Molina Healthcare Illinois policies
Search Molina Healthcare Illinois's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.
8 policies name 80047, those listing the fewest codes first. A policy that names a code may also list it as excluded.
| Policy | Details | Codes | Source |
|---|---|---|---|
| Lab Panel | Commercial, Medicaid | 9 | Original policy ↗ |
| Lab Panel | Medicaid · AZ, CA, FL, IA, ID, IL, MA, MI, NE, NM, NY, OH, SC, TX, WA, WI | 9 | Original policy ↗ |
| Lab Panel | Medicaid · IL | 9 | Original policy ↗ |
| End Stage Renal Disease (ESRD) Consolidated Billing Policy | Effective Aug 4, 2025 · Commercial, Medicaid | 29 | Original policy ↗ |
| Hydrolyzed Enteral Formula Diagnosis | Commercial | 30 | Original policy ↗ |
| Physician Office Laboratory Testing | Commercial, Medicaid | 60 | Original policy ↗ |
| Physician Office Laboratory Testing | Medicaid · AZ, CA, FL, IA, ID, IL, MA, NE, NM, NY, OH, SC, TX, WA, WI | 60 | Original policy ↗ |
| Physician Office Laboratory Testing | Medicaid | 211 | Original policy ↗ |