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 | UMR (UnitedHealthcare) | Ablative Treatment for Spinal PainPayerPolicy · UMR-POL-UMR-ablative-treatment-spinal-pain | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Wrong Surgical or Other Invasive Procedures Policy, Professional and FacilityPayerPolicy · UHC-POL-COMM-Wrong-Surgical-or-Other-Invasive-Procedures-Policy | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Urgent Care Policy, ProfessionalPayerPolicy · UHC-POL-COMM-Urgent-Care-Policy | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Time Span Codes Policy, ProfessionalPayerPolicy · UHC-POL-COMM-Time-Span-Codes-Policy | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Telehealth/Virtual Health Policy, ProfessionalPayerPolicy · UHC-POL-COMM-Telehealth-and-Telemedicine-Policy | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Telehealth Policy, FacilityPayerPolicy · UHC-POL-COMM-Telehealth-Policy-Facility | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | T Status Codes Policy, ProfessionalPayerPolicy · UHC-POL-COMM-T-Status-Codes-Policy | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Supply Policy, ProfessionalPayerPolicy · UHC-POL-COMM-Supply-Policy | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Standby Services Policy, ProfessionalPayerPolicy · UHC-POL-COMM-Standby-Services-Policy-Professional | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Split Surgical Package Policy, ProfessionalPayerPolicy · UHC-POL-COMM-Split-Surgical-Package-Policy | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Services Incident-to a Supervising Health Care Provider Policy, ProfessionalPayerPolicy · UHC-POL-COMM-Services-Incident-to-a-Supervising-Health-Care-Provider-Policy-Professional | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Services by Residents, Interns and Medical Students Policy, ProfessionalPayerPolicy · UHC-POL-COMM-Services-by-Residents-Interns-Medical-Students-Policy-Professional | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Services and Modifiers Not Reimbursable to Healthcare Professionals, ProfessionalPayerPolicy · UHC-POL-COMM-Services-Modifiers-Not-Reimbursable-Healthcare-Professionals-Policy | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Same Day / Same Service Policy, ProfessionalPayerPolicy · UHC-POL-COMM-Same-Day-Service-Policy | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Robotic Assisted Surgery Policy, ProfessionalPayerPolicy · UHC-POL-COMM-Robotic-Assisted-Surgery-Policy-Professional | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Replacement Codes Policy, ProfessionalPayerPolicy · UHC-POL-COMM-Replacement-Codes-Policy | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Rebundling Policy, ProfessionalPayerPolicy · UHC-POL-COMM-Rebundling-Policy | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Radiation Therapy Planning, Dosimetry, Simulation/Devices and Management Policy, Professional and FacilityPayerPolicy · UHC-POL-COMM-IEX-RTP-D-SDM-Policy-Pro-Facility | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Prostate Biopsy Specimen Analysis Policy, Professional and FacilityPayerPolicy · UHC-POL-COMM-Prostate-Biopsy-Specimen-Analysis-Policy | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Prolonged Services Policy, ProfessionalPayerPolicy · UHC-POL-COMM-Prolonged-Services-Policy | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Professional/Technical Component Policy, ProfessionalPayerPolicy · UHC-POL-COMM-Professional-Technical-Component-Policy | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Procedure to Modifier Policy, ProfessionalPayerPolicy · UHC-POL-COMM-Procedure-to-Modifier-Policy | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Procedure and Place of Service Policy, ProfessionalPayerPolicy · UHC-POL-COMM-Procedure-and-Place-of-Service-Policy | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Preventive Medicine and Screening Policy, ProfessionalPayerPolicy · UHC-POL-COMM-Preventive-Medicine-and-Screening-Policy | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Physical Medicine & Rehabilitation: Speech Therapy Policy, ProfessionalPayerPolicy · UHC-POL-COMM-Physical-Med-Rehab-Speech-Therapy-Policy | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Physical Medicine & Rehabilitation: PT, OT and Evaluation and Management Policy, ProfessionalPayerPolicy · UHC-POL-COMM-Physical-Med-Rehab-PT-OT-Eval-Mgmt-Policy | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Physical Medicine & Rehabilitation: Multiple Therapy Procedure Reduction Policy, ProfessionalPayerPolicy · UHC-POL-COMM-Physical-Med-Rehab-Multiple-Therapy-Procedure-Reduction-Policy | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Physical Medicine & Rehabilitation: Maximum Combined Frequency per Day Policy, ProfessionalPayerPolicy · UHC-POL-COMM-Physical-Med-Rehab-Max-Combined-Frequency-Per-Day-Policy | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Pediatric and Neonatal Critical and Intensive Care Services Policy, ProfessionalPayerPolicy · UHC-POL-COMM-Pediatric-Neonatal-Critical-Intensive-Care-Svcs-Policy-Professional | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Outpatient Rehabilitation Therapy Service Policy, FacilityPayerPolicy · UHC-POL-COMM-Outpatient-Rehabilitation-Therapy-Services-Policy-Facility | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Outpatient Medical Visits and Trauma Activation Policy, FacilityPayerPolicy · UHC-POL-COMM-Outpatient-Medical-Visits-Trauma-Activation-Policy-Facility | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Outpatient Hospital Observation Policy, FacilityPayerPolicy · UHC-POL-COMM-Outpatient-Hospital-Observation-Policy-Facility | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Outpatient Hospital Maximum Frequency Per Day Policy, FacilityPayerPolicy · UHC-POL-COMM-Outpatient-Hospital-MFPD-Policy-Facility | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Outpatient Hospital CCI Editing Policy, FacilityPayerPolicy · UHC-POL-COMM-Outpatient-Hospital-CCI-Editing-Policy-Facility | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Outpatient Hospital Blood and Blood Products Policy FacilityPayerPolicy · UHC-POL-COMM-Outpatient-Hospital-Blood-and-Blood-Products-Policy-Facility | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Outpatient Hospital Add-on Codes Policy, FacilityPayerPolicy · UHC-POL-COMM-Outpatient-Hospital-Add-On-Codes-Policy-Facility | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Outpatient From-to Date Policy, FacilityPayerPolicy · UHC-POL-COMM-Outpatient-From-to-Date-Policy-Facility | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Onychomycosis Testing Policy, Professional and FacilityPayerPolicy · UHC-POL-COMM-Onyxchomycosis-Testing-Policy | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | One or More Sessions Policy, ProfessionalPayerPolicy · UHC-POL-COMM-One-or-More-Sessions-Policy | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Once in a Lifetime Procedures Policy, ProfessionalPayerPolicy · UHC-POL-COMM-Once-In-a-Lifetime-Procedures-Policy | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Off-Campus Provider-Based Departments Billed with Modifier PO Policy, FacilityPayerPolicy · UHC-POL-COMM-IEX-Off-Campus-PBDB-Facility | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Obstetrical Policy, ProfessionalPayerPolicy · UHC-POL-COMM-Obstetrical-Policy | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Observation and Discharge Policy, ProfessionalPayerPolicy · UHC-POL-COMM-Observation-Discharge-Policy | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Nonphysician Health Care Professionals Billing Evaluation and Management Codes Policy, ProfessionalPayerPolicy · UHC-POL-COMM-Nonphysician-Healthcare-Professionals-Billing-EM-Codes-Policy | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Nonphysician Health Care Codes Policy, ProfessionalPayerPolicy · UHC-POL-COMM-Nonphysician-Health-Care-Codes-Policy | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | New Patient Visit Policy, ProfessionalPayerPolicy · UHC-POL-COMM-New-Patient-Policy | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | National Drug Code (NDC) Requirement Policy, Professional and FacilityPayerPolicy · UHC-POL-COMM-National-Drug-Code-Requirement-Policy | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Multiple Procedure Payment Reduction (MPPR) for Medical and Surgical Services Policy, ProfessionalPayerPolicy · UHC-POL-COMM-MPPR-for-Medical-Surgical-Services-Policy | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Multiple Procedure Payment Reduction (MPPR) for Diagnostic Imaging Policy, ProfessionalPayerPolicy · UHC-POL-COMM-MPPR-Diagnostic-Imaging-Policy | Criteria changed |
|---|
| May 17, 2026 | UnitedHealthcare | Multiple Procedure Payment Reduction (MPPR) for Diagnostic Cardiovascular and Ophthalmology Procedures Policy, ProfessionalPayerPolicy · UHC-POL-COMM-MPPR-Cardiovascular-Ophthalmology-Procedures-Policy | Criteria changed |
|---|