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 | National Government Services | Select Minimally Invasive GERD Procedures | Criteria changed |
| May 17, 2026 | National Government Services | Stereotactic Radiation Therapy: Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT) | Criteria changed |
| May 17, 2026 | National Government Services | Proton Beam Therapy | Criteria changed |
| May 17, 2026 | National Government Services | Heavy Metal Testing | Criteria changed |
| May 17, 2026 | National Government Services | Venous Angioplasty with or without Stent Placement for the Treatment of Chronic Cerebrospinal Venous Insufficiency | Criteria changed |
| May 17, 2026 | National Government Services | Reduction Mammaplasty | Criteria changed |
| May 17, 2026 | National Government Services | Molecular Pathology Procedures | Criteria changed |
| May 17, 2026 | National Government Services | Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI) | Criteria changed |
| May 17, 2026 | National Government Services | Routine Foot Care and Debridement of Nails | Criteria changed |
| May 17, 2026 | National Government Services | Magnetic Resonance Angiography (MRA) | Criteria changed |
| May 17, 2026 | National Government Services | Psychiatry and Psychology Services | Criteria changed |
| May 17, 2026 | National Government Services | Outpatient Physical and Occupational Therapy Services | Criteria changed |
| May 17, 2026 | National Government Services | Corneal Pachymetry | Criteria changed |
| May 17, 2026 | National Government Services | Panretinal (Scatter) Laser Photocoagulation | Criteria changed |
| May 17, 2026 | National Government Services | Non-Invasive Vascular Studies | Criteria changed |
| May 17, 2026 | National Government Services | Psychiatric Partial Hospitalization Programs | Criteria changed |
| May 17, 2026 | National Government Services | Psychiatric Inpatient Hospitalization | Criteria changed |
| May 17, 2026 | National Government Services | Percutaneous Coronary Intervention | Criteria changed |
| May 17, 2026 | National Government Services | Pain Management - Injection of tendon sheaths, ligaments, bursa, and ganglion cysts | Criteria changed |
| May 17, 2026 | National Government Services | Ophthalmic Biometry for Intraocular Lens Power Calculation | Criteria changed |
| May 17, 2026 | National Government Services | Nonvascular Extremity Ultrasound | Criteria changed |
| May 17, 2026 | National Government Services | Osteopathic Manipulative Treatment | Criteria changed |
| May 17, 2026 | National Government Services | Debridement Services | Criteria changed |
| May 17, 2026 | National Government Services | RAST Type Tests | Criteria changed |
| May 17, 2026 | National Government Services | Breast Imaging: Breast Echography (Sonography)/Breast MRI/Ductography | Criteria changed |
| May 17, 2026 | National Government Services | Speech-Language Pathology | Criteria changed |
| May 17, 2026 | National Government Services | Transesophageal Echocardiography (TEE) | Criteria changed |
| May 17, 2026 | National Government Services | Transrectal Ultrasound | Criteria changed |
| May 17, 2026 | National Government Services | Transthoracic Echocardiography (TTE) | Criteria changed |
| May 17, 2026 | National Government Services | Urodynamics | Criteria changed |
| May 17, 2026 | National Government Services | Varicose Veins of the Lower Extremity, Treatment of | Criteria changed |
| May 17, 2026 | National Government Services | Visual Fields Testing | Criteria changed |
| May 17, 2026 | National Government Services | B-type Natriuretic Peptide (BNP) Testing | Criteria changed |
| May 17, 2026 | National Government Services | Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF) | Criteria changed |
| May 17, 2026 | National Government Services | Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography) | Criteria changed |
| May 17, 2026 | National Government Services | Incision and Drainage (I & D) of Abscess of Skin, Subcutaneous and Accessory Structures | Criteria changed |
| May 17, 2026 | National Government Services | Cardiovascular Nuclear Medicine | Criteria changed |
| May 17, 2026 | National Government Services | Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA) | Criteria changed |
| May 17, 2026 | National Government Services | Cataract Extraction | Criteria changed |
| May 17, 2026 | National Government Services | Cardiac Catheterization and Coronary Angiography | Criteria changed |
| May 17, 2026 | National Government Services | EEG â Ambulatory Monitoring | Criteria changed |
| May 17, 2026 | National Government Services | Transcranial Magnetic Stimulation | Criteria changed |
| May 17, 2026 | National Government Services | Posterior Tibial Nerve Stimulation for Voiding Dysfunction | Criteria changed |
| May 17, 2026 | National Government Services | Drugs and Biologicals, Coverage of, for Label and Off-Label Uses | Criteria changed |
| May 17, 2026 | CGS Administrators | Peripheral Nerve Blocks and Procedures for Chronic Pain | Criteria changed |
| May 17, 2026 | CGS Administrators | MolDX: Genetic Testing for Hereditary Thrombophilia | Criteria changed |
| May 17, 2026 | CGS Administrators | MolDX: Biomarker Testing for Risk Stratification in DCIS | Criteria changed |
| May 17, 2026 | CGS Administrators | Temporary Nontherapeutic Ambulatory Cardiac Monitoring Devices | Criteria changed |
| May 17, 2026 | CGS Administrators | Total Joint Arthroplasty | Criteria changed |
| May 17, 2026 | CGS Administrators | MolDX: Non-Next Generation Sequencing Targeted Molecular Panel Tests for Predictive Testing in Cancer | Criteria changed |