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 | G2155 General Inflammation TestingPayerPolicy · MOLINA-CA-MEDICARE-LAB-G2155-GENERAL-INFLAMMATION-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | M2041 RTM Venous and Arterial Thrombosis Risk TestingPayerPolicy · MOLINA-CA-MEDICARE-LAB-M2041-RTM-VENOUS-AND-ARTERIAL-THROMBOSIS-RISK | Retired |
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| Sep 30, 2026 | Molina Healthcare | M2097 Identification of Microorganisms using Nucleic Acid ProbesPayerPolicy · MOLINA-CA-MEDICARE-LAB-M2097-IDENTIFICATION-OF-MICROORGANISMS-USING | Retired |
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| Sep 30, 2026 | Molina Healthcare | R2162 Laboratory Procedures ReimbursementPayerPolicy · MOLINA-CA-MEDICARE-LAB-R2162-LABORATORY-PROCEDURES-REIMBURSEMENT | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2006 Diabetes Mellitus TestingPayerPolicy · MOLINA-CA-MEDICARE-LAB-G2006-DIABETES-MELLITUS-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Respiratory Pathogen Panel TestingPayerPolicy · MOLINA-CA-MEDICARE-LAB-RESPIRATORY-PATHOGEN-PANEL-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Packaged and conditionally packaged lab servicesPayerPolicy · MOLINA-CA-MEDICARE-LAB-PACKAGED-AND-CONDITIONALLY-PACKAGED-LAB-SERVICES | Retired |
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| Sep 30, 2026 | Molina Healthcare | Allergy TestingPayerPolicy · MOLINA-CA-MEDICARE-LAB-ALLERGY-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Optum EDC Analyzer - Facility ER E&M Leveling PrepaymentPayerPolicy · MOLINA-CA-MEDICARE-CLINICAL-OPTUM-EDC-ANALYZER-FACILITY-ER-E-M-LEVELING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Non-Invasive Prenatal TestingPayerPolicy · MOLINA-CA-MEDICARE-CLINICAL-NON-INVASIVE-PRENATAL-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Breast Cancer Genetic Testing Tier 1 vs Tier 2PayerPolicy · MOLINA-CA-MEDICARE-CLINICAL-BREAST-CANCER-GENETIC-TESTING-TIER-1-VS-TIER-2 | Retired |
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| Sep 30, 2026 | Molina Healthcare | Unspecified Codes in an Inpatient SettingPayerPolicy · MOLINA-CA-MEDICARE-UNSPECIFIED-CODES-IN-AN-INPATIENT-SETTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Reduced Services and Discontinued ProceduresPayerPolicy · MOLINA-CA-MEDICARE-REDUCED-SERVICES-AND-DISCONTINUED-PROCEDURES | Retired |
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| Sep 30, 2026 | Molina Healthcare | Physical Therapy Max Units Per DayPayerPolicy · MOLINA-CA-MEDICARE-PHYSICAL-THERAPY-MAX-UNITS-PER-DAY | Retired |
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| Sep 30, 2026 | Molina Healthcare | NPFS Status Indicator TPayerPolicy · MOLINA-CA-MEDICARE-NPFS-STATUS-INDICATOR-T | Retired |
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| Sep 30, 2026 | Molina Healthcare | Modifier TCPayerPolicy · MOLINA-CA-MEDICARE-MODIFIER-TC | Retired |
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| Sep 30, 2026 | Molina Healthcare | Inpatient services billed on Outpatient bill typesPayerPolicy · MOLINA-CA-MEDICARE-INPATIENT-SERVICES-BILLED-ON-OUTPATIENT-BILL-TYPES | Retired |
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| Sep 30, 2026 | Molina Healthcare | ICD-10 SpecificityPayerPolicy · MOLINA-CA-MEDICARE-ICD-10-SPECIFICITY | Retired |
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| Sep 30, 2026 | Molina Healthcare | Global Surgical Packages for Professional ProvidersPayerPolicy · MOLINA-CA-MEDICARE-GLOBAL-SURGICAL-PACKAGES-FOR-PROFESSIONAL | Retired |
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| Sep 30, 2026 | Molina Healthcare | Emergency EM Codesand Place of ServicePayerPolicy · MOLINA-CA-MEDICARE-EMERGENCY-EM-CODESAND-PLACE-OF-SERVICE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Decision for Surgery Modifier 57PayerPolicy · MOLINA-CA-MEDICARE-DECISION-FOR-SURGERY-MODIFIER-57 | Retired |
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| Sep 30, 2026 | Molina Healthcare | Advanced Beneficiary Notice ABN Modifiers GA GX GY GZPayerPolicy · MOLINA-CA-MEDICARE-ADVANCED-BENEFICIARY-NOTICE-ABN-MODIFIERS-GA-GX | Retired |
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| Sep 30, 2026 | Molina Healthcare | Add-on CodingPayerPolicy · MOLINA-CA-MEDICARE-CODING-ADD-ON-CODING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Epidural Steroid Injections For Pain ManagementPayerPolicy · MOLINA-CA-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-CA-MARKETPLACE-PHARMACY-AUTHORIZED-PAIN-MANAGEMENT-SERVICES-WITH-A-CLAIM | Retired |
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| Sep 30, 2026 | Molina Healthcare | Electrocardiographic EKG or ECG Monitoring Holter or Real Time MonitoringPayerPolicy · MOLINA-CA-MARKETPLACE-RADIOLOGY-ELECTROCARDIOGRAPHIC-EKG-OR-ECG-MONITORING-HOLTER | Retired |
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| Sep 30, 2026 | Molina Healthcare | Aortography and Peripheral AngiographyPayerPolicy · MOLINA-CA-MARKETPLACE-RADIOLOGY-AORTOGRAPHY-AND-PERIPHERAL-ANGIOGRAPHY | Retired |
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| Sep 30, 2026 | Molina Healthcare | DME Place of Service Separately ReimbursablePayerPolicy · MOLINA-CA-MARKETPLACE-DME-DME-PLACE-OF-SERVICE-SEPARATELY-REIMBURSABLE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Recovery Policy for Revenue to CPT Code ReviewPayerPolicy · MOLINA-CA-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-CA-MARKETPLACE-ADMINISTRATIVE-RECOVERY-POLICY-FOR-CPT-TO-CPT-CODE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Overlapping Room and BoardPayerPolicy · MOLINA-CA-MARKETPLACE-ADMINISTRATIVE-OVERLAPPING-ROOM-AND-BOARD | Retired |
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| Sep 30, 2026 | Molina Healthcare | Medical Supplies Home Health Consolidated BillingPayerPolicy · MOLINA-CA-MARKETPLACE-ADMINISTRATIVE-MEDICAL-SUPPLIES-HOME-HEALTH-CONSOLIDATED-BILLING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2005 Vitamin D TestingPayerPolicy · MOLINA-CA-MARKETPLACE-LAB-G2005-VITAMIN-D-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2124 Serum Tumor Markers for MalignanciesPayerPolicy · MOLINA-CA-MARKETPLACE-LAB-G2124-SERUM-TUMOR-MARKERS-FOR-MALIGNANCIES | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2008 Prostate Specific Antigen PSA TestingPayerPolicy · MOLINA-CA-MARKETPLACE-LAB-G2008-PROSTATE-SPECIFIC-ANTIGEN-PSA-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2035 Prenatal Screening Nongenetic Prior VariancePayerPolicy · MOLINA-CA-MARKETPLACE-LAB-G2035-PRENATAL-SCREENING-NONGENETIC-PRIOR-VARIANCE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Physician Office Laboratory TestingPayerPolicy · MOLINA-CA-MARKETPLACE-LAB-PHYSICIAN-OFFICE-LABORATORY-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Non-Invasive Prenatal TestingPayerPolicy · MOLINA-CA-MARKETPLACE-LAB-NON-INVASIVE-PRENATAL-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2099 Intracellular Micronutrient AnalysisPayerPolicy · MOLINA-CA-MARKETPLACE-LAB-G2099-INTRACELLULAR-MICRONUTRIENT-ANALYSIS | Retired |
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| Sep 30, 2026 | Molina Healthcare | M2097 Identification of Microorganisms using Nucleic Acid ProbesPayerPolicy · MOLINA-CA-MARKETPLACE-LAB-M2097-IDENTIFICATION-OF-MICROORGANISMS-USING | Retired |
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| Sep 30, 2026 | Molina Healthcare | F2019 Flow CytometryPayerPolicy · MOLINA-CA-MARKETPLACE-LAB-F2019-FLOW-CYTOMETRY | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2181 Colorectal Cancer Screening Prior VariancePayerPolicy · MOLINA-CA-MARKETPLACE-LAB-G2181-COLORECTAL-CANCER-SCREENING-PRIOR-VARIANCE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Breast Cancer Genetic Testing Tier 1 vs Tier 2PayerPolicy · MOLINA-CA-MARKETPLACE-CLINICAL-BREAST-CANCER-GENETIC-TESTING-TIER-1-VS-TIER-2 | Retired |
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| Sep 30, 2026 | Molina Healthcare | Unspecified Codes in an Inpatient SettingPayerPolicy · MOLINA-CA-MARKETPLACE-UNSPECIFIED-CODES-IN-AN-INPATIENT-SETTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Reduced Services and Discontinued ProceduresPayerPolicy · MOLINA-CA-MARKETPLACE-REDUCED-SERVICES-AND-DISCONTINUED-PROCEDURES | Retired |
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| Sep 30, 2026 | Molina Healthcare | Multiple EM codes for the same provider same date of servicePayerPolicy · MOLINA-CA-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-CA-MARKETPLACE-MODIFIERS-XE-XS-XP-XU-AND-59-USAGE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Medically Unlikely EditsPayerPolicy · MOLINA-CA-MARKETPLACE-MEDICALLY-UNLIKELY-EDITS | Retired |
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| Sep 30, 2026 | Molina Healthcare | Emergency EM Codes and Place of ServicePayerPolicy · MOLINA-CA-MARKETPLACE-EMERGENCY-EM-CODES-AND-PLACE-OF-SERVICE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Condition Codes 49, 50, and 53PayerPolicy · MOLINA-CA-MARKETPLACE-CONDITION-CODES-49-50-AND-53 | Retired |
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