Molina Healthcare of Kentucky policy

In-Office Lab Policy

In-Office Lab Policy is a public Molina Healthcare of Kentucky policy. It lists 168 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

View the original policy (PDF) ↗

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Payer
Molina Healthcare of Kentucky
Line of business
Medicaid
States
KY
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
0202UPolicies naming 0202U
0223UPolicies naming 0223U
0225UPolicies naming 0225U
0240UPolicies naming 0240U
0241UPolicies naming 0241U
80047Policies naming 80047
80048Policies naming 80048
80050Policies naming 80050
80053Policies naming 80053
80055Policies naming 80055
80061Policies naming 80061
80069Policies naming 80069
80081Policies naming 80081
80305Policies naming 80305
80306Policies naming 80306
80307Policies naming 80307
81000Policies naming 81000
81005Policies naming 81005
81025Policies naming 81025
81528Policies naming 81528
82043Policies naming 82043
82044Policies naming 82044
82075Policies naming 82075
82105Policies naming 82105
82106Policies naming 82106
82143Policies naming 82143
82247Policies naming 82247
82248Policies naming 82248
82270Policies naming 82270
82272Policies naming 82272
82274Policies naming 82274
82465Policies naming 82465
82565Policies naming 82565
82575Policies naming 82575
82731Policies naming 82731
82746Policies naming 82746
82947Policies naming 82947
82948Policies naming 82948
82950Policies naming 82950
82951Policies naming 82951
82952Policies naming 82952
82962Policies naming 82962
82977Policies naming 82977
83036Policies naming 83036
83037Policies naming 83037
83632Policies naming 83632
83655Policies naming 83655
83661Policies naming 83661
83662Policies naming 83662
83663Policies naming 83663
83664Policies naming 83664
83700Policies naming 83700
83701Policies naming 83701
83704Policies naming 83704
83718Policies naming 83718
83721Policies naming 83721
83722Policies naming 83722
83735Policies naming 83735
84100Policies naming 84100
84152Policies naming 84152
84153Policies naming 84153
84154Policies naming 84154
84163Policies naming 84163
84436Policies naming 84436
84437Policies naming 84437
84439Policies naming 84439
84443Policies naming 84443
84478Policies naming 84478
84702Policies naming 84702
84703Policies naming 84703
84704Policies naming 84704
85007Policies naming 85007
85008Policies naming 85008
85014Policies naming 85014
85018Policies naming 85018
85025Policies naming 85025
85027Policies naming 85027
85032Policies naming 85032
85049Policies naming 85049
85060Policies naming 85060
85095Policies naming 85095
85102Policies naming 85102
85535Policies naming 85535
85576Policies naming 85576
85610Policies naming 85610
86140Policies naming 86140
86141Policies naming 86141
86308Policies naming 86308
86318Policies naming 86318
86328Policies naming 86328
86403Policies naming 86403
86413Policies naming 86413
86485Policies naming 86485
86580Policies naming 86580
86588Policies naming 86588
86592Policies naming 86592
86593Policies naming 86593
86631Policies naming 86631
86632Policies naming 86632
86769Policies naming 86769
87070Policies naming 87070
87071Policies naming 87071
87081Policies naming 87081
87086Policies naming 87086
87110Policies naming 87110
87164Policies naming 87164
87166Policies naming 87166
87172Policies naming 87172
87210Policies naming 87210
87220Policies naming 87220
87270Policies naming 87270
87320Policies naming 87320
87400Policies naming 87400
87426Policies naming 87426
87428Policies naming 87428
87430Policies naming 87430
87490Policies naming 87490
87491Policies naming 87491
87492Policies naming 87492
87502Policies naming 87502
87590Policies naming 87590
87591Policies naming 87591
87592Policies naming 87592
87624Policies naming 87624
87625Policies naming 87625
87631Policies naming 87631
87634Policies naming 87634
87635Policies naming 87635
87636Policies naming 87636
87637Policies naming 87637
87650Policies naming 87650
87651Policies naming 87651
87660Policies naming 87660
87661Policies naming 87661
87800Policies naming 87800
87804Policies naming 87804
87807Policies naming 87807
87808Policies naming 87808
87810Policies naming 87810
87811Policies naming 87811
87850Policies naming 87850
87880Policies naming 87880
88141Policies naming 88141
88142Policies naming 88142
88143Policies naming 88143
88147Policies naming 88147
88148Policies naming 88148
88150Policies naming 88150
88155Policies naming 88155
88164Policies naming 88164
88167Policies naming 88167
88174Policies naming 88174
88175Policies naming 88175
88235Policies naming 88235
88267Policies naming 88267
88269Policies naming 88269
88305Policies naming 88305
88312Policies naming 88312
88313Policies naming 88313
88331Policies naming 88331
88332Policies naming 88332
88720Policies naming 88720
89320Policies naming 89320
G0480Policies naming G0480
G0483Policies naming G0483
G0659Policies naming G0659
G2023Policies naming G2023
G2024Policies naming G2024

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.