Coverage policy updates

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.

Recorded changes

86,510 on record

Recorded policy changes, newest first
Recorded	Payer	Policy	Change
May 14, 2026	Providence Health Plan	Autologous Chondrocyte Implantation (ACI) for Cartilaginous Defects of the KneePayerPolicy · PROVIDENCE-MP-MP355	New policy
May 14, 2026	Providence Health Plan	Autologous Chondrocyte Implantation (ACI) for Cartilaginous Defects of the KneePayerPolicy · PROVIDENCE-MP-MP137	New policy
May 14, 2026	Providence Health Plan	Athletic Pubalgia SurgeryPayerPolicy · PROVIDENCE-MP-MP384	New policy
May 14, 2026	Providence Health Plan	Athletic Pubalgia SurgeryPayerPolicy · PROVIDENCE-MP-MP163	New policy
May 14, 2026	Providence Health Plan	Artificial Intervertebral DiscsPayerPolicy · PROVIDENCE-MP-MP34	New policy
May 14, 2026	Providence Health Plan	Artificial Intervertebral DiscsPayerPolicy · PROVIDENCE-MP-MP263	New policy
May 14, 2026	Providence Health Plan	Applied Behavior AnalysisPayerPolicy · PROVIDENCE-MP-MP288	New policy
May 14, 2026	Providence Health Plan	Apheresis (Therapeutic Pheresis)PayerPolicy · PROVIDENCE-MP-MP310	New policy
May 14, 2026	Providence Health Plan	Apheresis (Therapeutic Pheresis)PayerPolicy · PROVIDENCE-MP-MP305	New policy
May 14, 2026	Providence Health Plan	Ambulance TransportPayerPolicy · PROVIDENCE-MP-MP386	New policy
May 14, 2026	Providence Health Plan	Ambulance TransportPayerPolicy · PROVIDENCE-MP-MP118	New policy
May 14, 2026	Providence Health Plan	Alpha-FetoproteinPayerPolicy · PROVIDENCE-MP-MP407	New policy
May 14, 2026	Providence Health Plan	Alpha-FetoproteinPayerPolicy · PROVIDENCE-MP-MP406	New policy
May 14, 2026	Providence Health Plan	Allergy TestingPayerPolicy · PROVIDENCE-MP-MP153	New policy
May 14, 2026	Providence Health Plan	Allergy TestingPayerPolicy · PROVIDENCE-MP-MP152	New policy
May 14, 2026	Providence Health Plan	Allergen Subcutaneous Immunotherapy (SCIT)PayerPolicy · PROVIDENCE-MP-MP449	New policy
May 14, 2026	Providence Health Plan	Allergen Subcutaneous Immunotherapy (SCIT)PayerPolicy · PROVIDENCE-MP-MP448	New policy
May 14, 2026	Providence Health Plan	Implantable and Non-Covered Diabetes Management TechnologiesPayerPolicy · PROVIDENCE-MP-MP27	New policy
May 14, 2026	Providence Health Plan	Implantable and Non-Covered Diabetes Management TechnologiesPayerPolicy · PROVIDENCE-MP-MP25	New policy
May 14, 2026	Providence Health Plan	Administrative Guideline for Dental ServicesPayerPolicy · PROVIDENCE-MP-MP186	New policy
May 14, 2026	Providence Health Plan	Administrative Guideline for Dental ServicesPayerPolicy · PROVIDENCE-MP-MP162	New policy
May 14, 2026	Providence Health Plan	Ablative Procedures to Treat Back and Neck PainPayerPolicy · PROVIDENCE-MP-MP21	New policy
May 14, 2026	Providence Health Plan	Ablative Procedures to Treat Back and Neck PainPayerPolicy · PROVIDENCE-MP-MP13	New policy
May 14, 2026	Providence Health Plan	Ablation for Liver TumorsPayerPolicy · PROVIDENCE-MP-MP265	New policy
May 14, 2026	Providence Health Plan	Ablation for Liver TumorsPayerPolicy · PROVIDENCE-MP-MP151	New policy
May 14, 2026	Providence Health Plan	Telehealth Services DURING COVID-19 CRISISPayerPolicy · PROVIDENCE-CODING-670-TELEHEALTH-SERVICES-DURING-COVID19-CRISIS	New policy
May 14, 2026	Providence Health Plan	Payment and Coding Policy Alerts – COVID-19 UPDATEPayerPolicy · PROVIDENCE-CODING-CODING-POLICY-ALERT-COVID19-UPDATE-MARCH-26-2020	New policy
May 14, 2026	Providence Health Plan	95.0 Modifiers -TC and -26: Technical and Professional Components for ServicesPayerPolicy · PROVIDENCE-CODING-950-CODES-WITH-TC-AND-PC-FOR-SERVICES-PERFORMED-IN-FACILITIES	New policy
May 14, 2026	Providence Health Plan	89.0 Intraoperative NeurophysiologyPayerPolicy · PROVIDENCE-CODING-PHP-CODING-89	New policy
May 14, 2026	Providence Health Plan	85.0 Documentation Guidelines for Rehabilitation Therapy Services (Physical, Speech, and Occupational Therapy Services)PayerPolicy · PROVIDENCE-CODING-PHP-CODING-85	New policy
May 14, 2026	Providence Health Plan	72.0 Modifiers -58, -78, and -79: Staged, Related, and Unrelated Procedures Within the Global Period of Another ProcedurePayerPolicy · PROVIDENCE-CODING-PHP-CODING-72	New policy
May 14, 2026	Providence Health Plan	71.0 Modifiers – SH and -SJ: Second and Third Concurrent Infusion TherapiesPayerPolicy · PROVIDENCE-CODING-PHP-CODING-71	New policy
May 14, 2026	Providence Health Plan	67.1 Telemedicine and Other Virtual CarePayerPolicy · PROVIDENCE-CODING-PHP-CODING-67-D-1	New policy
May 14, 2026	Providence Health Plan	65.0 Guidelines for Billing ConsultationsPayerPolicy · PROVIDENCE-CODING-PHP-CODING-65	New policy
May 14, 2026	Providence Health Plan	58.0 Documentation Guidelines for Medical ServicesPayerPolicy · PROVIDENCE-CODING-PHP-CODING-58	New policy
May 14, 2026	Providence Health Plan	57.0 Modifiers -52 and -53: Reduced or Discontinued Procedures (Professional Charges)PayerPolicy · PROVIDENCE-CODING-PHP-CODING-57	New policy
May 14, 2026	Providence Health Plan	52.0 Medical VisitsPayerPolicy · PROVIDENCE-CODING-PHP-CODING-52	New policy
May 14, 2026	Providence Health Plan	50.0 Modifier -63: Procedures Performed on Infants Less than 4kgPayerPolicy · PROVIDENCE-CODING-PHP-CODING-50	New policy
May 14, 2026	Providence Health Plan	42.0 Modifiers – GA, -GY, and -GZ: Non-Covered ServicesPayerPolicy · PROVIDENCE-CODING-PHP-CODING-42	New policy
May 14, 2026	Providence Health Plan	39.0 Modifiers -52, -73, and -74: Discontinues Procedures (Outpatient/ASC Facility Charges)PayerPolicy · PROVIDENCE-CODING-PHP-CODING-39	New policy
May 14, 2026	Providence Health Plan	35.0 Laboratory Services, Professional ChargesPayerPolicy · PROVIDENCE-CODING-350-LABORATORY-SERVICES-PROFESSIONAL-CHARGES	New policy
May 14, 2026	Providence Health Plan	33.0 Modifier 59 and Other Modifiers for Distinct Procedural ServicesPayerPolicy · PROVIDENCE-CODING-PHP-CODING-33	New policy
May 14, 2026	Providence Health Plan	32.0 Modifier -57 : Decision for SurgeryPayerPolicy · PROVIDENCE-CODING-PHP-CODING-32	New policy
May 14, 2026	Providence Health Plan	31.0 Modifier -25 : Evaluation and Management Same Day as Procedure or Other ServicePayerPolicy · PROVIDENCE-CODING-PHP-CODING-31	New policy
May 14, 2026	Providence Health Plan	30.0 Laboratory Panel BillingPayerPolicy · PROVIDENCE-CODING-PHP-CODING-30	New policy
May 14, 2026	Providence Health Plan	29.0 Date of Service for Professional ClaimsPayerPolicy · PROVIDENCE-CODING-290-DATE-OF-SERVICE-FOR-PROFESSIONAL-CLAIMS	New policy
May 14, 2026	Providence Health Plan	27.0 Unlisted Procedure CodesPayerPolicy · PROVIDENCE-CODING-PHP-CODING-27	New policy
May 14, 2026	Providence Health Plan	22.0 HCPCS S-Codes and H- CodesPayerPolicy · PROVIDENCE-CODING-PHP-CODING-22	New policy
May 14, 2026	Providence Health Plan	20.0 Modifiers -54, -55, -56: Split Global Surgical PackagePayerPolicy · PROVIDENCE-CODING-PHP-CODING-20	New policy
May 14, 2026	Providence Health Plan	16.0 Co-SurgeonsPayerPolicy · PROVIDENCE-CODING-PHP-CODING-16	New policy