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 | Novitas Solutions | Application of Bioengineered Skin Substitutes to Lower Extremity Chronic Non-Healing Wounds | Criteria changed |
| May 17, 2026 | Novitas Solutions | Scanning Computerized Ophthalmic Diagnostic Imaging | Criteria changed |
| May 17, 2026 | Novitas Solutions | Thoracic Aortography and Carotid, Vertebral, and Subclavian Angiography | Criteria changed |
| May 17, 2026 | Novitas Solutions | Bariatric Surgical Management of Morbid Obesity | Criteria changed |
| May 17, 2026 | Novitas Solutions | Transesophageal Echocardiography (TEE) | Criteria changed |
| May 17, 2026 | Novitas Solutions | Frequency of Hemodialysis | Criteria changed |
| May 17, 2026 | Novitas Solutions | Debridement of Mycotic Nails | Criteria changed |
| May 17, 2026 | Novitas Solutions | Trigger Point Injections | Criteria changed |
| May 17, 2026 | Novitas Solutions | Vestibular and Audiologic Function Studies | Criteria changed |
| May 17, 2026 | Novitas Solutions | Controlled Substance Monitoring and Drugs of Abuse Testing | Criteria changed |
| May 17, 2026 | Novitas Solutions | Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow | Criteria changed |
| May 17, 2026 | Novitas Solutions | Intraoperative Neurophysiological Testing | Criteria changed |
| May 17, 2026 | Novitas Solutions | Transcranial Magnetic Stimulation (TMS) in the Treatment of Adults with Major Depressive Disorder | Criteria changed |
| May 17, 2026 | Novitas Solutions | Neurophysiology Evoked Potentials (NEPs) | Criteria changed |
| May 17, 2026 | Novitas Solutions | Mohs Micrographic Surgery (MMS) | Criteria changed |
| May 17, 2026 | Novitas Solutions | Removal of Benign Skin Lesions | Criteria changed |
| May 17, 2026 | Novitas Solutions | Treatment of Chronic Venous Insufficiency of the Lower Extremities | Criteria changed |
| May 17, 2026 | Novitas Solutions | Assays for Vitamins and Metabolic Function | Criteria changed |
| May 17, 2026 | Novitas Solutions | Facet Joint Interventions for Pain Management | Criteria changed |
| May 17, 2026 | Novitas Solutions | Surgical Treatment of Nails | Criteria changed |
| May 17, 2026 | Novitas Solutions | Magnetic Resonance Angiography (MRA) | Criteria changed |
| May 17, 2026 | Novitas Solutions | Cardiac Rhythm Device Evaluation | Criteria changed |
| May 17, 2026 | First Coast Service Options | Non-invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities | Criteria changed |
| May 17, 2026 | First Coast Service Options | Botulinum Toxins | Criteria changed |
| May 17, 2026 | First Coast Service Options | Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound | Criteria changed |
| May 17, 2026 | First Coast Service Options | Cervical Fusion | Criteria changed |
| May 17, 2026 | First Coast Service Options | Ambulatory Electrocardiograph (AECG) Monitoring | Criteria changed |
| May 17, 2026 | First Coast Service Options | Genetic Testing in Oncology: Specific Tests | Criteria changed |
| May 17, 2026 | First Coast Service Options | Genetic Testing for Cardiovascular Disease | Criteria changed |
| May 17, 2026 | First Coast Service Options | Pharmacogenomics Testing | Criteria changed |
| May 17, 2026 | First Coast Service Options | Platelet Rich Plasma | Criteria changed |
| May 17, 2026 | First Coast Service Options | Cataract Extraction (including Complex Cataract Surgery) | Criteria changed |
| May 17, 2026 | First Coast Service Options | Respiratory Pathogen Panel Testing | Criteria changed |
| May 17, 2026 | First Coast Service Options | Cosmetic and Reconstructive Surgery | Criteria changed |
| May 17, 2026 | First Coast Service Options | Colon Capsule Endoscopy (CCE) | Criteria changed |
| May 17, 2026 | First Coast Service Options | Transurethral Waterjet Ablation of the Prostate | Criteria changed |
| May 17, 2026 | First Coast Service Options | Treatment of Chronic Venous Insufficiency of the Lower Extremities | Criteria changed |
| May 17, 2026 | First Coast Service Options | Implantable Continuous Glucose Monitors (I-CGM) | Criteria changed |
| May 17, 2026 | First Coast Service Options | Magnetic-Resonance-Guided Focused Ultrasound Surgery (MRgFUS) for Essential Tremor | Criteria changed |
| May 17, 2026 | First Coast Service Options | Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea | Criteria changed |
| May 17, 2026 | First Coast Service Options | Cardiology Non-emergent Outpatient Stress Testing | Criteria changed |
| May 17, 2026 | First Coast Service Options | Micro-Invasive Glaucoma Surgery (MIGS) | Criteria changed |
| May 17, 2026 | First Coast Service Options | Endovenous Stenting | Criteria changed |
| May 17, 2026 | First Coast Service Options | Gastrointestinal Pathogen (GIP) Panels Utilizing Multiplex Nucleic Acid Amplification Techniques (NAATs) | Criteria changed |
| May 17, 2026 | First Coast Service Options | Allergen Immunotherapy | Criteria changed |
| May 17, 2026 | First Coast Service Options | 4Kscore Test Algorithm | Criteria changed |
| May 17, 2026 | First Coast Service Options | Frequency of Hemodialysis | Criteria changed |
| May 17, 2026 | First Coast Service Options | Cystatin C Measurement | Criteria changed |
| May 17, 2026 | First Coast Service Options | Electroretinography (ERG) | Criteria changed |
| May 17, 2026 | First Coast Service Options | Wound Care | Criteria changed |