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 | Co Surgeon Team Surgeon ProfessionalPayerPolicy · MOLINA-IL-MEDICARE-CO-SURGEON-TEAM-SURGEON-PROFESSIONAL | Retired |
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| Sep 30, 2026 | Molina Healthcare | Opioid Treatment ServicePayerPolicy · MOLINA-IL-MARKETPLACE-PHARMACY-OPIOID-TREATMENT-SERVICE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Electrocardiographic EKG or ECG Monitoring Holter or Real Time MonitoringPayerPolicy · MOLINA-IL-MARKETPLACE-RADIOLOGY-ELECTROCARDIOGRAPHIC-EKG-OR-ECG-MONITORING-HOLTER | Retired |
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| Sep 30, 2026 | Molina Healthcare | CT Computed Tomography of the Abdomen and PelvisPayerPolicy · MOLINA-IL-MARKETPLACE-RADIOLOGY-CT-COMPUTED-TOMOGRAPHY-OF-THE-ABDOMEN-AND-PELVIS | Retired |
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| Sep 30, 2026 | Molina Healthcare | ESRD 90999 No Modifier Weekly and Monthly LimitsPayerPolicy · MOLINA-IL-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-IL-MARKETPLACE-DME-DME-NON-INVASIVE-VENTILATOR-SETTINGS | Retired |
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| Sep 30, 2026 | Molina Healthcare | Recovery Policy for CPT to CPT CodePayerPolicy · MOLINA-IL-MARKETPLACE-ADMINISTRATIVE-RECOVERY-POLICY-FOR-CPT-TO-CPT-CODE | Retired |
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| Sep 30, 2026 | Molina Healthcare | General Billing and Coding PolicyPayerPolicy · MOLINA-IL-MARKETPLACE-ADMINISTRATIVE-GENERAL-BILLING-AND-CODING-POLICY | Retired |
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| Sep 30, 2026 | Molina Healthcare | Authorization ReviewPayerPolicy · MOLINA-IL-MARKETPLACE-ADMINISTRATIVE-AUTHORIZATION-REVIEW | Retired |
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| Sep 30, 2026 | Molina Healthcare | STI Lab Panel TestingPayerPolicy · MOLINA-IL-MARKETPLACE-LAB-STI-LAB-PANEL-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2035 Prenatal Screening Nongenetic Prior VariancePayerPolicy · MOLINA-IL-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-IL-MARKETPLACE-LAB-G2153-PANCREATIC-ENZYME-TESTING-FOR-ACUTE | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2099 Intracellular Micronutrient AnalysisPayerPolicy · MOLINA-IL-MARKETPLACE-LAB-G2099-INTRACELLULAR-MICRONUTRIENT-ANALYSIS | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2011 Diagnostic Testing of Iron Homeostasis MetabolismPayerPolicy · MOLINA-IL-MARKETPLACE-LAB-G2011-DIAGNOSTIC-TESTING-OF-IRON-HOMEOSTASIS | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2150 Biomarkers for Myocardial Infarction and Chronic Heart FailurePayerPolicy · MOLINA-IL-MARKETPLACE-LAB-G2150-BIOMARKERS-FOR-MYOCARDIAL-INFARCTION-AND | Retired |
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| Sep 30, 2026 | Molina Healthcare | SepsisPayerPolicy · MOLINA-IL-MARKETPLACE-CLINICAL-SEPSIS | Retired |
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| Sep 30, 2026 | Molina Healthcare | DRG Clinical ValidationPayerPolicy · MOLINA-IL-MARKETPLACE-CLINICAL-DRG-CLINICAL-VALIDATION | Retired |
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| Sep 30, 2026 | Molina Healthcare | Status Indicator Flag B Bundled CodesPayerPolicy · MOLINA-IL-MARKETPLACE-STATUS-INDICATOR-FLAG-B-BUNDLED-CODES | Retired |
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| Sep 30, 2026 | Molina Healthcare | Repeat Procedure Modifiers 76 77PayerPolicy · MOLINA-IL-MARKETPLACE-REPEAT-PROCEDURE-MODIFIERS-76-77 | Retired |
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| Sep 30, 2026 | Molina Healthcare | Multiple EM codes for the same provider same date of servicePayerPolicy · MOLINA-IL-MARKETPLACE-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-IL-MARKETPLACE-MEMBER-PCP-AS-ATTENDING-PROVIDER-IN-A-ER-FACILITY | Retired |
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| Sep 30, 2026 | Molina Healthcare | Diagnosis Code CodingPayerPolicy · MOLINA-IL-MARKETPLACE-CODING-DIAGNOSIS-CODE-CODING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Critical Care Codes when Discharging Home from the Emergency DepartmentPayerPolicy · MOLINA-IL-MARKETPLACE-CRITICAL-CARE-CODES-WHEN-DISCHARGING-HOME-FROM | Retired |
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| Sep 30, 2026 | Molina Healthcare | Condition Codes 49, 50, and 53PayerPolicy · MOLINA-IL-MARKETPLACE-CONDITION-CODES-49-50-AND-53 | Retired |
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| Sep 30, 2026 | Molina Healthcare | EpiduralSteroidInjectionsForPainManagementPayerPolicy · MOLINA-ID-MEDICARE-PHARMACY-EPIDURALSTEROIDINJECTIONSFORPAINMANAGEMENT | Retired |
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| Sep 30, 2026 | Molina Healthcare | Aortography and Peripheral AngiographyPayerPolicy · MOLINA-ID-MEDICARE-RADIOLOGY-AORTOGRAPHY-AND-PERIPHERAL-ANGIOGRAPHY | Retired |
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| Sep 30, 2026 | Molina Healthcare | DME Place of Service 31or 32PayerPolicy · MOLINA-ID-MEDICARE-DME-DME-PLACE-OF-SERVICE-31OR-32 | Retired |
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| Sep 30, 2026 | Molina Healthcare | Recovery Policy for Revenue to CPT Code ReviewPayerPolicy · MOLINA-ID-MEDICARE-ADMINISTRATIVE-RECOVERY-POLICY-FOR-REVENUE-TO-CPT-CODE-REVIEW | Retired |
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| Sep 30, 2026 | Molina Healthcare | Cross-Departmental Recovery PolicyPayerPolicy · MOLINA-ID-MEDICARE-ADMINISTRATIVE-CROSS-DEPARTMENTAL-RECOVERY-POLICY | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2022 Biomarker Testing for Autoimmune Rheumatic DiseasePayerPolicy · MOLINA-ID-MEDICARE-LAB-G2022-BIOMARKER-TESTING-FOR-AUTOIMMUNE-RHEUMATIC | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2035 Prenatal Screening Nongenetic Prior VariancePayerPolicy · MOLINA-ID-MEDICARE-LAB-G2035-PRENATAL-SCREENING-NONGENETIC-PRIOR-VARIANCE | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2124 Serum Tumor Markers for MalignanciesPayerPolicy · MOLINA-ID-MEDICARE-LAB-G2124-SERUM-TUMOR-MARKERS-FOR-MALIGNANCIES | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2153 Pancreatic Enzyme Testing for Acute PancreatitisPayerPolicy · MOLINA-ID-MEDICARE-LAB-G2153-PANCREATIC-ENZYME-TESTING-FOR-ACUTE | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2181 Colorectal Cancer Screening Prior VariancePayerPolicy · MOLINA-ID-MEDICARE-LAB-G2181-COLORECTAL-CANCER-SCREENING-PRIOR-VARIANCE | Retired |
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| Sep 30, 2026 | Molina Healthcare | M2097 Identification of Microorganisms using Nucleic Acid ProbesPayerPolicy · MOLINA-ID-MEDICARE-LAB-M2097-IDENTIFICATION-OF-MICROORGANISMS-USING | Retired |
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| Sep 30, 2026 | Molina Healthcare | F2019 Flow CytometryPayerPolicy · MOLINA-ID-MEDICARE-LAB-F2019-FLOW-CYTOMETRY | Retired |
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| Sep 30, 2026 | Molina Healthcare | Labs Overlapping with FacilityPayerPolicy · MOLINA-ID-MEDICARE-LAB-LABS-OVERLAPPING-WITH-FACILITY | Retired |
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| Sep 30, 2026 | Molina Healthcare | SepsisPayerPolicy · MOLINA-ID-MEDICARE-CLINICAL-SEPSIS | Retired |
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| Sep 30, 2026 | Molina Healthcare | HospicePayerPolicy · MOLINA-ID-MEDICARE-CLINICAL-HOSPICE | Retired |
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| Sep 30, 2026 | Molina Healthcare | High Level Evaluation and Management with Preventive MedicinePayerPolicy · MOLINA-ID-MEDICARE-CLINICAL-HIGH-LEVEL-EVALUATION-AND-MANAGEMENT-WITH | Retired |
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| Sep 30, 2026 | Molina Healthcare | Facility Emergency Department Evaluation and Management levelingPayerPolicy · MOLINA-ID-MEDICARE-CLINICAL-FACILITY-EMERGENCY-DEPARTMENT-EVALUATION-AND | Retired |
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| Sep 30, 2026 | Molina Healthcare | Unlisted CodingPayerPolicy · MOLINA-ID-MEDICARE-CODING-UNLISTED-CODING | Retired |
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| Sep 30, 2026 | Molina Healthcare | PT OT ST Yearly LimitPayerPolicy · MOLINA-ID-MEDICARE-PT-OT-ST-YEARLY-LIMIT | Retired |
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| Sep 30, 2026 | Molina Healthcare | Modifier 25PayerPolicy · MOLINA-ID-MEDICARE-MODIFIER-25 | Retired |
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| Sep 30, 2026 | Molina Healthcare | Hospice Value Code 61PayerPolicy · MOLINA-ID-MEDICARE-HOSPICE-VALUE-CODE-61 | Retired |
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| Sep 30, 2026 | Molina Healthcare | Co Surgeon Team Surgeon ProfessionalPayerPolicy · MOLINA-ID-MEDICARE-CO-SURGEON-TEAM-SURGEON-PROFESSIONAL | Retired |
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| Sep 30, 2026 | Molina Healthcare | Opioid Treatment ServicePayerPolicy · MOLINA-ID-MARKETPLACE-PHARMACY-OPIOID-TREATMENT-SERVICE | Retired |
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| Sep 30, 2026 | Molina Healthcare | High Dollar PharmacyPayerPolicy · MOLINA-ID-MARKETPLACE-PHARMACY-HIGH-DOLLAR-PHARMACY | Retired |
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| Sep 30, 2026 | Molina Healthcare | Electrocardiographic EKG or ECG Monitoring Holter or Real Time MonitoringPayerPolicy · MOLINA-ID-MARKETPLACE-RADIOLOGY-ELECTROCARDIOGRAPHIC-EKG-OR-ECG-MONITORING-HOLTER | Retired |
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| Sep 30, 2026 | Molina Healthcare | Aortography and Peripheral AngiographyPayerPolicy · MOLINA-ID-MARKETPLACE-RADIOLOGY-AORTOGRAPHY-AND-PERIPHERAL-ANGIOGRAPHY | Retired |
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