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 17, 2026 | Noridian Healthcare Solutions | Allergen Immunotherapy (AIT) with Subcutaneous Immunotherapy (SCIT) | Criteria changed |
| May 17, 2026 | Novitas Solutions | Non-invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities | Criteria changed |
| May 17, 2026 | Novitas Solutions | Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound | Criteria changed |
| May 17, 2026 | Novitas Solutions | Cervical Fusion | Criteria changed |
| May 17, 2026 | Novitas Solutions | Ambulatory Electrocardiograph (AECG) Monitoring | Criteria changed |
| May 17, 2026 | Novitas Solutions | Genetic Testing in Oncology: Specific Tests | Criteria changed |
| May 17, 2026 | Novitas Solutions | Genetic Testing for Cardiovascular Disease | Criteria changed |
| May 17, 2026 | Novitas Solutions | Platelet Rich Plasma | Criteria changed |
| May 17, 2026 | Novitas Solutions | Pharmacogenomics Testing | Criteria changed |
| May 17, 2026 | Novitas Solutions | Respiratory Pathogen Panel Testing | Criteria changed |
| May 17, 2026 | Novitas Solutions | Diagnostic Colonoscopy | Criteria changed |
| May 17, 2026 | Novitas Solutions | Botulinum Toxins | Criteria changed |
| May 17, 2026 | Novitas Solutions | Colon Capsule Endoscopy (CCE) | Criteria changed |
| May 17, 2026 | Novitas Solutions | Transurethral Waterjet Ablation of the Prostate | Criteria changed |
| May 17, 2026 | Novitas Solutions | Implantable Continuous Glucose Monitors (I-CGM) | Criteria changed |
| May 17, 2026 | Novitas Solutions | Magnetic-Resonance-Guided Focused Ultrasound Surgery (MRgFUS) for Essential Tremor | Criteria changed |
| May 17, 2026 | Novitas Solutions | Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea | Criteria changed |
| May 17, 2026 | Novitas Solutions | Gastrointestinal Pathogen (GIP) Panels Utilizing Multiplex Nucleic Acid Amplification Techniques (NAATs) | Criteria changed |
| May 17, 2026 | Novitas Solutions | Micro-Invasive Glaucoma Surgery (MIGS) | Criteria changed |
| May 17, 2026 | Novitas Solutions | Endovenous Stenting | Criteria changed |
| May 17, 2026 | Novitas Solutions | 4Kscore Test Algorithm | Criteria changed |
| May 17, 2026 | Novitas Solutions | Electroretinography (ERG) | Criteria changed |
| May 17, 2026 | Novitas Solutions | Epidural Steroid Injections for Pain Management | Criteria changed |
| May 17, 2026 | Novitas Solutions | BRCA1 and BRCA2 Genetic Testing | Criteria changed |
| May 17, 2026 | Novitas Solutions | Allergy Testing | Criteria changed |
| May 17, 2026 | Novitas Solutions | Allergen Immunotherapy | Criteria changed |
| May 17, 2026 | Novitas Solutions | Lower Extremity Major Joint Replacement (Hip and Knee) | Criteria changed |
| May 17, 2026 | Novitas Solutions | Peripheral Venous Ultrasound | Criteria changed |
| May 17, 2026 | Novitas Solutions | Oximetry Services | Criteria changed |
| May 17, 2026 | Novitas Solutions | Non-Invasive Cerebrovascular Arterial Studies | Criteria changed |
| May 17, 2026 | Novitas Solutions | Biomarkers for Oncology | Criteria changed |
| May 17, 2026 | Novitas Solutions | Autonomic Function Tests | Criteria changed |
| May 17, 2026 | Novitas Solutions | Multiple Imaging in Oncology | Criteria changed |
| May 17, 2026 | Novitas Solutions | Upper Gastrointestinal Endoscopy (Diagnostic and Therapeutic) | Criteria changed |
| May 17, 2026 | Novitas Solutions | Routine Foot Care | Criteria changed |
| May 17, 2026 | Novitas Solutions | Percutaneous Vertebral Augmentation (PVA) for Vertebral Compression Fracture (VCF) | Criteria changed |
| May 17, 2026 | Novitas Solutions | Wound Care | Criteria changed |
| May 17, 2026 | Novitas Solutions | Psychiatric Codes | Criteria changed |
| May 17, 2026 | Novitas Solutions | Frequency of Laboratory Tests | Criteria changed |
| May 17, 2026 | Novitas Solutions | Immune Globulin | Criteria changed |
| May 17, 2026 | Novitas Solutions | Diagnostic Abdominal Aortography and Renal Angiography | Criteria changed |
| May 17, 2026 | Novitas Solutions | Cataract Extraction (including Complex Cataract Surgery) | Criteria changed |
| May 17, 2026 | Novitas Solutions | Cosmetic and Reconstructive Surgery | Criteria changed |
| May 17, 2026 | Novitas Solutions | Wireless Capsule Endoscopy | Criteria changed |
| May 17, 2026 | Novitas Solutions | Cardiology Non-emergent Outpatient Stress Testing | Criteria changed |
| May 17, 2026 | Novitas Solutions | Nerve Conduction Studies and Electromyography | Criteria changed |
| May 17, 2026 | Novitas Solutions | Speech - Language Pathology (SLP) Services: Communication Disorders | Criteria changed |
| May 17, 2026 | Novitas Solutions | Biomarkers Overview | Criteria changed |
| May 17, 2026 | Novitas Solutions | Outpatient Sleep Studies | Criteria changed |
| May 17, 2026 | Novitas Solutions | Monitored Anesthesia Care | Criteria changed |