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	Epithelial Cell Cytology Policy, Professional and FacilityPayerPolicy · UHC-EXCH-RP-COMM-EPITHELIAL-CELL-CYTOLOGY-POLICY	New policy
May 25, 2026	UnitedHealthcare	Enzyme Testing for Acute Pancreatitis Policy Professional and FacilityPayerPolicy · UHC-EXCH-RP-COMM-ENZYME-TESTING-ACUTE-PANCREATITIS-POLICY	New policy
May 25, 2026	UnitedHealthcare	Emergency Department (ED) Facility Evaluation and Management (E&M) Coding PolicyPayerPolicy · UHC-EXCH-RP-COMM-EMERGENCY-DEPARTMENT-FACILITY-EVALUATION-MGMT-POLICY	New policy
May 25, 2026	UnitedHealthcare	Durable Medical Equipment, Orthotics and ProstheticsPayerPolicy · UHC-EXCH-RP-COMM-DME-ORTHOTICS-PROSTHETICS-MULTIPLE-FREQUENCY-POLICY	New policy
May 25, 2026	UnitedHealthcare	Drug Testing Policy, ProfessionalPayerPolicy · UHC-EXCH-RP-COMM-DRUG-TESTING-POLICY	New policy
May 25, 2026	UnitedHealthcare	Discontinued ProcedurePayerPolicy · UHC-EXCH-RP-COMM-DISCONTINUED-PROCEDURE-POLICY	New policy
May 25, 2026	UnitedHealthcare	Discarded Drugs and Biologicals Policy, Professional and Facility PolicyPayerPolicy · UHC-EXCH-RP-COMM-DISCARDED-DRUGS-AND-BIOLOGICALS-POLICY-PROFESSIONAL-FACILITY	New policy
May 25, 2026	UnitedHealthcare	Diagnostic Testing for Influenza Policy Professional and FacilityPayerPolicy · UHC-EXCH-RP-DIAGNOSTIC-TESTING-FOR-INFLUENZA-POLICY-D4C3E4E039	New policy
May 25, 2026	UnitedHealthcare	Diagnostic Testing for Inflammatory Bowel Disease Policy Professional and FacilityPayerPolicy · UHC-EXCH-RP-COMM-DIAGNOSTIC-TESTING-INFLAMMATORY-BOWEL-DISEASE-POLICY	New policy
May 25, 2026	UnitedHealthcare	Diagnosis Code Requirement Policy, Professional and FacilityPayerPolicy · UHC-EXCH-RP-COMM-IEX-DIAGNOSIS-CODE-REQUIREMENT-POLICY	New policy
May 25, 2026	UnitedHealthcare	Diabetes Mellitus Testing Policy Professional and Facility Reimbursement PolicyPayerPolicy · UHC-EXCH-RP-DIABETES-MELLITUS-TESTING-POLICY-PROFESS-2CD6443B32	New policy
May 25, 2026	UnitedHealthcare	Device, Implant, and Skin SubstitutePayerPolicy · UHC-EXCH-RP-COMM-DEVICE-IMPLANT-SKIN-SUBSTITUTE-R5019	New policy
May 25, 2026	UnitedHealthcare	Contrast and Radiopharmaceutical MaterialsPayerPolicy · UHC-EXCH-RP-COMM-CONTRAST-RADIOPHARMACEUTICAL-MATERIALS-POLICY	New policy
May 25, 2026	UnitedHealthcare	Consultation Services Policy, ProfessionalPayerPolicy · UHC-EXCH-RP-COMM-CONSULTATION-SERVICES-POLICY	New policy
May 25, 2026	UnitedHealthcare	Co-Surgeon / Team Surgeon Policy, ProfessionalPayerPolicy · UHC-EXCH-RP-COMM-CO-SURGEON-TEAM-SURGEON-POLICY	New policy
May 25, 2026	UnitedHealthcare	Clinical Laboratory Improvement Amendments (CLIA) ID RequirementPayerPolicy · UHC-EXCH-RP-COMM-CLIA-ID-REQUIREMENTS-POLICY	New policy
May 25, 2026	UnitedHealthcare	Clinical Diagnostic Lab Policy, Professional - UnitedHealthcare Individual ExchangePayerPolicy · UHC-EXCH-RP-CLINICAL-DIAGNOSTIC-LAB-POLICY-PROFESSIO-A05227EDC0	New policy
May 25, 2026	UnitedHealthcare	Chronic Heart Failure Policy, Professional and FacilityPayerPolicy · UHC-EXCH-RP-COMM-IEX-CHRONIC-HEART-FAILURE-PROFESSIONAL-FACILITY	New policy
May 25, 2026	UnitedHealthcare	CCI Editing Policy, ProfessionalPayerPolicy · UHC-EXCH-RP-COMM-CCI-EDITING-POLICY	New policy
May 25, 2026	UnitedHealthcare	Care Plan OversightPayerPolicy · UHC-EXCH-RP-COMM-CARE-PLAN-OVERSIGHT-POLICY	New policy
May 25, 2026	UnitedHealthcare	Bone Turnover Marker Testing for Osteoporosis Policy Professional and FacilityPayerPolicy · UHC-EXCH-RP-COMM-BONE-TURNOVER-MARKER-TESTING-OSTEOPOROSIS-POLICY	New policy
May 25, 2026	UnitedHealthcare	Bilateral ProceduresPayerPolicy · UHC-EXCH-RP-COMM-BILATERAL-PROCEDURES-POLICY	New policy
May 25, 2026	UnitedHealthcare	Bilateral Procedures Policy, FacilityPayerPolicy · UHC-EXCH-RP-VB-EXCHANGE-BILATERAL-PROCEDURE-POLICY-FACILITY	New policy
May 25, 2026	UnitedHealthcare	B Bundle Codes Policy, ProfessionalPayerPolicy · UHC-EXCH-RP-COMM-B-BUNDLE-CODES-POLICY	New policy
May 25, 2026	UnitedHealthcare	Autoimmune Rheumatic Disease Policy, Professional and FacilityPayerPolicy · UHC-EXCH-RP-COMM-AUTOIMMUNE-RHEUMATIC-DISEASE-POLICY	New policy
May 25, 2026	UnitedHealthcare	Assistant-at-Surgery Services Policy, ProfessionalPayerPolicy · UHC-EXCH-RP-VB-EXCHANGE-ASSISTANT-AT-SURGERY-SERVICES-POLICY-PROFESSIONAL	New policy
May 25, 2026	UnitedHealthcare	Appropriate Patient Discharge Status for Type of Bill Policy, FacilityPayerPolicy · UHC-EXCH-RP-VB-EXCHANGE-APPROPRIATE-PATIENT-DISCHARGE-STATUS-POLICY-FACILITY	New policy
May 25, 2026	UnitedHealthcare	Anesthesia Policy, ProfessionalPayerPolicy · UHC-EXCH-RP-COMM-ANESTHESIA-POLICY	New policy
May 25, 2026	UnitedHealthcare	Anatomical Modifier RequirementPayerPolicy · UHC-EXCH-RP-COMM-ANATOMICAL-MODIFIER-REQUIREMENT-POLICY	New policy
May 25, 2026	UnitedHealthcare	AmbulancePayerPolicy · UHC-EXCH-RP-COMM-AMBULANCE-POLICY	New policy
May 25, 2026	UnitedHealthcare	Age-Based Codes Policy, ProfessionalPayerPolicy · UHC-EXCH-RP-COMM-AGE-BASED-CODES-POLICY-PROFESSIONAL	New policy
May 25, 2026	UnitedHealthcare	After Hours and Weekend CarePayerPolicy · UHC-EXCH-RP-COMM-AFTER-HOURS-WEEKEND-CARE-POLICY	New policy
May 25, 2026	UnitedHealthcare	Advanced Practice Health Care Provider Policy, ProfessionalPayerPolicy · UHC-EXCH-RP-COMM-ADVANCED-PRACTICE-PROVIDERS-EM-PROCEDURES-POLICY	New policy
May 25, 2026	UnitedHealthcare	Add-on CodesPayerPolicy · UHC-EXCH-RP-COMM-ADD-ON-CODES-POLICY	New policy
May 25, 2026	UnitedHealthcare	AcupuncturePayerPolicy · UHC-EXCH-RP-COMM-ACUPUNCTURE-POLICY	New policy
May 25, 2026	UnitedHealthcare	Zolgensma (Onasemnogene Abeparvovec-Xioi) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-ZOLGENSMA-IEX	New policy
May 25, 2026	UnitedHealthcare	Xolair (Omalizumab) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-XOLAIR-OMALIZUMAB-IEX	New policy
May 25, 2026	UnitedHealthcare	Xiaflex (Collagenase Clostridium Histolyticum) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-XIAFLEX-IEX	New policy
May 25, 2026	UnitedHealthcare	Whole Exome and Whole Genome Sequencing (Non-Oncology Conditions)PayerPolicy · UHC-EXCH-MD-WHOLE-EXOME-AND-WHOLE-GENOME-SEQUENCING	New policy
May 25, 2026	UnitedHealthcare	White Blood Cell Colony Stimulating Factors – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-WHITE-BLOOD-CELL-COLONY-STIMULATING-FACT-7E6DF0F05A	New policy
May 25, 2026	UnitedHealthcare	Vyondys 53 (Golodirsen) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-VYONDYS-53	New policy
May 25, 2026	UnitedHealthcare	Vyjuvek (Beramagene Geperpavec-Svdt) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-VYJUVEK-IEX	New policy
May 25, 2026	UnitedHealthcare	Vyepti (Eptinezumab-Jjmr) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-VYEPTI-EPTINEZUMAB-JJMR-INDIVIDUAL-EXCHA-91EC036520	New policy
May 25, 2026	UnitedHealthcare	Visual Information Processing Evaluation and Orthoptic and Vision TherapyPayerPolicy · UHC-EXCH-MD-VISUAL-INFORMATION-PROCESSING-EVALUATION-ORTHOPTIC-VISION-THERAPY	New policy
May 25, 2026	UnitedHealthcare	Virtual Upper Gastrointestinal EndoscopyPayerPolicy · UHC-EXCH-MD-VIRTUAL-UPPER-GASTROINTESTINAL-ENDOSCOPY	New policy
May 25, 2026	UnitedHealthcare	Viltepso (Viltolarsen) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-VILTEPSO	New policy
May 25, 2026	UnitedHealthcare	Video Electroencephalographic (vEEG) Monitoring and RecordingPayerPolicy · UHC-EXCH-MD-VIDEO-ELECTROENCEPHALOGRAPHIC-MONITORING-RECORDING	New policy
May 25, 2026	UnitedHealthcare	Vertebral Body Tethering for ScoliosisPayerPolicy · UHC-EXCH-MD-VERTEBRAL-BODY-TETHERING-SCOLIOSIS	New policy
May 25, 2026	UnitedHealthcare	Veopoz (Pozelimab-Bbfg) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-VEOPOZ	New policy
May 25, 2026	UnitedHealthcare	Vagus and External Trigeminal Nerve StimulationPayerPolicy · UHC-EXCH-MD-VAGUS-NERVE-STIMULATION	New policy