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 | Add-on CodingPayerPolicy · MOLINA-CA-MARKETPLACE-CODING-ADD-ON-CODING | Retired |
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| Sep 30, 2026 | Molina Healthcare | High Dollar PharmacyPayerPolicy · MOLINA-AZ-MEDICARE-PHARMACY-HIGH-DOLLAR-PHARMACY | Retired |
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| Sep 30, 2026 | Molina Healthcare | Authorized Pain Management Services with a Claim Modifier MismatchPayerPolicy · MOLINA-AZ-MEDICARE-PHARMACY-AUTHORIZED-PAIN-MANAGEMENT-SERVICES-WITH-A-CLAIM | Retired |
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| Sep 30, 2026 | Molina Healthcare | ESRD Billing for J0406 or J0606 with Modifier AXPayerPolicy · MOLINA-AZ-MEDICARE-ESRD-ESRD-BILLING-FOR-J0406-OR-J0606-WITH-MODIFIER-AX | Retired |
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| Sep 30, 2026 | Molina Healthcare | DME KF ModifierPayerPolicy · MOLINA-AZ-MEDICARE-DME-DME-KF-MODIFIER | Retired |
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| Sep 30, 2026 | Molina Healthcare | Recovery Policy for Diagnosis CodesPayerPolicy · MOLINA-AZ-MEDICARE-ADMINISTRATIVE-RECOVERY-POLICY-FOR-DIAGNOSIS-CODES | Retired |
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| Sep 30, 2026 | Molina Healthcare | Multiple Procedure Payment ReductionPayerPolicy · MOLINA-AZ-MEDICARE-ADMINISTRATIVE-MULTIPLE-PROCEDURE-PAYMENT-REDUCTION | Retired |
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| Sep 30, 2026 | Molina Healthcare | Authorization ReviewPayerPolicy · MOLINA-AZ-MEDICARE-ADMINISTRATIVE-AUTHORIZATION-REVIEW | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2035 Prenatal Screening Nongenetic Prior VariancePayerPolicy · MOLINA-AZ-MEDICARE-LAB-G2035-PRENATAL-SCREENING-NONGENETIC-PRIOR-VARIANCE | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2050 Cardiovascular Disease Risk AssessmentPayerPolicy · MOLINA-AZ-MEDICARE-LAB-G2050-CARDIOVASCULAR-DISEASE-RISK-ASSESSMENT | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2149 Pathogen Panel TestingPayerPolicy · MOLINA-AZ-MEDICARE-LAB-G2149-PATHOGEN-PANEL-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2155 General Inflammation TestingPayerPolicy · MOLINA-AZ-MEDICARE-LAB-G2155-GENERAL-INFLAMMATION-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | M2097 Identification of Microorganisms using Nucleic Acid ProbesPayerPolicy · MOLINA-AZ-MEDICARE-LAB-M2097-IDENTIFICATION-OF-MICROORGANISMS-USING | Retired |
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| Sep 30, 2026 | Molina Healthcare | R2162 Laboratory Procedures ReimbursementPayerPolicy · MOLINA-AZ-MEDICARE-LAB-R2162-LABORATORY-PROCEDURES-REIMBURSEMENT | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2008 Prostate Specific Antigen PSA TestingPayerPolicy · MOLINA-AZ-MEDICARE-LAB-G2008-PROSTATE-SPECIFIC-ANTIGEN-PSA-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Respiratory Pathogen Panel TestingPayerPolicy · MOLINA-AZ-MEDICARE-LAB-RESPIRATORY-PATHOGEN-PANEL-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | ReadmissionPayerPolicy · MOLINA-AZ-MEDICARE-CLINICAL-READMISSION | Retired |
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| Sep 30, 2026 | Molina Healthcare | Breast Cancer Genetic Testing Tier 1 vs Tier 2PayerPolicy · MOLINA-AZ-MEDICARE-CLINICAL-BREAST-CANCER-GENETIC-TESTING-TIER-1-VS-TIER-2 | Retired |
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| Sep 30, 2026 | Molina Healthcare | Physical Therapy Max Units Per DayPayerPolicy · MOLINA-AZ-MEDICARE-PHYSICAL-THERAPY-MAX-UNITS-PER-DAY | Retired |
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| Sep 30, 2026 | Molina Healthcare | Modifier KXPayerPolicy · MOLINA-AZ-MEDICARE-MODIFIER-KX | Retired |
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| Sep 30, 2026 | Molina Healthcare | Member PCP as Attending Provider in a ER Facility SettingPayerPolicy · MOLINA-AZ-MEDICARE-MEMBER-PCP-AS-ATTENDING-PROVIDER-IN-A-ER-FACILITY | Retired |
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| Sep 30, 2026 | Molina Healthcare | Incarceration Diagnosis CodePayerPolicy · MOLINA-AZ-MEDICARE-INCARCERATION-DIAGNOSIS-CODE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Emergency EM Codesand Place of ServicePayerPolicy · MOLINA-AZ-MEDICARE-EMERGENCY-EM-CODESAND-PLACE-OF-SERVICE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Co Surgeon Team Surgeon ProfessionalPayerPolicy · MOLINA-AZ-MEDICARE-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-AZ-MEDICARE-ADVANCED-BENEFICIARY-NOTICE-ABN-MODIFIERS-GA-GX | Retired |
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| Sep 30, 2026 | Molina Healthcare | High Dollar PharmacyPayerPolicy · MOLINA-AZ-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-AZ-MARKETPLACE-RADIOLOGY-ELECTROCARDIOGRAPHIC-EKG-OR-ECG-MONITORING-HOLTER | Retired |
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| Sep 30, 2026 | Molina Healthcare | ESRD Billing for J0406 or J0606 with Modifier AXPayerPolicy · MOLINA-AZ-MARKETPLACE-ESRD-ESRD-BILLING-FOR-J0406-OR-J0606-WITH-MODIFIER-AX | Retired |
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| Sep 30, 2026 | Molina Healthcare | Semiprivate Vs Private RoomPayerPolicy · MOLINA-AZ-MARKETPLACE-ADMINISTRATIVE-SEMIPRIVATE-VS-PRIVATE-ROOM | Retired |
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| Sep 30, 2026 | Molina Healthcare | Authorization ReviewPayerPolicy · MOLINA-AZ-MARKETPLACE-ADMINISTRATIVE-AUTHORIZATION-REVIEW | Retired |
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| Sep 30, 2026 | Molina Healthcare | After Hours and Weekend Care ProfessionalPayerPolicy · MOLINA-AZ-MARKETPLACE-ADMINISTRATIVE-AFTER-HOURS-AND-WEEKEND-CARE-PROFESSIONAL | Retired |
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| Sep 30, 2026 | Molina Healthcare | Specimen Validity TestingPayerPolicy · MOLINA-AZ-MARKETPLACE-LAB-SPECIMEN-VALIDITY-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2151 Serum Testing For Evidence of Mild Traumatic Brain InjuryPayerPolicy · MOLINA-AZ-MARKETPLACE-LAB-G2151-SERUM-TESTING-FOR-EVIDENCE-OF-MILD | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2120 Salivary Hormone TestingPayerPolicy · MOLINA-AZ-MARKETPLACE-LAB-G2120-SALIVARY-HORMONE-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2008 Prostate Specific Antigen PSA TestingPayerPolicy · MOLINA-AZ-MARKETPLACE-LAB-G2008-PROSTATE-SPECIFIC-ANTIGEN-PSA-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2164 Parathyroid Hormone Phosphorus Calcium and Magnesium TestingPayerPolicy · MOLINA-AZ-MARKETPLACE-LAB-G2164-PARATHYROID-HORMONE-PHOSPHORUS-CALCIUM-AND | Retired |
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| Sep 30, 2026 | Molina Healthcare | Non-Invasive Prenatal TestingPayerPolicy · MOLINA-AZ-MARKETPLACE-LAB-NON-INVASIVE-PRENATAL-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | R2162 Laboratory Procedures ReimbursementPayerPolicy · MOLINA-AZ-MARKETPLACE-LAB-R2162-LABORATORY-PROCEDURES-REIMBURSEMENT | Retired |
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| Sep 30, 2026 | Molina Healthcare | Lab Codes with Modifiers 59 and 91PayerPolicy · MOLINA-AZ-MARKETPLACE-LAB-LAB-CODES-WITH-MODIFIERS-59-AND-91 | Retired |
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| Sep 30, 2026 | Molina Healthcare | M2097 Identification of Microorganisms using Nucleic Acid ProbesPayerPolicy · MOLINA-AZ-MARKETPLACE-LAB-M2097-IDENTIFICATION-OF-MICROORGANISMS-USING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2155 General Inflammation TestingPayerPolicy · MOLINA-AZ-MARKETPLACE-LAB-G2155-GENERAL-INFLAMMATION-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2011 Diagnostic Testing of Iron Homeostasis MetabolismPayerPolicy · MOLINA-AZ-MARKETPLACE-LAB-G2011-DIAGNOSTIC-TESTING-OF-IRON-HOMEOSTASIS | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2022 Biomarker Testing for Autoimmune Rheumatic DiseasePayerPolicy · MOLINA-AZ-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-AZ-MARKETPLACE-CLINICAL-OPTUM-EDC-ANALYZER-FACILITY-ER-E-M-LEVELING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Facility Emergency Department Evaluation and Management levelingPayerPolicy · MOLINA-AZ-MARKETPLACE-CLINICAL-FACILITY-EMERGENCY-DEPARTMENT-EVALUATION-AND | Retired |
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| Sep 30, 2026 | Molina Healthcare | Breast Cancer Genetic Testing Tier 1 vs Tier 2PayerPolicy · MOLINA-AZ-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-AZ-MARKETPLACE-UNSPECIFIED-CODES-IN-AN-INPATIENT-SETTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Tendon Injections Missing DiagnosisPayerPolicy · MOLINA-AZ-MARKETPLACE-TENDON-INJECTIONS-MISSING-DIAGNOSIS | Retired |
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| Sep 30, 2026 | Molina Healthcare | Status Indicator Flag B Bundled CodesPayerPolicy · MOLINA-AZ-MARKETPLACE-STATUS-INDICATOR-FLAG-B-BUNDLED-CODES | Retired |
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| Sep 30, 2026 | Molina Healthcare | PT OT Initial EvaluationsPayerPolicy · MOLINA-AZ-MARKETPLACE-PT-OT-INITIAL-EVALUATIONS | Retired |
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