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 14, 2026 | Providence Health Plan | 72.0 Modifiers -58, -78, and -79: Staged, Related, and Unrelated Procedures Within the Global Period of Another Procedure | Criteria changed |
| May 14, 2026 | Providence Health Plan | 58.0 Documentation Guidelines for Medical Services | Criteria changed |
| May 14, 2026 | Providence Health Plan | 52.0 Medical Visits | Criteria changed |
| May 14, 2026 | Providence Health Plan | 39.0 Modifiers -52, -73, and -74: Discontinues Procedures (Outpatient/ASC Facility Charges) | Criteria changed |
| May 14, 2026 | Providence Health Plan | 33.0 Modifier 59 and Other Modifiers for Distinct Procedural Services | Criteria changed |
| May 14, 2026 | Providence Health Plan | 32.0 Modifier -57 : Decision for Surgery | Criteria changed |
| May 14, 2026 | Providence Health Plan | 31.0 Modifier -25 : Evaluation and Management Same Day as Procedure or Other Service | Criteria changed |
| May 14, 2026 | Providence Health Plan | 29.0 Date of Service for Professional Claims | Criteria changed |
| May 14, 2026 | Providence Health Plan | 22.0 HCPCS S-Codes and H- Codes | Criteria changed |
| May 14, 2026 | Providence Health Plan | 20.0 Modifiers -54, -55, -56: Split Global Surgical Package | Criteria changed |
| May 14, 2026 | Providence Health Plan | 16.0 Co-Surgeons | Criteria changed |
| May 14, 2026 | Providence Health Plan | 10.0 Modifier 22 (Increased Procedural Services) | Criteria changed |
| May 14, 2026 | Providence Health Plan | 08.0 Duplicate Diagnostic Test Interpretations | Criteria changed |
| May 14, 2026 | Providence Health Plan | 07.0 Global Payment for Obstetrical Care | Criteria changed |
| May 14, 2026 | Providence Health Plan | 06.2 Multiple Diagnostic Service Reductions | Criteria changed |
| May 14, 2026 | Providence Health Plan | 03.0 Assistant for Surgical Procedures | Criteria changed |
| May 14, 2026 | Devoted Health | Unrelated Services for Hospice Members | Criteria changed |
| May 14, 2026 | Devoted Health | Three Day Payment Window (Outpatient Services Treated as Inpatient) | Criteria changed |
| May 14, 2026 | Devoted Health | Off-Campus outpatient services | Criteria changed |
| May 14, 2026 | Devoted Health | Observation services | Criteria changed |
| May 14, 2026 | Devoted Health | NDC Billing Guidelines | Criteria changed |
| May 14, 2026 | Devoted Health | Home Health Services Billing | Criteria changed |
| May 14, 2026 | Devoted Health | Emergency department services | Criteria changed |
| May 14, 2026 | Devoted Health | Common modifiers | Criteria changed |
| May 14, 2026 | Devoted Health | Billing and Cost-Sharing for Dual Eligible Members | Criteria changed |
| May 14, 2026 | Devoted Health | Ambulatory surgical centers | Criteria changed |
| May 14, 2026 | Devoted Health | ABNs and GY Modifiers | Criteria changed |
| May 14, 2026 | Devoted Health | Medical Record Management Policy | Criteria changed |
| May 14, 2026 | Moda Health | Zusduri (mitomycin) | Criteria changed |
| May 14, 2026 | Moda Health | Zolgensma (onasemnogene abeparvovec-xioi) | Criteria changed |
| May 14, 2026 | Moda Health | Tezspire (tezepelumab-ekko) | Criteria changed |
| May 14, 2026 | Moda Health | Spinraza (nusinersen) | Criteria changed |
| May 14, 2026 | Moda Health | Ryoncil (remestemcel-L-rknd) | Criteria changed |
| May 14, 2026 | Moda Health | Ilumya (tildrakizumab-asmn) | Criteria changed |
| May 14, 2026 | Moda Health | Hemlibra (emicizumab-kxwh) | Criteria changed |
| May 14, 2026 | Moda Health | Givlaari (givosiran) | Criteria changed |
| May 14, 2026 | Moda Health | Factor XIII Concentrate, human (Corifact) | Criteria changed |
| May 14, 2026 | Moda Health | Fabrazyme (agalsidase beta) | Criteria changed |
| May 14, 2026 | Moda Health | Evkeeza (evinacumab-dgnb) | Criteria changed |
| May 14, 2026 | Moda Health | Columvi (glofitamab-gxbm) | Criteria changed |
| May 14, 2026 | Moda Health | Briumvi (ublituximab-xiiy) | Criteria changed |
| May 14, 2026 | Moda Health | Breyanzi (lisocabtagene maraleucel) | Criteria changed |
| May 14, 2026 | Moda Health | Beqvez (fidanacogene elaparvovec-dzkt) | Criteria changed |
| May 14, 2026 | Moda Health | Amvuttra (vutrisiran) | Criteria changed |
| May 14, 2026 | Moda Health | Vitamin D testing criteria | Criteria changed |
| May 14, 2026 | Moda Health | Urinary Incontinence | Criteria changed |
| May 14, 2026 | Moda Health | Cooling Devices | Criteria changed |
| May 14, 2026 | Moda Health | BRACAnalysis CDx (Myriad) | Criteria changed |
| May 14, 2026 | Moda Health | Intravitreal-Avastin | Criteria changed |
| May 14, 2026 | Univera Healthcare | Vitrectomy Chair/ Face-Down Positioning System | Criteria changed |