Coverage policy updates

Policy changes Backwork has recorded, newest first. The most recent change on record is from October 24, 2026. Changes appear here after Backwork reviews and applies a refresh, so this page can trail the payers’ own sites.

Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.

Recorded changes

86,510 on record

Recorded policy changes, newest first
Recorded	Payer	Policy	Change
May 25, 2026	UnitedHealthcare	New Patient VisitPayerPolicy · UHC-COMM-RP-UHCCP-NEW-PATIENT-VISIT-POLICY	New policy
May 25, 2026	UnitedHealthcare	New Jersey Emergency Room ServicesPayerPolicy · UHC-COMM-RP-UHCCP-NJ-EMERGENCY-ROOM-SERVICES-FACILITY-POLICY	New policy
May 25, 2026	UnitedHealthcare	New Jersey Early Elective Delivery Policy, Professional and FacilityPayerPolicy · UHC-COMM-RP-UHCCP-NJ-EARLY-ELECTIVE-DELIVERY-POLICY	New policy
May 25, 2026	UnitedHealthcare	Nebraska Emergency Room Services Policy - Facility (Medicaid)PayerPolicy · UHC-COMM-RP-UHCCP-NEBRASKA-EMERGENCY-ROOM-SERVICES-POLICY-FACILITY	New policy
May 25, 2026	UnitedHealthcare	National Drug Code (NDC) Requirement Policy, Professional and FacilityPayerPolicy · UHC-COMM-RP-UHCCP-NATIONAL-DRUG-CODE-REQUIREMENT-POLICY	New policy
May 25, 2026	UnitedHealthcare	Multiple Procedure Payment Reduction (MPPR) for Medical and Surgical ServicesPayerPolicy · UHC-COMM-RP-UHCCP-MULTIPLE-PROCEDURE-POLICY-R0034	New policy
May 25, 2026	UnitedHealthcare	Multiple Procedure Payment Reduction (MPPR) for Diagnostic ImagingPayerPolicy · UHC-COMM-RP-UHCCP-MULTIPLE-PROCEDURE-PAYMENT-REDUCTION-DIAGNOSTIC-IMAGING-R0085	New policy
May 25, 2026	UnitedHealthcare	Multiple Procedure Payment Reduction (MPPR) for Diagnostic Cardiovascular and Ophthalmology ProceduresPayerPolicy · UHC-COMM-RP-UHCCP-MULTIPLE-PROCEDURE-PAYMENT-REDUCTION-CARDIO-OPHTHALMOLOGY-PROCEDURES-R0125	New policy
May 25, 2026	UnitedHealthcare	Molecular Pathology Policy, Professional and FacilityPayerPolicy · UHC-COMM-RP-UHCCP-MOLECULAR-PATHOLOGY-POLICY-PROFESSIONAL-AND-FACILITY-R6009	New policy
May 25, 2026	UnitedHealthcare	Mohs Micrographic SurgeryPayerPolicy · UHC-COMM-RP-UHCCP-MOHS-MICROGRAPHIC-SURGERY-POLICY-PROFESSIONAL-R6008	New policy
May 25, 2026	UnitedHealthcare	Modifier SUPayerPolicy · UHC-COMM-RP-UHCCP-MODIFIER-SU-POLICY-R0120	New policy
May 25, 2026	UnitedHealthcare	Modifier ReferencePayerPolicy · UHC-COMM-RP-UHCCP-MODIFIER-REFERENCE-POLICY	New policy
May 25, 2026	UnitedHealthcare	ModifierPayerPolicy · UHC-COMM-RP-UHCCP-MODIFIER-POLICY-FACILITY	New policy
May 25, 2026	UnitedHealthcare	MicrosurgeryPayerPolicy · UHC-COMM-RP-UHCCP-MICROSURGERY-POLICY	New policy
May 25, 2026	UnitedHealthcare	Medically Unlikely Edits Policy Professional and FacilityPayerPolicy · UHC-COMM-RP-UHCCP-MEDICALLY-UNLIKELY-EDITS-POLICY	New policy
May 25, 2026	UnitedHealthcare	Maximum Frequency Per DayPayerPolicy · UHC-COMM-RP-MAXIMUM-FREQUENCY-PER-DAY-41ACDC8FDE	New policy
May 25, 2026	UnitedHealthcare	Lyme Disease Testing Policy, Professional and FacilityPayerPolicy · UHC-COMM-RP-UHCCP-LYME-DISEASE-TESTING-POLICY-PROFESSIONAL-FACILITY	New policy
May 25, 2026	UnitedHealthcare	Laboratory ServicesPayerPolicy · UHC-COMM-RP-UHCCP-LABORATORY-SERVICES-POLICY	New policy
May 25, 2026	UnitedHealthcare	Kansas Obstetrical SonogramPayerPolicy · UHC-COMM-RP-UHCCP-KANSAS-OBSTETRICAL-SONOGRAM-POLICY-FACILITY-F7014	New policy
May 25, 2026	UnitedHealthcare	Iron Homeostasis and Metabolism Policy, Professional and FacilityPayerPolicy · UHC-COMM-RP-UHCCP-IRON-HOMEOSTASIS-METABOLISM	New policy
May 25, 2026	UnitedHealthcare	Intraoperative NeuromonitoringPayerPolicy · UHC-COMM-RP-UHCCP-INTRAOPERATIVE-NEUROMONITORING-POLICY-PROFESSIONAL-R5008	New policy
May 25, 2026	UnitedHealthcare	Intracellular Micronutrient Analysis, Professional and FacilityPayerPolicy · UHC-COMM-RP-UHCCP-INTRACELLULAR-MICRONUTRIENT-ANALYSIS-POLICY	New policy
May 25, 2026	UnitedHealthcare	Intestinal Dysbiosis and Fecal Microbiota Transplant Testing Policy, Professional and FacilityPayerPolicy · UHC-COMM-RP-UHCCP-INTESTINAL-DYSBIOSIS-FMT-TESTING-PRO-FACILITY	New policy
May 25, 2026	UnitedHealthcare	Intensity Modulated Radiation TherapyPayerPolicy · UHC-COMM-RP-UHCCP-INTENSITY-MODULATED-RADIATION-THERAPY-POLICY-PROFESSIONAL	New policy
May 25, 2026	UnitedHealthcare	Injections into Tendon Sheath, Ligament, Ganglion Cyst, Carpal and Tarsal TunnelPayerPolicy · UHC-COMM-RP-UHCCP-INJECTIONS-TENDON-SHEATH-LIGAMENT-GANGLION-CYST-CARPAL-TARSAL-TUNNEL-POLICY	New policy
May 25, 2026	UnitedHealthcare	Injection and Infusion ServicesPayerPolicy · UHC-COMM-RP-UHCCP-INJECTION-INFUSION-SERVICES-POLICY-R0009	New policy
May 25, 2026	UnitedHealthcare	Increased Procedural ServicesPayerPolicy · UHC-COMM-RP-UHCCP-INCREASED-PROCEDURAL-SERVICES-POLICY-R0061	New policy
May 25, 2026	UnitedHealthcare	Incontinence SuppliesPayerPolicy · UHC-COMM-RP-UHCCP-INCONTINENCE-SUPPLIES-POLICY-R7111	New policy
May 25, 2026	UnitedHealthcare	Immune Cell Function Assay Policy, Professional and FacilityPayerPolicy · UHC-COMM-RP-UHCCP-IMMUNE-CELL-FUNCTION-ASSAY-POLICY	New policy
May 25, 2026	UnitedHealthcare	Hospital Inclusive ChargesPayerPolicy · UHC-COMM-RP-UHCCP-HOSPITAL-INCLUSIVE-CHARGES-POLICY-FACILITY	New policy
May 25, 2026	UnitedHealthcare	Homocysteine Testing for Metabolism Policy, Professional and FacilityPayerPolicy · UHC-COMM-RP-UHCCP-HOMOCYSTEINE-TESTING-METABOLISM	New policy
May 25, 2026	UnitedHealthcare	Home Health Services Policy ProfessionalPayerPolicy · UHC-COMM-RP-UHCCP-HOME-HEALTH-SERVICES-POLICY	New policy
May 25, 2026	UnitedHealthcare	Global DaysPayerPolicy · UHC-COMM-RP-UHCCP-GLOBAL-DAYS-POLICY-R0005	New policy
May 25, 2026	UnitedHealthcare	Gender to Diagnosis Code and Procedure Policy, ProfessionalPayerPolicy · UHC-COMM-RP-UHCCP-GENDER-TO-DIAGNOSIS-CODE-AND-PROCEDURE-CODE-POLICY	New policy
May 25, 2026	UnitedHealthcare	From-To DatePayerPolicy · UHC-COMM-RP-UHCCP-FROM-TO-DATE-POLICY-R0113	New policy
May 25, 2026	UnitedHealthcare	Flow Cytometry Policy, Professional and FacilityPayerPolicy · UHC-COMM-RP-UHCCP-FLOW-CYTOMETRY-POLICY	New policy
May 25, 2026	UnitedHealthcare	Fecal Calprotectin Testing Policy, Professional and FacilityPayerPolicy · UHC-COMM-RP-UHCCP-FECAL-CALPROTECTIN-PROFESSIONAL-FACILITY	New policy
May 25, 2026	UnitedHealthcare	Facility BillingPayerPolicy · UHC-COMM-RP-UHCCP-FACILITY-BILLING-POLICY-F7007	New policy
May 25, 2026	UnitedHealthcare	Evaluation and Management (E/M)PayerPolicy · UHC-COMM-RP-UHCCP-EVALUATION-MANAGEMENT-POLICY-R5007	New policy
May 25, 2026	UnitedHealthcare	Epithelial Cell Cytology Policy, Professional and FacilityPayerPolicy · UHC-COMM-RP-UHCCP-EPITHELIAL-CELL-CYTOLOGY-POLICY	New policy
May 25, 2026	UnitedHealthcare	Enzyme Testing for Acute Pancreatitis Policy, Professional and FacilityPayerPolicy · UHC-COMM-RP-UHCCP-ENZYME-TESTING-ACUTE-PANCREATITIS	New policy
May 25, 2026	UnitedHealthcare	Emergency Room Services Policy: Florida, FacilityPayerPolicy · UHC-COMM-RP-UHCCP-FL-EMERGENCY-ROOM-SERVICES-FLORIDA-FACILITY	New policy
May 25, 2026	UnitedHealthcare	Emergency Room Services Policy - Facility (Tennessee)PayerPolicy · UHC-COMM-RP-UHCCP-TN-EMERGENCY-ROOM-SERVICES-FACILITY-POLICY-F7004	New policy
May 25, 2026	UnitedHealthcare	Emergency Room Ancillary ServicesPayerPolicy · UHC-COMM-RP-UHCCP-EMERGENCY-ROOM-ANCILLARY-SERVICES-POLICY-FACILITY	New policy
May 25, 2026	UnitedHealthcare	Emergency Department (ED) Facility Evaluation and Management (E&M) Coding PolicyPayerPolicy · UHC-COMM-RP-UHCCP-EMERGENCY-DEPT-FACILITY-EVALUATION-MGMT-POLICY-R6003	New policy
May 25, 2026	UnitedHealthcare	Durable Medical Equipment Orthotics and ProstheticsPayerPolicy · UHC-COMM-RP-UHCCP-DME-ORTHOTICS-PROSTHETICS-POLICY-R0109	New policy
May 25, 2026	UnitedHealthcare	Drug TestingPayerPolicy · UHC-COMM-RP-UHCCP-DRUG-TESTING-POLICY	New policy
May 25, 2026	UnitedHealthcare	Discontinued ProcedurePayerPolicy · UHC-COMM-RP-UHCCP-DISCONTINUED-PROCEDURE-POLICY-R0110	New policy
May 25, 2026	UnitedHealthcare	Discarded Drugs and Biologicals Policy, Professional and FacilityPayerPolicy · UHC-COMM-RP-UHCCP-DISCARDED-DRUGS-BIOLOGICALS-POLICY	New policy
May 25, 2026	UnitedHealthcare	Diagnostic Testing for Influenza Policy Professional and FacilityPayerPolicy · UHC-COMM-RP-UHCCP-DIAGNOSTIC-TESTING-INFLUENZA-POLICY	New policy