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.
86,510 on record
| Recorded | Payer | Policy | Change |
|---|---|---|---|
| May 18, 2026 | UnitedHealthcare | Proton Beam Radiation Therapy | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Prostate Surgeries and Interventions | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Private Duty Nursing Services | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Preventive Care Services | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Preimplantation Genetic Testing and Related Services | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Pneumatic Compression Devices | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Plagiocephaly and Craniosynostosis Treatment | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Pharmacogenetic Panel Testing | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Percutaneous Vertebroplasty and Kyphoplasty | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Percutaneous Patent Foramen Ovale (PFO) Closure | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Percutaneous Neuroablation for Pancreatic Cancer Pain, Severe Cancer Pain, and Trigeminal Neuralgia | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Parsabiv (Etelcalcetide) | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Panniculectomy Surgery | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Oxlumo (Lumasiran) and Rivfloza (Nedosiran) | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Outpatient Surgical Procedures – Site of Service | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Orthognathic (Jaw) Surgery | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Ophthalmologic Vascular Endothelial Growth Factor (VEGF) Inhibitors | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Oncology Medication Clinical Coverage | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Omvoh (Mirikizumab-Mrkz) | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Omnibus Codes | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Office-Based Procedures – Site of Service | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Ocular Photoscreening | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Ocrevus (Ocrelizumab) and Ocrevus Zunovo (Ocrelizumab and Hyaluronidase-Ocsq) | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Occipital Nerve Injections and Ablation (Including Occipital Neuralgia and Headache) | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Obstructive and Central Sleep Apnea Treatment | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Noncontact Warming Therapy, Ultrasound Therapy, and Fluorescence Imaging for Wounds | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Niktimvo (Axatilimab-Csfr) | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Neurophysiologic Testing and Monitoring | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Nerve Graft to Restore Erectile Function During Radical Prostatectomy | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Negative Pressure Wound Therapy | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Motorized Spinal Traction | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Molecular Oncology Testing for Solid Tumor Cancer Diagnosis, Prognosis, and Treatment Decisions | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Molecular Oncology Testing for Hematologic Cancer Diagnosis, Prognosis, and Treatment Decisions | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Minimally Invasive Procedures for the Treatment of Upper Gastrointestinal Diseases | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Medical Benefit Therapeutic Equivalent Medications – Excluded Drugs | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Mechanical Stretching Devices | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Manipulative Therapy | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Manipulation Under Anesthesia | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) Scan – Site of Service | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Lower Extremity Prosthetics | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Lower Extremity Endovascular Procedures | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Light and Laser Therapy | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Krystexxa (Pegloticase) | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Korsuva (Difelikefalin) | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Kisunla (Donanemab-Azbt) | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Ketalar (Ketamine) and Spravato (Esketamine) | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Kebilidi (Eladocagene Exuparvovec-Tneq) | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Intravenous Iron Replacement Therapy (Injectafer & Monoferric) | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Intravenous Enzyme Replacement Therapy (ERT) for Gaucher Disease | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Intracanalicular and Intravitreal Corticosteroid Implants | Criteria changed |