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Molina Healthcare of Kentucky policy

Clinical Diagnostic Laboratory Services

Clinical Diagnostic Laboratory Services is a public Molina Healthcare of Kentucky policy. It lists 211 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

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Payer
Molina Healthcare of Kentucky
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. Open official prior authorization lists to check the member’s product.

CodeOther Molina Healthcare of Kentucky policies
80048Policies naming 80048
80050Policies naming 80050
80051Policies naming 80051
80053Policies naming 80053
80061Policies naming 80061
80074Policies naming 80074
80076Policies naming 80076
80162Policies naming 80162
81000Policies naming 81000
81001Policies naming 81001
81002Policies naming 81002
81003Policies naming 81003
81005Policies naming 81005
81007Policies naming 81007
81015Policies naming 81015
81025Policies naming 81025
81225Policies naming 81225
81226Policies naming 81226
81227Policies naming 81227
81228Policies naming 81228
81229Policies naming 81229
81291Policies naming 81291
81479Policies naming 81479
81518Policies naming 81518
81519Policies naming 81519
81520Policies naming 81520
81521Policies naming 81521
81541Policies naming 81541
81546Policies naming 81546
81599Policies naming 81599
82105Policies naming 82105
82172Policies naming 82172
82306Policies naming 82306
82378Policies naming 82378
82465Policies naming 82465
82565Policies naming 82565
82607Policies naming 82607
82652Policies naming 82652
82728Policies naming 82728
82746Policies naming 82746
82947Policies naming 82947
82948Policies naming 82948
82977Policies naming 82977
82985Policies naming 82985
83001Policies naming 83001
83002Policies naming 83002
83009Policies naming 83009
83013Policies naming 83013
83014Policies naming 83014
83020Policies naming 83020
83036Policies naming 83036
83518Policies naming 83518
83540Policies naming 83540
83550Policies naming 83550
83698Policies naming 83698
83700Policies naming 83700
83701Policies naming 83701
83704Policies naming 83704
83718Policies naming 83718
83721Policies naming 83721
83918Policies naming 83918
83919Policies naming 83919
83921Policies naming 83921
83951Policies naming 83951
84146Policies naming 84146
84153Policies naming 84153
84402Policies naming 84402
84403Policies naming 84403
84410Policies naming 84410
84436Policies naming 84436
84439Policies naming 84439
84443Policies naming 84443
84450Policies naming 84450
84466Policies naming 84466
84478Policies naming 84478
84479Policies naming 84479
84702Policies naming 84702
84703Policies naming 84703
85007Policies naming 85007
85009Policies naming 85009
85013Policies naming 85013
85014Policies naming 85014
85018Policies naming 85018
85025Policies naming 85025
85027Policies naming 85027
85032Policies naming 85032
85041Policies naming 85041
85048Policies naming 85048
85610Policies naming 85610
85651Policies naming 85651
85660Policies naming 85660
85730Policies naming 85730
86255Policies naming 86255
86300Policies naming 86300
86301Policies naming 86301
86304Policies naming 86304
86382Policies naming 86382
86403Policies naming 86403
86580Policies naming 86580
86592Policies naming 86592
86593Policies naming 86593
86689Policies naming 86689
86694Policies naming 86694
86695Policies naming 86695
86696Policies naming 86696
86701Policies naming 86701
86702Policies naming 86702
86703Policies naming 86703
86706Policies naming 86706
86707Policies naming 86707
86762Policies naming 86762
86780Policies naming 86780
86803Policies naming 86803
87045Policies naming 87045
87070Policies naming 87070
87075Policies naming 87075
87076Policies naming 87076
87077Policies naming 87077
87081Policies naming 87081
87086Policies naming 87086
87088Policies naming 87088
87101Policies naming 87101
87109Policies naming 87109
87110Policies naming 87110
87164Policies naming 87164
87205Policies naming 87205
87206Policies naming 87206
87207Policies naming 87207
87210Policies naming 87210
87252Policies naming 87252
87254Policies naming 87254
87270Policies naming 87270
87273Policies naming 87273
87274Policies naming 87274
87320Policies naming 87320
87338Policies naming 87338
87339Policies naming 87339
87340Policies naming 87340
87341Policies naming 87341
87350Policies naming 87350
87390Policies naming 87390
87391Policies naming 87391
87449Policies naming 87449
87480Policies naming 87480
87481Policies naming 87481
87490Policies naming 87490
87491Policies naming 87491
87492Policies naming 87492
87510Policies naming 87510
87511Policies naming 87511
87512Policies naming 87512
87516Policies naming 87516
87520Policies naming 87520
87521Policies naming 87521
87522Policies naming 87522
87528Policies naming 87528
87529Policies naming 87529
87530Policies naming 87530
87531Policies naming 87531
87532Policies naming 87532
87533Policies naming 87533
87534Policies naming 87534
87535Policies naming 87535
87536Policies naming 87536
87537Policies naming 87537
87538Policies naming 87538
87539Policies naming 87539
87563Policies naming 87563
87590Policies naming 87590
87591Policies naming 87591
87592Policies naming 87592
87623Policies naming 87623
87624Policies naming 87624
87625Policies naming 87625
87660Policies naming 87660
87661Policies naming 87661
87797Policies naming 87797
87798Policies naming 87798
87799Policies naming 87799
87801Policies naming 87801
87806Policies naming 87806
87808Policies naming 87808
87810Policies naming 87810
87850Policies naming 87850
88141Policies naming 88141
88142Policies naming 88142
88143Policies naming 88143
88147Policies naming 88147
88148Policies naming 88148
88150Policies naming 88150
88152Policies naming 88152
88153Policies naming 88153
88155Policies naming 88155
88160Policies naming 88160
88164Policies naming 88164
88165Policies naming 88165
88166Policies naming 88166
88167Policies naming 88167
88174Policies naming 88174
88175Policies naming 88175
88271Policies naming 88271
88272Policies naming 88272
88273Policies naming 88273
88274Policies naming 88274
88275Policies naming 88275
88300Policies naming 88300
88302Policies naming 88302
88305Policies naming 88305
99000Policies naming 99000
G0123Policies naming G0123
S2360Policies naming S2360

All Molina Healthcare of Kentucky policies · Molina Healthcare of Kentucky prior authorization CPT list

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.

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