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 |
|---|
| Sep 30, 2026 | Molina Healthcare | Split-Night-Sleep-StudyPayerPolicy · MOLINA-WA-MEDICARE-CLINICAL-SPLIT-NIGHT-SLEEP-STUDY | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | Optum EDC Analyzer - Facility ER E&M Leveling PrepaymentPayerPolicy · MOLINA-WA-MEDICARE-CLINICAL-OPTUM-EDC-ANALYZER-FACILITY-ER-E-M-LEVELING | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | Non-Invasive Prenatal TestingPayerPolicy · MOLINA-WA-MEDICARE-CLINICAL-NON-INVASIVE-PRENATAL-TESTING | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | DRG Clinical ValidationPayerPolicy · MOLINA-WA-MEDICARE-CLINICAL-DRG-CLINICAL-VALIDATION | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | Breast Cancer Genetic Testing Tier 1 vs Tier 2PayerPolicy · MOLINA-WA-MEDICARE-CLINICAL-BREAST-CANCER-GENETIC-TESTING-TIER-1-VS-TIER-2 | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | Unspecified Codes in an Inpatient SettingPayerPolicy · MOLINA-WA-MEDICARE-UNSPECIFIED-CODES-IN-AN-INPATIENT-SETTING | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | Tendon Injections Missing DiagnosisPayerPolicy · MOLINA-WA-MEDICARE-TENDON-INJECTIONS-MISSING-DIAGNOSIS | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | NCCI PTP with ModifiersPayerPolicy · MOLINA-WA-MEDICARE-NCCI-PTP-WITH-MODIFIERS | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | Modifiers XE XS XP XU and 59 UsagePayerPolicy · MOLINA-WA-MEDICARE-MODIFIERS-XE-XS-XP-XU-AND-59-USAGE | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | Modifier TCPayerPolicy · MOLINA-WA-MEDICARE-MODIFIER-TC | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | Incarceration Diagnosis CodePayerPolicy · MOLINA-WA-MEDICARE-INCARCERATION-DIAGNOSIS-CODE | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | ICD-10 SpecificityPayerPolicy · MOLINA-WA-MEDICARE-ICD-10-SPECIFICITY | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | ICD-10 First Listed Diagnosis Coding PolicyPayerPolicy · MOLINA-WA-MEDICARE-CODING-ICD-10-FIRST-LISTED-DIAGNOSIS-CODING-POLICY | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | Facility Bilateralor Anatomical Modifier UsePayerPolicy · MOLINA-WA-MEDICARE-FACILITY-BILATERALOR-ANATOMICAL-MODIFIER-USE | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | Critical Care Codes when Discharging Home from the Emergency DepartmentPayerPolicy · MOLINA-WA-MEDICARE-CRITICAL-CARE-CODES-WHEN-DISCHARGING-HOME-FROM | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | Advanced Beneficiary Notice ABN Modifiers GA GX GY GZPayerPolicy · MOLINA-WA-MEDICARE-ADVANCED-BENEFICIARY-NOTICE-ABN-MODIFIERS-GA-GX | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | Recovery Policy for CPT to CPT CodePayerPolicy · MOLINA-WA-MEDICARE-ADMINISTRATIVE-RECOVERY-POLICY-FOR-CPT-TO-CPT-CODE | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | Opioid Treatment ServicePayerPolicy · MOLINA-WA-MARKETPLACE-PHARMACY-OPIOID-TREATMENT-SERVICE | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | Authorized Pain Management Services with a Claim Modifier MismatchPayerPolicy · MOLINA-WA-MARKETPLACE-PHARMACY-AUTHORIZED-PAIN-MANAGEMENT-SERVICES-WITH-A-CLAIM | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | Radiology for chestPayerPolicy · MOLINA-WA-MARKETPLACE-RADIOLOGY-RADIOLOGY-FOR-CHEST | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | Overlapping Room and BoradPayerPolicy · MOLINA-WA-MEDICARE-ADMINISTRATIVE-OVERLAPPING-ROOM-AND-BORAD | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | Ambulance ModifierPayerPolicy · MOLINA-WA-MARKETPLACE-TRANSPORTATION-AMBULANCE-MODIFIER | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | Recovery Policy Variable Discount Payments for ProvidersPayerPolicy · MOLINA-WA-MARKETPLACE-ADMINISTRATIVE-RECOVERY-POLICY-VARIABLE-DISCOUNT-PAYMENTS-FOR | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | Medical Supplies Home Health Consolidated BillingPayerPolicy · MOLINA-WA-MARKETPLACE-ADMINISTRATIVE-MEDICAL-SUPPLIES-HOME-HEALTH-CONSOLIDATED-BILLING | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | General Billing and Coding PolicyPayerPolicy · MOLINA-WA-MARKETPLACE-ADMINISTRATIVE-GENERAL-BILLING-AND-CODING-POLICY | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | After Hours and Weekend Care ProfessionalPayerPolicy · MOLINA-WA-MARKETPLACE-ADMINISTRATIVE-AFTER-HOURS-AND-WEEKEND-CARE-PROFESSIONAL | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | G2125 Urinary Tumor Markers for Bladder CancerPayerPolicy · MOLINA-WA-MARKETPLACE-LAB-G2125-URINARY-TUMOR-MARKERS-FOR-BLADDER-CANCER | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | G2045 Thyroid Disease TestingPayerPolicy · MOLINA-WA-MARKETPLACE-LAB-G2045-THYROID-DISEASE-TESTING | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | Corrected ClaimsPayerPolicy · MOLINA-WA-MEDICARE-ADMINISTRATIVE-CORRECTED-CLAIMS | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | STI Lab Panel TestingPayerPolicy · MOLINA-WA-MARKETPLACE-LAB-STI-LAB-PANEL-TESTING | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | G2151 Serum Testing For Evidence of Mild Traumatic Brain InjuryPayerPolicy · MOLINA-WA-MARKETPLACE-LAB-G2151-SERUM-TESTING-FOR-EVIDENCE-OF-MILD | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | M2041 RTM Venous and Arterial Thrombosis Risk TestingPayerPolicy · MOLINA-WA-MARKETPLACE-LAB-M2041-RTM-VENOUS-AND-ARTERIAL-THROMBOSIS-RISK | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | G2164 Parathyroid Hormone Phosphorus Calcium and Magnesium TestingPayerPolicy · MOLINA-WA-MARKETPLACE-LAB-G2164-PARATHYROID-HORMONE-PHOSPHORUS-CALCIUM-AND | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | G2153 Pancreatic Enzyme Testing for Acute PancreatitisPayerPolicy · MOLINA-WA-MARKETPLACE-LAB-G2153-PANCREATIC-ENZYME-TESTING-FOR-ACUTE | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | Packaged and conditionally packaged lab servicesPayerPolicy · MOLINA-WA-MARKETPLACE-LAB-PACKAGED-AND-CONDITIONALLY-PACKAGED-LAB-SERVICES | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | M2172 Onychomycosis TestingPayerPolicy · MOLINA-WA-MARKETPLACE-LAB-M2172-ONYCHOMYCOSIS-TESTING | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | M2097 Identification of Microorganisms using Nucleic Acid ProbesPayerPolicy · MOLINA-WA-MARKETPLACE-LAB-M2097-IDENTIFICATION-OF-MICROORGANISMS-USING | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | G2036 Hepatitis TestingPayerPolicy · MOLINA-WA-MEDICARE-LAB-G2036-HEPATITIS-TESTING | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | G2045 Thyroid Disease TestingPayerPolicy · MOLINA-WA-MEDICARE-LAB-G2045-THYROID-DISEASE-TESTING | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | G2099 Intracellular Micronutrient AnalysisPayerPolicy · MOLINA-WA-MEDICARE-LAB-G2099-INTRACELLULAR-MICRONUTRIENT-ANALYSIS | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | G2124 Serum Tumor Markers for MalignanciesPayerPolicy · MOLINA-WA-MEDICARE-LAB-G2124-SERUM-TUMOR-MARKERS-FOR-MALIGNANCIES | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | M2116 Human Immunodeficiency Virus HIVPayerPolicy · MOLINA-WA-MARKETPLACE-LAB-M2116-HUMAN-IMMUNODEFICIENCY-VIRUS-HIV | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | G2155 General Inflammation TestingPayerPolicy · MOLINA-WA-MARKETPLACE-LAB-G2155-GENERAL-INFLAMMATION-TESTING | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | G2022 Biomarker Testing for Autoimmune Rheumatic DiseasePayerPolicy · MOLINA-WA-MARKETPLACE-LAB-G2022-BIOMARKER-TESTING-FOR-AUTOIMMUNE-RHEUMATIC | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | G2138 Evaluation of Dry EyesPayerPolicy · MOLINA-WA-MEDICARE-LAB-G2138-EVALUATION-OF-DRY-EYES | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | G2143 Lyme Disease TestingPayerPolicy · MOLINA-WA-MEDICARE-LAB-G2143-LYME-DISEASE-TESTING | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | G2154 Folate TestingPayerPolicy · MOLINA-WA-MEDICARE-LAB-G2154-FOLATE-TESTING | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | ReadmissionPayerPolicy · MOLINA-WA-MARKETPLACE-CLINICAL-READMISSION | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | Optum EDC Analyzer - Facility ER E&M Leveling PrepaymentPayerPolicy · MOLINA-WA-MARKETPLACE-CLINICAL-OPTUM-EDC-ANALYZER-FACILITY-ER-E-M-LEVELING | Retired |
|---|
| Sep 30, 2026 | Molina Healthcare | Hospital Routine Supplies ServicesPayerPolicy · MOLINA-WA-MARKETPLACE-CLINICAL-HOSPITAL-ROUTINE-SUPPLIES-SERVICES | Retired |
|---|