Molina Complete Care Virginia DSNP policy

Physician Office Laboratory Testing

Physician Office Laboratory Testing is a public Molina Complete Care Virginia DSNP policy. It lists 211 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

View the original policy (PDF) ↗

Payer
Molina Complete Care Virginia DSNP
Line of business
Medicaid
Source
www.molinahealthcare.com

Codes in this policy

The CPT and HCPCS codes the policy names. A policy can name a code it excludes.

CodeOther Molina Complete Care Virginia DSNP policies
0202UPolicies naming 0202U
0223UPolicies naming 0223U
0225UPolicies naming 0225U
0240UPolicies naming 0240U
0241UPolicies naming 0241U
80047Policies naming 80047
80048Policies naming 80048
80053Policies naming 80053
80061Policies naming 80061
80069Policies naming 80069
80178Policies naming 80178
80305Policies naming 80305
80306Policies naming 80306
80307Policies naming 80307
80324Policies naming 80324
80325Policies naming 80325
80326Policies naming 80326
80327Policies naming 80327
80328Policies naming 80328
80329Policies naming 80329
80330Policies naming 80330
80331Policies naming 80331
80332Policies naming 80332
80333Policies naming 80333
80334Policies naming 80334
80335Policies naming 80335
80336Policies naming 80336
80337Policies naming 80337
80338Policies naming 80338
80339Policies naming 80339
80340Policies naming 80340
80341Policies naming 80341
80342Policies naming 80342
80343Policies naming 80343
80344Policies naming 80344
80345Policies naming 80345
80346Policies naming 80346
80347Policies naming 80347
80348Policies naming 80348
80349Policies naming 80349
80350Policies naming 80350
80351Policies naming 80351
80352Policies naming 80352
80353Policies naming 80353
80354Policies naming 80354
80355Policies naming 80355
80356Policies naming 80356
80357Policies naming 80357
80358Policies naming 80358
80359Policies naming 80359
80360Policies naming 80360
80361Policies naming 80361
80362Policies naming 80362
80363Policies naming 80363
80364Policies naming 80364
80365Policies naming 80365
80366Policies naming 80366
80367Policies naming 80367
80368Policies naming 80368
80369Policies naming 80369
80370Policies naming 80370
80371Policies naming 80371
80372Policies naming 80372
80373Policies naming 80373
80374Policies naming 80374
80375Policies naming 80375
80376Policies naming 80376
80377Policies naming 80377
81000Policies naming 81000
81001Policies naming 81001
81002Policies naming 81002
81003Policies naming 81003
81005Policies naming 81005
81015Policies naming 81015
81025Policies naming 81025
82040Policies naming 82040
82043Policies naming 82043
82044Policies naming 82044
82075Policies naming 82075
82120Policies naming 82120
82247Policies naming 82247
82248Policies naming 82248
82270Policies naming 82270
82271Policies naming 82271
82272Policies naming 82272
82274Policies naming 82274
82310Policies naming 82310
82330Policies naming 82330
82374Policies naming 82374
82435Policies naming 82435
82465Policies naming 82465
82565Policies naming 82565
82570Policies naming 82570
82575Policies naming 82575
82731Policies naming 82731
82947Policies naming 82947
82948Policies naming 82948
82950Policies naming 82950
82951Policies naming 82951
82952Policies naming 82952
82962Policies naming 82962
83036Policies naming 83036
83051Policies naming 83051
83655Policies naming 83655
83718Policies naming 83718
83721Policies naming 83721
83735Policies naming 83735
83986Policies naming 83986
83992Policies naming 83992
84075Policies naming 84075
84100Policies naming 84100
84132Policies naming 84132
84155Policies naming 84155
84295Policies naming 84295
84436Policies naming 84436
84437Policies naming 84437
84439Policies naming 84439
84443Policies naming 84443
84450Policies naming 84450
84460Policies naming 84460
84478Policies naming 84478
84520Policies naming 84520
84703Policies naming 84703
85007Policies naming 85007
85008Policies naming 85008
85013Policies naming 85013
85014Policies naming 85014
85018Policies naming 85018
85025Policies naming 85025
85027Policies naming 85027
85032Policies naming 85032
85049Policies naming 85049
85060Policies naming 85060
85095Policies naming 85095
85102Policies naming 85102
85535Policies naming 85535
85576Policies naming 85576
85610Policies naming 85610
85651Policies naming 85651
86140Policies naming 86140
86141Policies naming 86141
86308Policies naming 86308
86318Policies naming 86318
86328Policies naming 86328
86408Policies naming 86408
86409Policies naming 86409
86580Policies naming 86580
86592Policies naming 86592
86756Policies naming 86756
86769Policies naming 86769
87070Policies naming 87070
87172Policies naming 87172
87205Policies naming 87205
87210Policies naming 87210
87220Policies naming 87220
87270Policies naming 87270
87275Policies naming 87275
87276Policies naming 87276
87280Policies naming 87280
87301Policies naming 87301
87400Policies naming 87400
87420Policies naming 87420
87426Policies naming 87426
87428Policies naming 87428
87430Policies naming 87430
87490Policies naming 87490
87491Policies naming 87491
87502Policies naming 87502
87591Policies naming 87591
87634Policies naming 87634
87635Policies naming 87635
87636Policies naming 87636
87637Policies naming 87637
87650Policies naming 87650
87651Policies naming 87651
87660Policies naming 87660
87661Policies naming 87661
87800Policies naming 87800
87802Policies naming 87802
87803Policies naming 87803
87804Policies naming 87804
87806Policies naming 87806
87807Policies naming 87807
87808Policies naming 87808
87811Policies naming 87811
87880Policies naming 87880
87905Policies naming 87905
88150Policies naming 88150
88152Policies naming 88152
88153Policies naming 88153
88155Policies naming 88155
88164Policies naming 88164
88165Policies naming 88165
88166Policies naming 88166
88167Policies naming 88167
88174Policies naming 88174
88175Policies naming 88175
88305Policies naming 88305
88312Policies naming 88312
88313Policies naming 88313
88331Policies naming 88331
88332Policies naming 88332
88342Policies naming 88342
88720Policies naming 88720
89060Policies naming 89060
G0328Policies naming G0328
G0480Policies naming G0480
G0481Policies naming G0481
G0659Policies naming G0659
Q0111Policies naming Q0111
Q0112Policies naming Q0112

All Molina Complete Care Virginia DSNP policies

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.