Molina HealthCare Nevada policies, page 5

Search Molina HealthCare Nevada'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.

397 public policies Substrate tracks for Molina HealthCare Nevada, by title.

Molina HealthCare Nevada policies
PolicyDetailsCodesSource
Medically NecessaryCommercial, Medicaid—Original policy ↗
Medically Unlikely EditsCommercial, Medicaid1Original policy ↗
Medically Unlikely EditsMedicaid · NV1Original policy ↗
Member Not ActiveEffective Dec 16, 2024 · Commercial, Medicaid—Original policy ↗
Member PCP as Attending Provider in a ER Facility SettingCommercial—Original policy ↗
Member PCP as Attending Provider in a ER Facility Setting—Original policy ↗
Member PCP as Attending Provider in a ER Facility SettingMedicaid · NV—Original policy ↗
Microwave Ablation Thermotherapy for Breast CancerCommercial1Original policy ↗
Minimally Invasive Glaucoma SurgeriesCommercial5Original policy ↗
Minimally Invasive Sacroiliac Joint FusionCommercial, Medicaid4Original policy ↗
Mobile Cardiac Outpatient Telemetry428 · Commercial, Medicaid2Original policy ↗
Modifier 25Commercial—Original policy ↗
Modifier 25Medicaid · NV—Original policy ↗
Modifier 26Commercial, Medicaid—Original policy ↗
Modifier 26—Original policy ↗
Modifier 26Medicaid · MI, NV—Original policy ↗
Modifier KXCommercial, Medicaid7Original policy ↗
Modifier KXMedicaid · NV7Original policy ↗
Modifier TCMedicaid · NV2Original policy ↗
Modifier Technical Component PolicyEffective Aug 21, 2025 · Commercial, Medicaid2Original policy ↗
Modifiers XE XS XP XU and 59 UsageCommercial, Medicaid—Original policy ↗
Modifiers XE XS XP XU and 59 Usage—Original policy ↗
Modifiers XE XS XP XU and 59 UsageMedicaid · NV—Original policy ↗
Molecular PathologyMedicaid · NV, UT46Original policy ↗
MP Facility Bilateral or Anatomical Modifier UseMedicaid · NV—Original policy ↗
Multiple EM codes for the same provider same date of serviceCommercial, Medicaid2Original policy ↗
Multiple EM codes for the same provider same date of serviceMedicaid · NV2Original policy ↗
Multiple Procedure Payment Reduction PolicyCommercial, Medicaid24Original policy ↗
N C C I (NCCI) Procedure-to-Procedure with ModifiersEffective Aug 5, 2025 · Commercial, Medicaid—Original policy ↗
National Drug CodeCommercial—Original policy ↗
National Drug CodeMedicaid · AZ, CA, FL, IA, ID, IL, MA, MI, NE, NM, NV, NY, OH, SC, TX, WA, WI—Original policy ↗
NCCI PTP with ModifiersMedicaid · NV—Original policy ↗
Negative Pressure Wound TherapyCommercial, Medicaid7Original policy ↗
Neuromuscular Electrical Training for the Treatment of OSA or Snoring (eXciteOSA)422 · Commercial, Medicaid2Original policy ↗
Neurostimulation Treatments for EpilepsyCommercial, Medicaid54Original policy ↗
Newborn and Neonatal Intensive Care Unit PolicyEffective Aug 6, 2025 · Commercial, Medicaid—Original policy ↗
Newborn and NICUMedicaid · NV—Original policy ↗
Non-Emergent Air Ambulance TransportCommercial, Medicaid10Original policy ↗
Non-Invasive Abdominal/Visceral Vascular StudiesCommercial, Medicaid—Original policy ↗
Non-Invasive Prenatal TestingEffective Jul 31, 2025 · Commercial, Medicaid7Original policy ↗
Non-Invasive Prenatal TestingMedicaid · ID, NV, UT7Original policy ↗
Noninvasive Positive Pressure Ventilation275 · Commercial, Medicaid3Original policy ↗
NPFS Status Indicator TMedicaid—Original policy ↗
NPFS Status Indicator TMedicaid · NV—Original policy ↗
ObservationCommercial17Original policy ↗
Observation17Original policy ↗
ObservationMedicaid · NM, NV17Original policy ↗
Occupational Therapy409 · Commercial, Medicaid28Original policy ↗
Omisirge (omidubicel onlv)Commercial, Medicaid5Original policy ↗
Opioid Treatment ServiceMedicaid18Original policy ↗

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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.