Molina Healthcare New Mexico policies, page 4

Search Molina Healthcare New Mexico'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.

363 public policies Substrate tracks for Molina Healthcare New Mexico, by title.

Molina Healthcare New Mexico policies
PolicyDetailsCodesSource
Implantable Intrathecal Pain PumpCommercial, Medicaid21Original policy ↗
Implantable Neurostimulator for Central Sleep Apnea340 · Commercial, Medicaid13Original policy ↗
Implantable Peripheral Nerve and Nerve Field Stimulators for Chronic Pain444 · Commercial, Medicaid28Original policy ↗
Implantable Shock Absorbers for Knee OsteoarthritisCommercial2Original policy ↗
Implanted Tibial Nerve Stimulation for Urinary IncontinenceCommercial, Medicaid8Original policy ↗
Implanted Tibial Nerve Stimulation for Urinary Incontinence MEDICARE8Original policy ↗
Incarceration Diagnosis CodeCommercial, Medicaid—Original policy ↗
Infertility Evaluation and Treatments476 · Commercial, Medicaid162Original policy ↗
Inhaled Nitric Oxide iNO for Neonatal Hypoxic Respiratory FailureCommercial, Medicaid4Original policy ↗
Injections and Nerve Blocks for Neck and Back Pain468 · Effective Apr 8, 2026 · Commercial, Medicaid25Original policy ↗
Inpatient services billed on Outpatient bill typesMedicaid1Original policy ↗
Inpatient services billed on Outpatient bill typesMedicaid · AZ, CA, IA, ID, MI, NE, NM, NY, OH, TX, UT, WI1Original policy ↗
Interspinous Decompression and Interlaminar Stabilization Devices for Spinal StenosisCommercial, Medicaid5Original policy ↗
Interspinous Process Fixation Devices for Spinal FusionCommercial, Medicaid1Original policy ↗
Intervertebral Stabilization DevicesCommercial, Medicaid1Original policy ↗
Intradialytic Parenteral Nutrition and Intraperitoneal Parenteral Nutrition421 · Commercial42Original policy ↗
Intraoperative Neurophysiologic Monitoring (IONM)481 · Effective Apr 8, 2026 · Commercial, Medicaid3Original policy ↗
Itvisma (onasemnogene abeparvovec)Commercial, Medicaid3Original policy ↗
Itvisma (onasemnogene abeparvovec) MEDICARE3Original policy ↗
Kebilidi (eladocagene exuparvovec)Commercial, Medicaid3Original policy ↗
Ketogenic Diet for Treatment of Intractable SeizuresCommercial, Medicaid3Original policy ↗
Kidney Transplantation045 · Commercial15Original policy ↗
Kresladi (marnetegragene autotemcel)Commercial4Original policy ↗
Kymriah (tisagenlecleucel)395 · Effective Apr 8, 2026 · Commercial9Original policy ↗
Lab Codes with Modifiers 59 and 91Commercial, Medicaid—Original policy ↗
Lab Codes with Modifiers 59 and 91Medicaid · AZ, CA, FL, IA, ID, MA, NE, NM, NY—Original policy ↗
Lab PanelCommercial, Medicaid9Original policy ↗
Lab PanelMedicaid · AZ, CA, FL, IA, ID, IL, MA, MI, NE, NM, NY, OH, SC, TX, WA, WI9Original policy ↗
Labs Overlapping with FacilityCommercial, Medicaid—Original policy ↗
Lenmeldy (atidarsagene autotemcel)453 · Commercial, Medicaid3Original policy ↗
Liver Transplantation114 · Commercial15Original policy ↗
Lumbar Artificial Intervertebral Disc ReplacementCommercial9Original policy ↗
Lung TransplantationCommercial13Original policy ↗
Luxturna (voretigene neparvovec-rzyl)318 · Commercial, Medicaid2Original policy ↗
Lyfgenia (lovotibeglogene autotemcel)448 · Commercial, Medicaid3Original policy ↗
Magnetic Resonance Guided Focused Ultrasound (MRgFUS) for Essential TremorCommercial1Original policy ↗
Measurement of Carotid Artery Intima ThicknessCommercial, Medicaid1Original policy ↗
Medical Supplies Home Health Consolidated BillingCommercial, Medicaid3Original policy ↗
Medically NecessaryCommercial, Medicaid—Original policy ↗
Medically Unlikely EditsCommercial, Medicaid1Original policy ↗
Medically Unlikely EditsMedicaid · AZ, CA, FL, IA, ID, IL, MA, MI, NE, NM, NY, OH, SC, TX, UT, WA, WI1Original 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 ↗
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 · AZ, CA, FL, IA, ID, MA, MI, NE, NM, NY, OH, SC, TX, UT, WI—Original 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.