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	Outpatient Rehabilitation Therapy Service Policy, FacilityPayerPolicy · UHC-EXCH-RP-COMM-OUTPATIENT-REHABILITATION-THERAPY-SERVICES-POLICY-FACILITY	New policy
May 25, 2026	UnitedHealthcare	Outpatient Medical Visits and Trauma ActivationPayerPolicy · UHC-EXCH-RP-COMM-OUTPATIENT-MEDICAL-VISITS-TRAUMA-ACTIVATION-POLICY-FACILITY	New policy
May 25, 2026	UnitedHealthcare	Outpatient Hospital ObservationPayerPolicy · UHC-EXCH-RP-COMM-OUTPATIENT-HOSPITAL-OBSERVATION-POLICY-FACILITY	New policy
May 25, 2026	UnitedHealthcare	Outpatient Hospital Maximum Frequency Per DayPayerPolicy · UHC-EXCH-RP-COMM-OUTPATIENT-HOSPITAL-MFPD-POLICY-FACILITY	New policy
May 25, 2026	UnitedHealthcare	Outpatient Hospital CCI Editing Policy, FacilityPayerPolicy · UHC-EXCH-RP-COMM-OUTPATIENT-HOSPITAL-CCI-EDITING-POLICY-FACILITY	New policy
May 25, 2026	UnitedHealthcare	Outpatient Hospital Blood and Blood Products Policy FacilityPayerPolicy · UHC-EXCH-RP-COMM-OUTPATIENT-HOSPITAL-BLOOD-AND-BLOOD-PRODUCTS-POLICY-FACILITY	New policy
May 25, 2026	UnitedHealthcare	Outpatient Hospital Add-on CodesPayerPolicy · UHC-EXCH-RP-COMM-OUTPATIENT-HOSPITAL-ADD-ON-CODES-POLICY-FACILITY	New policy
May 25, 2026	UnitedHealthcare	Outpatient From-to Date Policy, FacilityPayerPolicy · UHC-EXCH-RP-COMM-OUTPATIENT-FROM-TO-DATE-POLICY-FACILITY	New policy
May 25, 2026	UnitedHealthcare	Onychomycosis Testing Policy Professional and FacilityPayerPolicy · UHC-EXCH-RP-ONYCHOMYCOSIS-TESTING-POLICY-PROFESSIONA-4BCDC2725F	New policy
May 25, 2026	UnitedHealthcare	One or More SessionsPayerPolicy · UHC-EXCH-RP-COMM-ONE-OR-MORE-SESSIONS-POLICY	New policy
May 25, 2026	UnitedHealthcare	Once in a Lifetime ProceduresPayerPolicy · UHC-EXCH-RP-COMM-ONCE-IN-A-LIFETIME-PROCEDURES-POLICY	New policy
May 25, 2026	UnitedHealthcare	Off-Campus Provider-Based Departments Billed with Modifier POPayerPolicy · UHC-EXCH-RP-COMM-IEX-OFF-CAMPUS-PBDB-FACILITY	New policy
May 25, 2026	UnitedHealthcare	ObstetricalPayerPolicy · UHC-EXCH-RP-COMM-OBSTETRICAL-POLICY	New policy
May 25, 2026	UnitedHealthcare	Observation and DischargePayerPolicy · UHC-EXCH-RP-COMM-OBSERVATION-DISCHARGE-POLICY	New policy
May 25, 2026	UnitedHealthcare	Nonphysician Health Care Professionals Billing Evaluation and Management CodesPayerPolicy · UHC-EXCH-RP-COMM-NONPHYSICIAN-HEALTHCARE-PROFESSIONALS-BILLING-EM-CODES-POLICY	New policy
May 25, 2026	UnitedHealthcare	Nonphysician Health Care CodesPayerPolicy · UHC-EXCH-RP-COMM-NONPHYSICIAN-HEALTH-CARE-CODES-POLICY	New policy
May 25, 2026	UnitedHealthcare	New Patient VisitPayerPolicy · UHC-EXCH-RP-COMM-NEW-PATIENT-POLICY	New policy
May 25, 2026	UnitedHealthcare	National Drug Code (NDC) Requirement Policy, Professional and FacilityPayerPolicy · UHC-EXCH-RP-COMM-NATIONAL-DRUG-CODE-REQUIREMENT-POLICY	New policy
May 25, 2026	UnitedHealthcare	Multiple Procedure Payment Reduction (MPPR) for Medical and Surgical ServicesPayerPolicy · UHC-EXCH-RP-COMM-MPPR-FOR-MEDICAL-SURGICAL-SERVICES-POLICY	New policy
May 25, 2026	UnitedHealthcare	Multiple Procedure Payment Reduction (MPPR) for Diagnostic ImagingPayerPolicy · UHC-EXCH-RP-COMM-MPPR-DIAGNOSTIC-IMAGING-POLICY	New policy
May 25, 2026	UnitedHealthcare	Multiple Procedure Payment Reduction (MPPR) for Diagnostic Cardiovascular and Ophthalmology Procedures Policy, ProfessionalPayerPolicy · UHC-EXCH-RP-COMM-MPPR-CARDIOVASCULAR-OPHTHALMOLOGY-PROCEDURES-POLICY	New policy
May 25, 2026	UnitedHealthcare	Modifier SUPayerPolicy · UHC-EXCH-RP-COMM-MODIFIER-SU-POLICY	New policy
May 25, 2026	UnitedHealthcare	Modifier Reference Policy, ProfessionalPayerPolicy · UHC-EXCH-RP-COMM-MODIFIER-REFERENCE-POLICY	New policy
May 25, 2026	UnitedHealthcare	Modifier Reduction Policy, ProfessionalPayerPolicy · UHC-EXCH-RP-COMM-MODIFIER-REDUCTION-POLICY-PROFESSIONAL	New policy
May 25, 2026	UnitedHealthcare	ModifierPayerPolicy · UHC-EXCH-RP-COMM-MODIFIER-POLICY-FACILITY	New policy
May 25, 2026	UnitedHealthcare	MicrosurgeryPayerPolicy · UHC-EXCH-RP-COMM-MICROSURGERY-POLICY-PROFESSIONAL	New policy
May 25, 2026	UnitedHealthcare	Maximum Frequency Per Day Policy, ProfessionalPayerPolicy · UHC-EXCH-RP-MAXIMUM-FREQUENCY-PER-DAY-POLICY-PROFESS-A691B087B2	New policy
May 25, 2026	UnitedHealthcare	Lyme Disease Testing Policy, Professional and FacilityPayerPolicy · UHC-EXCH-RP-COMM-IEX-LYME-DISEASE-TESTING-POLICY-PROFESSIONAL-FACILITY	New policy
May 25, 2026	UnitedHealthcare	Laboratory ServicesPayerPolicy · UHC-EXCH-RP-COMM-LABORATORY-SERVICES-POLICY	New policy
May 25, 2026	UnitedHealthcare	Iron Homeostasis and Metabolism Policy Professional and FacilityPayerPolicy · UHC-EXCH-RP-COMM-IRON-HOMEOSTASIS-METABOLISM-POLICY	New policy
May 25, 2026	UnitedHealthcare	Intraoperative NeuromonitoringPayerPolicy · UHC-EXCH-RP-COMM-INTRAOPERATIVE-NEUROMONITORING-POLICY	New policy
May 25, 2026	UnitedHealthcare	Intracellular Micronutrient Analysis Policy, Professional and FacilityPayerPolicy · UHC-EXCH-RP-COMM-INTRACELLULAR-MICRONUTRIENT-ANALYSIS-POLICY	New policy
May 25, 2026	UnitedHealthcare	Intestinal Dysbiosis and Fecal Microbiota Transplant Testing Policy, Professional and FacilityPayerPolicy · UHC-EXCH-RP-COMM-INTESTINAL-DYSBIOSIS-FECAL-MICROBIOTA-TRANSPLANT-TESTING-POLICY	New policy
May 25, 2026	UnitedHealthcare	Intensity Modulated Radiation TherapyPayerPolicy · UHC-EXCH-RP-COMM-INTENSITY-MODULATED-RADIATION-THERAPY-POLICY	New policy
May 25, 2026	UnitedHealthcare	Inpatient Readmission ReviewPayerPolicy · UHC-EXCH-RP-COMM-INPATIENT-READMISSION-REVIEW-POLICY-FACILITY	New policy
May 25, 2026	UnitedHealthcare	Injection and Infusion ServicesPayerPolicy · UHC-EXCH-RP-COMM-INJECTION-AND-INFUSION-SERVICES-POLICY	New policy
May 25, 2026	UnitedHealthcare	Increased Procedural ServicesPayerPolicy · UHC-EXCH-RP-COMM-INCREASED-PROCEDURAL-SERVICES-POLICY	New policy
May 25, 2026	UnitedHealthcare	Immune Cell Function Assay Policy, Professional and FacilityPayerPolicy · UHC-EXCH-RP-COMM-IMMUNE-CELL-FUNCTION-ASSAY-POLICY	New policy
May 25, 2026	UnitedHealthcare	Hospital Inclusive ChargesPayerPolicy · UHC-EXCH-RP-COMM-HOSPITAL-INCLUSIVE-REVIEW-POLICY-FACILITY	New policy
May 25, 2026	UnitedHealthcare	Hospital Based AmbulancePayerPolicy · UHC-EXCH-RP-COMM-HOSPITAL-BASED-AMBULANCE-POLICY	New policy
May 25, 2026	UnitedHealthcare	Homocysteine Testing for Metabolism Policy, Professional and FacilityPayerPolicy · UHC-EXCH-RP-COMM-IEX-HOMOCYSTEINE-TESTING-METABOLISM-POLICY-PRO-FACILITY	New policy
May 25, 2026	UnitedHealthcare	Home Health ServicesPayerPolicy · UHC-EXCH-RP-COMM-IEX-HOME-HEALTH-SERVICES-PROFESSIONAL	New policy
May 25, 2026	UnitedHealthcare	Hearing Aids Policy, Professional - UnitedHealthcare Individual ExchangePayerPolicy · UHC-EXCH-RP-IFP-HEARING-AIDS-POLICY-PROFESSIONAL	New policy
May 25, 2026	UnitedHealthcare	Habilitative and Rehabilitative Services Policy Professional and FacilityPayerPolicy · UHC-EXCH-RP-VB-HABILITATIVE-REHABILITATIVE-SERVICES-POLICY-PROFESSIONAL-FACILITY	New policy
May 25, 2026	UnitedHealthcare	Global DaysPayerPolicy · UHC-EXCH-RP-COMM-GLOBAL-DAYS-POLICY	New policy
May 25, 2026	UnitedHealthcare	From - To DatePayerPolicy · UHC-EXCH-RP-COMM-FROM-TO-DATE-POLICY	New policy
May 25, 2026	UnitedHealthcare	Flow Cytometry Policy, Professional and FacilityPayerPolicy · UHC-EXCH-RP-COMM-FLOW-CYTOMETRY-POLICY	New policy
May 25, 2026	UnitedHealthcare	Fecal Calprotectin Testing Policy, Professional and FacilityPayerPolicy · UHC-EXCH-RP-COMM-IEX-FECAL-CALPROTECTIN-PROFESSIONAL-FACILITY	New policy
May 25, 2026	UnitedHealthcare	Facility Billing Policy, FacilityPayerPolicy · UHC-EXCH-RP-VB-EXCHANGE-FACILITY-BILLING-POLICY-FACILITY	New policy
May 25, 2026	UnitedHealthcare	Evaluation and Management (E/M)PayerPolicy · UHC-EXCH-RP-COMM-EVALUATION-AND-MANAGEMENT-POLICY	New policy