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 Billing for J0406 or J0606 with Modifier AXPayerPolicy · MOLINA-WA-MEDICARE-ESRD-ESRD-BILLING-FOR-J0406-OR-J0606-WITH-MODIFIER-AX | Retired |
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| Sep 30, 2026 | Molina Healthcare | DME Place of Service Separately ReimbursablePayerPolicy · MOLINA-WA-MEDICARE-DME-DME-PLACE-OF-SERVICE-SEPARATELY-REIMBURSABLE | Retired |
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| Sep 30, 2026 | Molina Healthcare | DME KF ModifierPayerPolicy · MOLINA-WA-MEDICARE-DME-DME-KF-MODIFIER | Retired |
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| Sep 30, 2026 | Molina Healthcare | Semiprivate Vs Private RoomPayerPolicy · MOLINA-WA-MEDICARE-ADMINISTRATIVE-SEMIPRIVATE-VS-PRIVATE-ROOM | Retired |
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| Sep 30, 2026 | Molina Healthcare | EpiduralSteroidInjectionsForPainManagementPayerPolicy · MOLINA-WA-MEDICARE-PHARMACY-EPIDURALSTEROIDINJECTIONSFORPAINMANAGEMENT | Retired |
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| Sep 30, 2026 | Molina Healthcare | Radiology for chestPayerPolicy · MOLINA-WA-MEDICARE-RADIOLOGY-RADIOLOGY-FOR-CHEST | Retired |
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| Sep 30, 2026 | Molina Healthcare | Radiology Bone DensityPayerPolicy · MOLINA-WA-MEDICARE-RADIOLOGY-RADIOLOGY-BONE-DENSITY | Retired |
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| Sep 30, 2026 | Molina Healthcare | Pulmonary Function TestingPayerPolicy · MOLINA-WA-MEDICARE-RADIOLOGY-PULMONARY-FUNCTION-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | Recovery Policy Variable Discount Payments for ProvidersPayerPolicy · MOLINA-WA-MEDICARE-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-WA-MEDICARE-ADMINISTRATIVE-RECOVERY-POLICY-FOR-REVENUE-TO-CPT-CODE-REVIEW | Retired |
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| Sep 30, 2026 | Molina Healthcare | Recovery Policy for Diagnosis CodesPayerPolicy · MOLINA-WA-MEDICARE-ADMINISTRATIVE-RECOVERY-POLICY-FOR-DIAGNOSIS-CODES | Retired |
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| Sep 30, 2026 | Molina Healthcare | Paid Amount Exceeded Billed AmountPayerPolicy · MOLINA-WA-MEDICARE-ADMINISTRATIVE-PAID-AMOUNT-EXCEEDED-BILLED-AMOUNT | Retired |
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| Sep 30, 2026 | Molina Healthcare | Multiple Procedure Payment ReductionPayerPolicy · MOLINA-WA-MEDICARE-ADMINISTRATIVE-MULTIPLE-PROCEDURE-PAYMENT-REDUCTION | Retired |
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| Sep 30, 2026 | Molina Healthcare | Electrocardiographic EKG or ECG Monitoring Holteror Real Time MonitoringPayerPolicy · MOLINA-WA-MEDICARE-RADIOLOGY-ELECTROCARDIOGRAPHIC-EKG-OR-ECG-MONITORING | Retired |
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| Sep 30, 2026 | Molina Healthcare | CT Computed Tomography of the Abdomen and PelvisPayerPolicy · MOLINA-WA-MEDICARE-RADIOLOGY-CT-COMPUTED-TOMOGRAPHY-OF-THE-ABDOMEN-AND-PELVIS | Retired |
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| Sep 30, 2026 | Molina Healthcare | MemberNotActive12162024lPayerPolicy · MOLINA-WA-MEDICARE-ADMINISTRATIVE-MEMBERNOTACTIVE12162024L | Retired |
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| Sep 30, 2026 | Molina Healthcare | General Billing and Coding PolicyPayerPolicy · MOLINA-WA-MEDICARE-ADMINISTRATIVE-GENERAL-BILLING-AND-CODING-POLICY | Retired |
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| Sep 30, 2026 | Molina Healthcare | Fee SchedulePayerPolicy · MOLINA-WA-MEDICARE-ADMINISTRATIVE-FEE-SCHEDULE | Retired |
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| Sep 30, 2026 | Molina Healthcare | Duplicate ClaimsPayerPolicy · MOLINA-WA-MEDICARE-ADMINISTRATIVE-DUPLICATE-CLAIMS | Retired |
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| Sep 30, 2026 | Molina Healthcare | Cross-Departmental Recovery PolicyPayerPolicy · MOLINA-WA-MEDICARE-ADMINISTRATIVE-CROSS-DEPARTMENTAL-RECOVERY-POLICY | Retired |
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| Sep 30, 2026 | Molina Healthcare | Authorization ReviewPayerPolicy · MOLINA-WA-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-WA-MEDICARE-ADMINISTRATIVE-ANNUAL-WELLNESS-VISIT-SOONER-THAN-11-MONTHS | Retired |
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| Sep 30, 2026 | Molina Healthcare | After Hours and Weekend Care ProfessionalPayerPolicy · MOLINA-WA-MEDICARE-ADMINISTRATIVE-AFTER-HOURS-AND-WEEKEND-CARE-PROFESSIONAL | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2014 Vitamin B12 and Methylmalonic Acid TestingPayerPolicy · MOLINA-WA-MEDICARE-LAB-G2014-VITAMIN-B12-AND-METHYLMALONIC-ACID-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2022 Biomarker Testing for Autoimmune Rheumatic DiseasePayerPolicy · MOLINA-WA-MEDICARE-LAB-G2022-BIOMARKER-TESTING-FOR-AUTOIMMUNE-RHEUMATIC | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2031 Allergen TestingPayerPolicy · MOLINA-WA-MEDICARE-LAB-G2031-ALLERGEN-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2035 Prenatal Screening Nongenetic Prior VariancePayerPolicy · MOLINA-WA-MEDICARE-LAB-G2035-PRENATAL-SCREENING-NONGENETIC-PRIOR-VARIANCE | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2042 Pediatric Preventive ScreeningPayerPolicy · MOLINA-WA-MEDICARE-LAB-G2042-PEDIATRIC-PREVENTIVE-SCREENING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2044 Helicobacter pylori TestingPayerPolicy · MOLINA-WA-MEDICARE-LAB-G2044-HELICOBACTER-PYLORI-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2050 Cardiovascular Disease Risk AssessmentPayerPolicy · MOLINA-WA-MEDICARE-LAB-G2050-CARDIOVASCULAR-DISEASE-RISK-ASSESSMENT | Retired |
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| Sep 30, 2026 | Molina Healthcare | ESRD Consolidated BillingPayerPolicy · MOLINA-WA-MEDICARE-ESRD-ESRD-CONSOLIDATED-BILLING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2120 Salivary Hormone TestingPayerPolicy · MOLINA-WA-MEDICARE-LAB-G2120-SALIVARY-HORMONE-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2125 Urinary Tumor Markers for Bladder CancerPayerPolicy · MOLINA-WA-MEDICARE-LAB-G2125-URINARY-TUMOR-MARKERS-FOR-BLADDER-CANCER | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2149 Pathogen Panel TestingPayerPolicy · MOLINA-WA-MEDICARE-LAB-G2149-PATHOGEN-PANEL-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2150 Biomarkers for Myocardial Infarction and Chronic Heart FailurePayerPolicy · MOLINA-WA-MEDICARE-LAB-G2150-BIOMARKERS-FOR-MYOCARDIAL-INFARCTION-AND | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2151 Serum Testing For Evidence of Mild Traumatic Brain InjuryPayerPolicy · MOLINA-WA-MEDICARE-LAB-G2151-SERUM-TESTING-FOR-EVIDENCE-OF-MILD | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2153 Pancreatic Enzyme Testing for Acute PancreatitisPayerPolicy · MOLINA-WA-MEDICARE-LAB-G2153-PANCREATIC-ENZYME-TESTING-FOR-ACUTE | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2155 General Inflammation TestingPayerPolicy · MOLINA-WA-MEDICARE-LAB-G2155-GENERAL-INFLAMMATION-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2164 Parathyroid Hormone Phosphorus Calcium and Magnesium TestingPayerPolicy · MOLINA-WA-MEDICARE-LAB-G2164-PARATHYROID-HORMONE-PHOSPHORUS-CALCIUM-AND | Retired |
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| Sep 30, 2026 | Molina Healthcare | DME Place of Service 31or 32PayerPolicy · MOLINA-WA-MEDICARE-DME-DME-PLACE-OF-SERVICE-31OR-32 | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2174 Coronavirus Testing in the Outpatient SettingPayerPolicy · MOLINA-WA-MEDICARE-LAB-G2174-CORONAVIRUS-TESTING-IN-THE-OUTPATIENT | Retired |
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| Sep 30, 2026 | Molina Healthcare | M2041 RTM Venous and Arterial Thrombosis Risk TestingPayerPolicy · MOLINA-WA-MEDICARE-LAB-M2041-RTM-VENOUS-AND-ARTERIAL-THROMBOSIS-RISK | Retired |
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| Sep 30, 2026 | Molina Healthcare | M2057 Diagnosis of Vaginitis Prior VariancePayerPolicy · MOLINA-WA-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-WA-MEDICARE-LAB-M2097-IDENTIFICATION-OF-MICROORGANISMS-USING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2008 Prostate Specific Antigen PSA TestingPayerPolicy · MOLINA-WA-MEDICARE-LAB-G2008-PROSTATE-SPECIFIC-ANTIGEN-PSA-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2006 Diabetes Mellitus TestingPayerPolicy · MOLINA-WA-MEDICARE-LAB-G2006-DIABETES-MELLITUS-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | G2005 Vitamin D TestingPayerPolicy · MOLINA-WA-MEDICARE-LAB-G2005-VITAMIN-D-TESTING | Retired |
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| Sep 30, 2026 | Molina Healthcare | F2019 Flow CytometryPayerPolicy · MOLINA-WA-MEDICARE-LAB-F2019-FLOW-CYTOMETRY | Retired |
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| Sep 30, 2026 | Molina Healthcare | DME Non Invasive Ventilator SettingsPayerPolicy · MOLINA-WA-MEDICARE-DME-DME-NON-INVASIVE-VENTILATOR-SETTINGS | Retired |
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| Sep 30, 2026 | Molina Healthcare | Labs Overlapping with FacilityPayerPolicy · MOLINA-WA-MEDICARE-LAB-LABS-OVERLAPPING-WITH-FACILITY | Retired |
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