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 16, 2026 | Palmetto GBA | Allergen Immunotherapy (AIT) with Subcutaneous Immunotherapy (SCIT) | Codes changed |
| May 16, 2026 | Palmetto GBA | Allergen Immunotherapy (AIT) with Subcutaneous Immunotherapy (SCIT) | New policy |
| May 16, 2026 | Palmetto GBA | Allergy Skin Testing | Codes changed |
| May 16, 2026 | Palmetto GBA | Allergy Skin Testing | New policy |
| May 16, 2026 | Palmetto GBA | Advance Care Planning | Codes changed |
| May 16, 2026 | Palmetto GBA | Advance Care Planning | New policy |
| May 16, 2026 | Palmetto GBA | 4Kscore® Assay | Codes changed |
| May 16, 2026 | Palmetto GBA | 4Kscore® Assay | New policy |
| May 14, 2026 | Devoted Health | Vision services | Criteria changed |
| May 14, 2026 | Devoted Health | Telehealth Services | Criteria changed |
| May 14, 2026 | Devoted Health | Sepsis DRG review | Criteria changed |
| May 14, 2026 | Devoted Health | Rural health clinics | Criteria changed |
| May 14, 2026 | Devoted Health | Radiopharmaceuticals | Criteria changed |
| May 14, 2026 | Devoted Health | Provider terminations and the Q6 modifier | Criteria changed |
| May 14, 2026 | Devoted Health | Preventive services | Criteria changed |
| May 14, 2026 | Devoted Health | Organ Transplants | Criteria changed |
| May 14, 2026 | Devoted Health | Hospital Readmissions | Criteria changed |
| May 14, 2026 | Devoted Health | Home Health Services Billing | Criteria changed |
| May 14, 2026 | Devoted Health | FQHC services | Criteria changed |
| May 14, 2026 | Devoted Health | Dental Crowns | Criteria changed |
| May 14, 2026 | Devoted Health | Critical Access Hospital (CAH) Billing | Criteria changed |
| May 14, 2026 | Devoted Health | Continuous Glucose Monitors & National Drug Codes (CGMs & NDCs) | Criteria changed |
| May 14, 2026 | Devoted Health | Clinical Trials, Investigational Device Exemption (IDE) studies, Coverage with Evidence Development (CED) studies | Criteria changed |
| May 14, 2026 | Devoted Health | Acute Hospital Care at Home | Criteria changed |
| May 14, 2026 | Devoted Health | Diagnosis Related Group (DRG) Validation Policy: Clinical Criteria & Audit Methodology | Criteria changed |
| May 14, 2026 | Moda Health | Zynyz (retifanlimab-dlwr) | Criteria changed |
| May 14, 2026 | Moda Health | Zynteglo (betibeglogene autotemcel) | Criteria changed |
| May 14, 2026 | Moda Health | Zynlonta (loncastuximab tesirine-lpyl) | Criteria changed |
| May 14, 2026 | Moda Health | Zusduri (mitomycin) | Criteria changed |
| May 14, 2026 | Moda Health | Zulresso (brexanalone) | Criteria changed |
| May 14, 2026 | Moda Health | Ziihera (zanidatamab-hrii) | Criteria changed |
| May 14, 2026 | Moda Health | Zevaskyn (prademagene zamikeracel) | Criteria changed |
| May 14, 2026 | Moda Health | Zepzelca (lurbinectedin) | Criteria changed |
| May 14, 2026 | Moda Health | Zolgensma (onasemnogene abeparvovec-xioi) | Criteria changed |
| May 14, 2026 | Moda Health | Zilretta (triamcinolone acetonide ER) | Criteria changed |
| May 14, 2026 | Moda Health | Trabectedin Evdi; Yondelis | Criteria changed |
| May 14, 2026 | Moda Health | Yescarta (axicabtagene ciloleucel) | Criteria changed |
| May 14, 2026 | Moda Health | Yartemlea (narsoplimab-wuug) | Criteria changed |
| May 14, 2026 | Moda Health | Omalizumab Omlyclo; Xolair | Criteria changed |
| May 14, 2026 | Moda Health | Xiaflex (collagenase) | Criteria changed |
| May 14, 2026 | Moda Health | Xeomin (incobotulinumtoxinA) | Criteria changed |
| May 14, 2026 | Moda Health | Winrevair | Criteria changed |
| May 14, 2026 | Moda Health | Vyxeos (daunorubicin and cytarabine) liposome | Criteria changed |
| May 14, 2026 | Moda Health | Vyloy (zolbetuximab-clzb) | Criteria changed |
| May 14, 2026 | Moda Health | Vyjuvek (beremagene geperpavec-svdt) | Criteria changed |
| May 14, 2026 | Moda Health | Von Willebrand factor (Vonvendi) | Criteria changed |
| May 14, 2026 | Moda Health | Vyepti (eptinezumab-jjmr) | Criteria changed |
| May 14, 2026 | Moda Health | Vectibix (panitumumab) | Criteria changed |
| May 14, 2026 | Moda Health | Vabysmo (faricimab-svoa) | Criteria changed |
| May 14, 2026 | Moda Health | Uplizna (inebilizumab-cdon) | Criteria changed |