Molina Healthcare Michigan policies
Search Molina Healthcare Michigan'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.
Checking prior authorization for 80048? Open Molina Healthcare Michigan’s official lists and confirm the member’s product there.
8 policies name 80048, those listing the fewest codes first. A policy that names a code may also list it as excluded.
| Policy | Details | Codes | Source |
|---|---|---|---|
| End Stage Renal Disease (ESRD) Consolidated Billing Policy | Effective Aug 4, 2025 · Commercial, Medicaid | 29 | Original policy ↗ |
| End Stage Renal Disease (ESRD) Consolidated Billing Policy | Effective Aug 4, 2025 · Medicaid · AZ, IA, ID, MI, NE, SC | 29 | Original policy ↗ |
| Hydrolyzed Enteral Formula Diagnosis | Commercial | 30 | Original policy ↗ |
| Physician Office Laboratory Testing | Commercial, Medicaid | 60 | Original policy ↗ |
| Clinical Diagnostic Laboratory Services | Commercial | 211 | Original policy ↗ |
| Clinical Diagnostic Laboratory Services | Medicaid · AZ, IA, MI, NE, OH, SC, TX, WI | 211 | Original policy ↗ |
| Physician Office Laboratory Testing | Medicaid | 211 | Original policy ↗ |
| Clinical Diagnostic Laboratory Services | 212 | Original policy ↗ |
Back to Molina Healthcare Michigan · Molina Healthcare Michigan prior authorization CPT list