Molina Healthcare Billing and Reimbursement Policies

For Benefit Interpretation Policies, please click here (for Marketplace only).

Marketplace Marketplace
 Allergy Testing
 Clinical Diagnostic Laboratory Services
 Lab Panel
 Labs Overlapping with Facility
 Non-Invasive Prenatal Testing
 Packaged and conditionally packaged lab services
 Physician Office Laboratory Testing
 Respiratory Pathogen Panel Testing
 STI Lab Panel Testing
 F2019 Flow Cytometry
 G2005 Vitamin D Testing
 G2006 Diabetes Mellitus Testing
 G2008 Prostate Specific Antigen PSA Testing
 G2011 Diagnostic Testing of Iron Homeostasis Metabolism
 R2162 Laboratory Procedures Reimbursement
 M2172 Onychomycosis Testing
 M2116 Human Immunodeficiency Virus HIV
 M2097 Identification of Microorganisms using Nucleic Acid Probes
 M2057 Diagnosis of Vaginitis Prior Variance
 M2041 RTM Venous and Arterial Thrombosis Risk Testing
 G2181 Colorectal Cancer Screening Prior Variance
 G2174 Coronavirus Testing in the Outpatient Setting
 G2164 Parathyroid Hormone Phosphorus Calcium and Magnesium Testing
 G2155 General Inflammation Testing
 G2154 Folate Testing
 G2153 Pancreatic Enzyme Testing for Acute Pancreatitis
 G2151 Serum Testing For Evidence of Mild Traumatic Brain Injury
 G2150 Biomarkers for Myocardial Infarction and Chronic Heart Failure
 G2149 Pathogen Panel Testing
 G2143 Lyme Disease Testing
 G2138 Evaluation of Dry Eyes
 G2125 Urinary Tumor Markers for Bladder Cancer
 G2124 Serum Tumor Markers for Malignancies
 G2120 Salivary Hormone Testing
 G2099 Intracellular Micronutrient Analysis
 G2050 Cardiovascular Disease Risk Assessment
 G2045 Thyroid Disease Testing
 G2044 Helicobacter pylori Testing
 G2042 Pediatric Preventive Screening
 G2036 Hepatitis Testing
 G2035 Prenatal Screening Nongenetic Prior Variance
 G2031 Allergen Testing
 G2022 Biomarker Testing for Autoimmune Rheumatic Disease
 G2014 Vitamin B12 and Methylmalonic Acid Testing
Medicare Medicare
  

 

 

 

State Specific Sites

This page lists Molina Healthcare Inc Medicare and Marketplace Lines of Business. Please check your State’s Medicaid website for policies that contain State-specific language or requirements in addition to what is listed in the corporate policy. Applicable information is listed in the Appendix at the end of policies.