Molina Healthcare Nebraska policy

ASC Groupers

ASC Groupers is a public Molina Healthcare Nebraska policy. It lists 256 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

View the original policy (PDF) ↗

Payer
Molina Healthcare Nebraska
Line of business
Commercial
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 Healthcare Nebraska policies
0054TPolicies naming 0054T
0055TPolicies naming 0055T
0100TPolicies naming 0100T
0184TPolicies naming 0184T
0312TPolicies naming 0312T
0313TPolicies naming 0313T
0314TPolicies naming 0314T
0315TPolicies naming 0315T
0316TPolicies naming 0316T
0317TPolicies naming 0317T
0396TPolicies naming 0396T
0404TPolicies naming 0404T
0652TPolicies naming 0652T
0653TPolicies naming 0653T
0654TPolicies naming 0654T
0671TPolicies naming 0671T
0699TPolicies naming 0699T
15011Policies naming 15011
15012Policies naming 15012
15013Policies naming 15013
15014Policies naming 15014
15015Policies naming 15015
15016Policies naming 15016
15017Policies naming 15017
15018Policies naming 15018
15778Policies naming 15778
15819Policies naming 15819
15850Policies naming 15850
15853Policies naming 15853
15854Policies naming 15854
19324Policies naming 19324
19366Policies naming 19366
22836Policies naming 22836
22837Policies naming 22837
22838Policies naming 22838
22860Policies naming 22860
25448Policies naming 25448
27090Policies naming 27090
27091Policies naming 27091
27120Policies naming 27120
27125Policies naming 27125
27278Policies naming 27278
27488Policies naming 27488
30469Policies naming 30469
31242Policies naming 31242
31243Policies naming 31243
32405Policies naming 32405
32408Policies naming 32408
33276Policies naming 33276
33277Policies naming 33277
33278Policies naming 33278
33279Policies naming 33279
33280Policies naming 33280
33281Policies naming 33281
33287Policies naming 33287
33288Policies naming 33288
33741Policies naming 33741
33745Policies naming 33745
33746Policies naming 33746
33900Policies naming 33900
33901Policies naming 33901
33902Policies naming 33902
33903Policies naming 33903
33904Policies naming 33904
33995Policies naming 33995
33997Policies naming 33997
36836Policies naming 36836
36837Policies naming 36837
38225Policies naming 38225
38226Policies naming 38226
38227Policies naming 38227
38228Policies naming 38228
42975Policies naming 42975
43290Policies naming 43290
43291Policies naming 43291
43497Policies naming 43497
43774Policies naming 43774
49186Policies naming 49186
49187Policies naming 49187
49188Policies naming 49188
49189Policies naming 49189
49190Policies naming 49190
49203Policies naming 49203
49204Policies naming 49204
49205Policies naming 49205
49560Policies naming 49560
49561Policies naming 49561
49565Policies naming 49565
49566Policies naming 49566
49568Policies naming 49568
49570Policies naming 49570
49572Policies naming 49572
49580Policies naming 49580
49582Policies naming 49582
49585Policies naming 49585
49587Policies naming 49587
49590Policies naming 49590
49591Policies naming 49591
49592Policies naming 49592
49593Policies naming 49593
49594Policies naming 49594
49595Policies naming 49595
49596Policies naming 49596
49613Policies naming 49613
49614Policies naming 49614
49615Policies naming 49615
49616Policies naming 49616
49617Policies naming 49617
49618Policies naming 49618
49621Policies naming 49621
49622Policies naming 49622
49623Policies naming 49623
49652Policies naming 49652
49653Policies naming 49653
49654Policies naming 49654
49655Policies naming 49655
49656Policies naming 49656
49657Policies naming 49657
51030Policies naming 51030
51721Policies naming 51721
52284Policies naming 52284
53865Policies naming 53865
53866Policies naming 53866
54438Policies naming 54438
55867Policies naming 55867
55880Policies naming 55880
55881Policies naming 55881
55882Policies naming 55882
57465Policies naming 57465
58293Policies naming 58293
58580Policies naming 58580
60660Policies naming 60660
60661Policies naming 60661
61715Policies naming 61715
61736Policies naming 61736
61737Policies naming 61737
61889Policies naming 61889
61891Policies naming 61891
61892Policies naming 61892
63052Policies naming 63052
63053Policies naming 63053
64466Policies naming 64466
64467Policies naming 64467
64468Policies naming 64468
64469Policies naming 64469
64473Policies naming 64473
64474Policies naming 64474
64582Policies naming 64582
64583Policies naming 64583
64584Policies naming 64584
64596Policies naming 64596
64597Policies naming 64597
64598Policies naming 64598
64628Policies naming 64628
64629Policies naming 64629
66683Policies naming 66683
66989Policies naming 66989
66991Policies naming 66991
67516Policies naming 67516
68841Policies naming 68841
69605Policies naming 69605
69716Policies naming 69716
69719Policies naming 69719
69726Policies naming 69726
69727Policies naming 69727
69728Policies naming 69728
69729Policies naming 69729
69730Policies naming 69730
93451Policies naming 93451
93452Policies naming 93452
93453Policies naming 93453
93454Policies naming 93454
93455Policies naming 93455
93456Policies naming 93456
93457Policies naming 93457
93458Policies naming 93458
93459Policies naming 93459
93460Policies naming 93460
93461Policies naming 93461
93462Policies naming 93462
93463Policies naming 93463
93464Policies naming 93464
93503Policies naming 93503
C1062Policies naming C1062
C7500Policies naming C7500
C7501Policies naming C7501
C7502Policies naming C7502
C7503Policies naming C7503
C7504Policies naming C7504
C7505Policies naming C7505
C7506Policies naming C7506
C7507Policies naming C7507
C7508Policies naming C7508
C7509Policies naming C7509
C7510Policies naming C7510
C7511Policies naming C7511
C7512Policies naming C7512
C7513Policies naming C7513
C7514Policies naming C7514
C7515Policies naming C7515
C7530Policies naming C7530
C7531Policies naming C7531
C7532Policies naming C7532
C7534Policies naming C7534
C7535Policies naming C7535
C7537Policies naming C7537
C7538Policies naming C7538
C7539Policies naming C7539
C7540Policies naming C7540
C7541Policies naming C7541
C7542Policies naming C7542
C7543Policies naming C7543
C7544Policies naming C7544
C7545Policies naming C7545
C7546Policies naming C7546
C7547Policies naming C7547
C7548Policies naming C7548
C7549Policies naming C7549
C7550Policies naming C7550
C7551Policies naming C7551
C7554Policies naming C7554
C7555Policies naming C7555
C7556Policies naming C7556
C7557Policies naming C7557
C7558Policies naming C7558
C7562Policies naming C7562
C7563Policies naming C7563
C7564Policies naming C7564
C7565Policies naming C7565
C8003Policies naming C8003
C9759Policies naming C9759
C9760Policies naming C9760
C9761Policies naming C9761
C9764Policies naming C9764
C9765Policies naming C9765
C9766Policies naming C9766
C9767Policies naming C9767
C9769Policies naming C9769
C9770Policies naming C9770
C9772Policies naming C9772
C9773Policies naming C9773
C9774Policies naming C9774
C9775Policies naming C9775
C9778Policies naming C9778
C9779Policies naming C9779
C9780Policies naming C9780
C9781Policies naming C9781
C9782Policies naming C9782
C9783Policies naming C9783
C9784Policies naming C9784
C9785Policies naming C9785
C9789Policies naming C9789
C9796Policies naming C9796
C9797Policies naming C9797
G0308Policies naming G0308
G0309Policies naming G0309

All Molina Healthcare Nebraska 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.