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 | CGS Administrators | Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography) | Criteria changed |
| May 17, 2026 | CGS Administrators | Visual Fields Testing | Criteria changed |
| May 17, 2026 | CGS Administrators | Ocular Photography - External | Criteria changed |
| May 17, 2026 | CGS Administrators | Erythropoiesis Stimulating Agents (ESA) | Criteria changed |
| May 17, 2026 | CGS Administrators | Outpatient Psychiatry and Psychology Services | Criteria changed |
| May 17, 2026 | CGS Administrators | Transthoracic Echocardiography (TTE) | Criteria changed |
| May 17, 2026 | CGS Administrators | Transesophageal Echocardiography (TEE) | Criteria changed |
| May 17, 2026 | CGS Administrators | Routine Foot Care and Debridement of Nails | Criteria changed |
| May 17, 2026 | CGS Administrators | Removal of Benign Skin Lesions | Criteria changed |
| May 17, 2026 | CGS Administrators | Psychiatric Partial Hospitalization Programs | Criteria changed |
| May 17, 2026 | CGS Administrators | Mohs Micrographic Surgery | Criteria changed |
| May 17, 2026 | CGS Administrators | Psychiatric Inpatient Hospitalization | Criteria changed |
| May 17, 2026 | CGS Administrators | Ophthalmic Biometry for Intraocular Lens Power Calculation | Criteria changed |
| May 17, 2026 | CGS Administrators | Ophthalmic Angiography (Fluorescein and Indocyanine Green) | Criteria changed |
| May 17, 2026 | CGS Administrators | Nasal Punctum-Nasolacrimal Duct Dilation and Probing with or without Irrigation | Criteria changed |
| May 17, 2026 | CGS Administrators | Laser Ablation of the Prostate | Criteria changed |
| May 17, 2026 | CGS Administrators | Surveillance of Implantable or Wearable Cardioverter Defibrillators (ICDs): Office, Hospital, Web, or Non-Web Based | Criteria changed |
| May 17, 2026 | CGS Administrators | Post-Void Residual Urine and/or Bladder Capacity by Ultrasound | Criteria changed |
| May 17, 2026 | CGS Administrators | Transcatheter Infusion Therapy | Criteria changed |
| May 17, 2026 | CGS Administrators | Varicose Veins of the Lower Extremity, Treatment of | Criteria changed |
| May 17, 2026 | CGS Administrators | Endoscopy by Capsule | Criteria changed |
| May 17, 2026 | CGS Administrators | Panretinal (Scatter) Laser Photocoagulation | Criteria changed |
| May 17, 2026 | CGS Administrators | RAST Type Tests | Criteria changed |
| May 17, 2026 | CGS Administrators | Dialysis Access Maintenance | Criteria changed |
| May 17, 2026 | CGS Administrators | Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI) | Criteria changed |
| May 17, 2026 | CGS Administrators | Urodynamics | Criteria changed |
| May 17, 2026 | CGS Administrators | Outpatient Physical and Occupational Therapy Services | Criteria changed |
| May 17, 2026 | CGS Administrators | Speech-Language Pathology | Criteria changed |
| May 17, 2026 | CGS Administrators | Non-Invasive Vascular Studies | Criteria changed |
| May 17, 2026 | CGS Administrators | Flow Cytometry | Criteria changed |
| May 17, 2026 | CGS Administrators | Debridement Services | Criteria changed |
| May 17, 2026 | CGS Administrators | Computerized Corneal Topography | Criteria changed |
| May 17, 2026 | CGS Administrators | Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy | Criteria changed |
| May 17, 2026 | CGS Administrators | Corneal Pachymetry | Criteria changed |
| May 17, 2026 | CGS Administrators | Vitamin D Assay Testing | Criteria changed |
| May 17, 2026 | CGS Administrators | Cardiovascular Nuclear Medicine | Criteria changed |
| May 17, 2026 | CGS Administrators | Cardiac Catheterization and Coronary Angiography | Criteria changed |
| May 17, 2026 | CGS Administrators | Cataract Extraction | Criteria changed |
| May 17, 2026 | CGS Administrators | Cardiac Event Detection | Criteria changed |
| May 17, 2026 | CGS Administrators | Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography | Criteria changed |
| May 17, 2026 | CGS Administrators | Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA) | Criteria changed |
| May 17, 2026 | CGS Administrators | Capsule Opacification Following Cataract Surgery: Discission and YAG Laser Capsulotomy | Criteria changed |
| May 17, 2026 | CGS Administrators | Cerumen (Earwax) Removal | Criteria changed |
| May 17, 2026 | CGS Administrators | Blepharoplasty | Criteria changed |
| May 17, 2026 | CGS Administrators | B-type Natriuretic Peptide (BNP) Testing | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | Peripheral Nerve Blocks and Procedures for Chronic Pain | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | MolDX: Non-Next Generation Sequencing Targeted Molecular Panel Tests for Predictive Testing in Cancer | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | MolDX: Genetic Testing for Hereditary Thrombophilia | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | MolDX: Biomarker Testing for Risk Stratification in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | MolDX: Biomarker Testing for Risk Stratification in DCIS | Criteria changed |