINA-IL-MEDICARE-PHARMACY-EPIDURALSTEROIDINJECTIONSFORPAINMANAGEMENT | Retired |
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| Sep 30, 2026 | Molina Healthcare | Authorized Pain Management Services with a Claim Modifier MismatchPayerPolicy · MOLINA-IL-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-IL-MEDICARE-RADIOLOGY-CT-COMPUTED-TOMOGRAPHY-OF-THE-ABDOMEN-AND-PELVIS | Retired |
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| Sep 30, 2026 | Molina Healthcare | ESRD Consolidated BillingPayerPolicy · MOLINA-IL-MEDICARE-ESRD-ESRD-CONSOLIDATED-BILLING | Retired |
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| Sep 30, 2026 | Molina Healthcare | ESRD Billing for J0406 or J0606 with Modifier AXPayerPolicy · MOLINA-IL-MEDICARE-ESRD-ESRD-BILLING-FOR-J0406-OR-J0606-WITH-MODIFIER-AX | Retired |
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| Sep 30, 2026 | Molina Healthcare | General Billing and Coding PolicyPayerPolicy · MOLINA-IL-MEDICARE-ADMINISTRATIVE-GENERAL-BILLING-AND-CODING-POLICY | Retired |
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| Sep 30, 2026 | Molina Healthcare | Authorization ReviewPayerPolicy · MOLINA-IL-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-IL-MEDICARE-ADMINISTRATIVE-ANNUAL-WELLNESS-VISIT-SOONER-THAN-11-MONTHS | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2036 Hepatitis TestingPayerPolicy · MOLINA-IL-MEDICARE-LAB-G2036-HEPATITIS-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2120 Salivary Hormone TestingPayerPolicy · MOLINA-IL-MEDICARE-LAB-G2120-SALIVARY-HORMONE-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2150 Biomarkers for Myocardial Infarction and Chronic Heart FailurePayerPolicy · MOLINA-IL-MEDICARE-LAB-G2150-BIOMARKERS-FOR-MYOCARDIAL-INFARCTION-AND | Retired |
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| Sep 30, 2026 | Molina Healthcare | M2097 Identification of Microorganisms using Nucleic Acid ProbesPayerPolicy · MOLINA-IL-MEDICARE-LAB-M2097-IDENTIFICATION-OF-MICROORGANISMS-USING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2008 Prostate Specific Antigen PSA TestingPayerPolicy · MOLINA-IL-MEDICARE-LAB-G2008-PROSTATE-SPECIFIC-ANTIGEN-PSA-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Allergy TestingPayerPolicy · MOLINA-IL-MEDICARE-LAB-ALLERGY-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | High Level Evaluation and Management with Preventive MedicinePayerPolicy · MOLINA-IL-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-IL-MEDICARE-UNSPECIFIED-CODES-IN-AN-INPATIENT-SETTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Tendon Injections Missing DiagnosisPayerPolicy · MOLINA-IL-MEDICARE-TENDON-INJECTIONS-MISSING-DIAGNOSIS | Retired |
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| Sep 30, 2026 | Molina Healthcare | Multiple EM codes for the same provider same date of servicePayerPolicy · MOLINA-IL-MEDICARE-MULTIPLE-EM-CODES-FOR-THE-SAME-PROVIDER-SAME-DATE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Inpatient services billed on Outpatient bill typesPayerPolicy · MOLINA-IL-MEDICARE-INPATIENT-SERVICES-BILLED-ON-OUTPATIENT-BILL-TYPES | Retired |
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| Sep 30, 2026 | Molina Healthcare | Critical Care Codes when Discharging Home from the Emergency DepartmentPayerPolicy · MOLINA-IL-MEDICARE-CRITICAL-CARE-CODES-WHEN-DISCHARGING-HOME-FROM | Retired |
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