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 17, 2026	UnitedHealthcare Medicare Advantage	Services by Residents, Interns and Medical Students Policy, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Services-by-Residents-Interns-MedStudents-Policy-Professional	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Same Day, Same Service Policy, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Same-Day-Same-Services-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Reduced Services and Discontinued Procedures Policy, Professional and FacilityPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Reduced-Services-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Rebundling and NCCI Edits, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Rebundling-and-NCCI-Edits-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Radiation Therapy Planning, Dosimetry, Simulation/Devices and Management Policy, Professional and FacilityPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-IEX-RTP-D-SDM-Policy-Pro-Facility	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Professional/Technical Component, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Professional-Technical-Component-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Procedure to Modifier Policy, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Procedure-to-Modifier-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Procedure and Place of Service, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Procedure-and-Place-of-Service-Professional-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Onychomycosis Testing Policy, Professional and FacilityPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Onychomycosis-Testing-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Once in a Lifetime Procedures, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Once-in-a-Lifetime-Procedures-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Observation and Discharge Policy, Professional and FacilityPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Observation-Care-Evaluation-Mgmt-Codes	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Nonphysician Health Care Professionals Billing Evaluation and Management Policy, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Nonphysician-Healthcare-Professionals-Billing-Evaluation-Management-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Non-Chemotherapy Injection and Infusion Services, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Non-Chemotherapy-Injection-Infusion-Services-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	New Patient Visit Policy, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-New-Patient-Visit-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	National Drug Code (NDC) Requirement Professional and FacilityPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-National-Drug-Code-Requirement-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Multiple Procedure Payment Reduction (MPPR) for Therapy Services, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-MPPR-Therapy-Services-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Multiple Procedure Payment Reduction (MPPR) for Medical and Surgical Services Policy, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Multiple-Procedure-Payment-Reduction-Medical-Surgical-Services-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Multiple Procedure Payment Reduction (MPPR) for Diagnostic Imaging Policy, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-MPPR-for-Diagnostic-Imaging-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Multiple Procedure Payment Reduction (MPPR) for Diagnostic Cardiovascular and Ophthalmology Procedures, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-MPPR-Diagnostic-Cardiovascular-Ophthalmology	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing Policy, Professional and Facility - UnitedHealthcare Medicare Advantage Reimbursement PolicyPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-MSPIDPIT-Pro-Facility	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Molecular Pathology Policy, Professional and FacilityPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Molecular-Pathology-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Mohs Micrographic Surgery Policy, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Mohs-Micrographic-Surgery-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Modifiers Not Reimbursable to Healthcare Professionals Policy, Professional - UnitedHealthcare Medicare Advantage Reimbursement PolicyPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Modifiers-Not-Reimbursable-to-Healthcare-Professionals	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Modifier Reference Policy, Professional Professional - UnitedHealthcare Medicare Advantage Reimbursement PolicyPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Modifier-Reference-Policy-Professional	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Medicare Physician Fee Schedule Status Indicator, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Medicare-Physician-Fee-Schedule-Status-Indicator-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Medically Unlikely Edits (MUE) Policy, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Medically-Unlikely-Edits-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Lyme Disease Testing Policy, Professional and FacilityPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Lyme-Disease-Testing-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Laboratory Services Policy, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Laboratory-Services-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Iron Homeostasis and Metabolism Policy, Professional and FacilityPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Iron-Homeostasis-Metabolism-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Intraoperative Neuromonitoring Policy, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Intraoperative-Neuromonitoring-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Intracellular Micronutrient Analysis Policy, Professional and FacilityPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Intracellular-Micronutrient-Analysis-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Intestinal Dysbiosis and Fecal Microbiota Transplant Testing PolicyPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Intestinal-Dysbiosis-Fecal-Microbiota-Transplant-Testing-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Intensity Modulated Radiation Therapy (IMRT) Policy, Professional and FacilityPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Intensity-Modulated-Radiation-Therapy-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Increased Procedural Services Policy, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Increased-Procedural-Services-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Incident To Services, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Incident-to-Services-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Immune Cell Function Assay Policy, Professional and FacilityPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Immune-Cell-Function-Assay-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Hospital Inclusive Charges Policy, Facility - UnitedHealthcare Medicare Advantage Reimbursement PolicyPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Hospital-Inclusive-Charges-Policy-Facility	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Hospital Acquired Conditions Policy, FacilityPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Hospital-Acquired-Conditions-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Homocysteine Testing for Metabolism Policy, Professional and FacilityPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Homocysteine-Testing-Metabolism-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Home Health Services Policy, Professional and FacilityPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Home-Health-Services-Policy-Professional-and-Facility	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Global Days Policy, Professional - UnitedHealthcare Medicare Advantage Reimbursement PolicyPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Global-Days-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	From – To Date Policy, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Date-of-Service-Unit-Discrepancies-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Flow Cytometry Policy, Professional and FacilityPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Flow-Cytometry-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Fecal Calprotectin Testing Policy, Professional and FacilityPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Fecal-Calprotectin-Testing-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Evaluation and Management (E/M) Policy, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Evaluation-and-Management-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Epithelial Cell Cytology Policy, Professional and FacilityPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Epithelial-Cell-Cytology-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Enzyme Testing for Acute Pancreatitis Policy, Professional and FacilityPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Enzyme-Testing-Acute-Pancreatitis-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Emergency Department (ED) Facility Evaluation and Management (E&M) Coding PolicyPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Emergency-Department-Facility-EM-Coding-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Durable Medical Equipment, Orthotics and Prosthetics Policy, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-DME-Orthotics-and-Prosthetics-Multiple-Frequency-Policy	Criteria changed
May 17, 2026	UnitedHealthcare Medicare Advantage	Durable Medical Equipment Charges in a Skilled Nursing Facility Policy, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-DME-Charges-Skilled-Nursing-Facility-Policy	Criteria changed