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	14.0 Bilateral ServicesPayerPolicy · PROVIDENCE-CODING-PHP-CODING-14	New policy
May 14, 2026	Providence Health Plan	13.0 Bundled or Adjunct ServicesPayerPolicy · PROVIDENCE-CODING-PHP-CODING-13	New policy
May 14, 2026	Providence Health Plan	12.0 Global Surgical Package: Pre- and Post-Operative Car ePayerPolicy · PROVIDENCE-CODING-PHP-CODING-12	New policy
May 14, 2026	Providence Health Plan	11.0 Place of Service for Diagnostic TestsPayerPolicy · PROVIDENCE-CODING-110-PLACE-OF-SERVICE-FOR-DIAGNOSTIC-SERVICES	New policy
May 14, 2026	Providence Health Plan	10.0 Modifier 22 (Increased Procedural Services)PayerPolicy · PROVIDENCE-CODING-PHP-CODING-10	New policy
May 14, 2026	Providence Health Plan	08.0 Duplicate Diagnostic Test InterpretationsPayerPolicy · PROVIDENCE-CODING-080-DUPLICATE-DIAGNOSTIC-TEST-INTERPRETATIONS	New policy
May 14, 2026	Providence Health Plan	07.0 Global Payment for Obstetrical CarePayerPolicy · PROVIDENCE-CODING-PHP-CODING-07	New policy
May 14, 2026	Providence Health Plan	06.2 Multiple Diagnostic Service ReductionsPayerPolicy · PROVIDENCE-CODING-PHP-CODING-06-D-2	New policy
May 14, 2026	Providence Health Plan	06.1 Multiple Endoscopy Procedure ReductionsPayerPolicy · PROVIDENCE-CODING-PHP-CODING-06-D-1	New policy
May 14, 2026	Providence Health Plan	06.0 Multiple Procedure ReductionsPayerPolicy · PROVIDENCE-CODING-PHP-CODING-06	New policy
May 14, 2026	Providence Health Plan	05.0 Incidental and Mutually Exclusive Surgical ProceduresPayerPolicy · PROVIDENCE-CODING-PHP-CODING-05	New policy
May 14, 2026	Providence Health Plan	04.0 Procedure Specific PoliciesPayerPolicy · PROVIDENCE-CODING-040-PROCEDURE-SPECIFIC-POLICIES	New policy
May 14, 2026	Providence Health Plan	03.0 Assistant for Surgical ProceduresPayerPolicy · PROVIDENCE-CODING-PHP-CODING-03	New policy
May 14, 2026	Providence Health Plan	02.0 Diagnosis CodingPayerPolicy · PROVIDENCE-CODING-PHP-CODING-02	New policy
May 14, 2026	Providence Health Plan	01.0 General Coding PolicyPayerPolicy · PROVIDENCE-CODING-PHP-CODING-01	New policy
May 14, 2026	Humana	Tecelra (afamitresgene autoleucel) - MEDICAID - SOUTH CAROLINAPayerPolicy · HUMANA-TECELRA-AFAMITRESGENE-AUTOLEUCEL-SC-MEDICAID	Retired
May 14, 2026	Humana	Vagus Nerve Stimulation - Medicare AdvantagePayerPolicy · HUMANA-VAGUS-NERVE-STIMULATION-MA	Retired
May 14, 2026	Humana	Minimally Invasive Sinus and Eustachian Tube Procedures - Medicare AdvantagePayerPolicy · HUMANA-MINIMALLY-INVASIVE-SINUS-AND-EUSTACHIAN-TUBE-PROCEDURES-MA	Retired
May 14, 2026	Humana	Doula Services as an In Lieu of Service - MEDICAID - LOUISIANAPayerPolicy · HUMANA-DOULA-SERVICES-AS-AN-IN-LIEU-OF-SERVICE-LA-MEDICAID	Retired
May 14, 2026	Humana	Cold Therapy, Heat Therapy, Combined Heat and Cold Therapy - MEDICAID - SOUTH CAROLINAPayerPolicy · HUMANA-COLD-THERAPY-HEAT-THERAPY-COMBINED-HEAT-AND-COLD-THERAPY-SC-MEDICAID	Retired
May 14, 2026	Humana	Ultraviolet Light/Laser Therapy for Skin Conditions - Medicare AdvantagePayerPolicy · HUMANA-ULTRAVIOLET-LIGHTLASER-THERAPY-FOR-SKIN-CONDITIONS-MA	Retired
May 14, 2026	Humana	Gene Therapy Treatments for Sickle Cell Disease - MEDICAID - SOUTH CAROLINAPayerPolicy · HUMANA-GENE-THERAPY-TREATMENTS-FOR-SICKLE-CELL-DISEASE-SC-MEDICAID	Retired
May 14, 2026	Humana	Breast Reconstruction - MEDICAID - FLORIDAPayerPolicy · HUMANA-BREAST-RECONSTRUCTION-FL-MEDICAID	Retired
May 14, 2026	Humana	Blepharoplasty, Blepharoptosis Repair and Brow Lift - MEDICAID - FLORIDAPayerPolicy · HUMANA-BLEPHAROPLASTY-BLEPHAROPTOSIS-REPAIR-AND-BROW-LIFT-FL-MEDICAID	Retired
May 14, 2026	Humana	Pneumatic Compression Pumps - Medicare AdvantagePayerPolicy · HUMANA-PNEUMATIC-COMPRESSION-PUMPS-MA	Retired
May 14, 2026	Humana	Chest Computed Tomography (CT) - Medicare AdvantagePayerPolicy · HUMANA-CHEST-COMPUTED-TOMOGRAPHY-CT-MA	Retired
May 14, 2026	Humana	Multi-Function Oscillation Lung Expansion Therapy - MEDICAID - SOUTH CAROLINAPayerPolicy · HUMANA-MULTI-FUNCTION-OSCILLATION-LUNG-EXPANSION-THERAPY-SC-MEDICAID	Retired
May 14, 2026	Humana	Multi-Function Oscillation Lung Expansion (OLE) Therapy - Medicare AdvantagePayerPolicy · HUMANA-MULTI-FUNCTION-OSCILLATION-LUNG-EXPANSION-OLE-THERAPY-MA	Retired
May 14, 2026	Humana	Breast Reconstruction - MEDICAID - OHIOPayerPolicy · HUMANA-BREAST-RECONSTRUCTION-OH-MEDICAID	Retired
May 14, 2026	Humana	Continuous Passive Motion and Mechanical Stretching Devices - MEDICAID - KENTUCKYPayerPolicy · HUMANA-CONTINUOUS-PASSIVE-MOTION-AND-MECHANICAL-STRETCHING-DEVICES-KY-MEDICAID	Retired
May 14, 2026	Humana	Athletic Pubalgia Surgery - Medicare AdvantagePayerPolicy · HUMANA-ATHLETIC-PUBALGIA-SURGERY-MA	Retired
May 14, 2026	Humana	Fusion Imaging for Noncancer Indications - Medicare AdvantagePayerPolicy · HUMANA-FUSION-IMAGING-FOR-NONCANCER-INDICATIONS-MA	Retired
May 14, 2026	Humana	Hip, Knee and Shoulder Arthroscopic Surgeries - Medicare AdvantagePayerPolicy · HUMANA-HIP-KNEE-AND-SHOULDER-ARTHROSCOPIC-SURGERIES-MA	Retired
May 14, 2026	Humana	Endobronchial Valves for Emphysema - Medicare AdvantagePayerPolicy · HUMANA-ENDOBRONCHIAL-VALVES-FOR-EMPHYSEMA-MA	Retired
May 14, 2026	Humana	Cosmetic and Reconstructive Surgery - MEDICAID - VIRGINIAPayerPolicy · HUMANA-COSMETIC-AND-RECONSTRUCTIVE-SURGERY-VA-MEDICAID	Retired
May 14, 2026	Humana	Magnetic Resonance Angiography of the Head and Neck - Medicare AdvantagePayerPolicy · HUMANA-MAGNETIC-RESONANCE-ANGIOGRAPHY-OF-THE-HEAD-AND-NECK-MA	Retired
May 14, 2026	Humana	Ryoncil (remestemcel-L-rknd) - MEDICAID - VIRGINIAPayerPolicy · HUMANA-RYONCIL-REMESTEMCEL-L-RKND-VA-MEDICAID	Retired
May 14, 2026	Humana	Hyperthermia for Treatment of Cancer - Medicare AdvantagePayerPolicy · HUMANA-HYPERTHERMIA-FOR-TREATMENT-OF-CANCER-MA	Retired
May 14, 2026	Humana	Fusion Imaging for Cancer Indications - Medicare AdvantagePayerPolicy · HUMANA-FUSION-IMAGING-FOR-CANCER-INDICATIONS-MA	Retired
May 14, 2026	Humana	Diagnostic Imaging - Medicare AdvantagePayerPolicy · HUMANA-DIAGNOSTIC-IMAGING-MA	Retired
May 14, 2026	Humana	Low-Frequency, Noncontact, Nonthermal Ultrasound for Wound Care - MEDICAID - LOUISIANAPayerPolicy · HUMANA-LOW-FREQUENCY-NONCONTACT-NONTHERMAL-ULTRASOUND-FOR-WOUND-CARE-LA-MEDICAID	Retired
May 14, 2026	Humana	Gene Therapy Treatments for Sickle Cell Disease - MEDICAID - FLORIDAPayerPolicy · HUMANA-GENE-THERAPY-TREATMENTS-FOR-SICKLE-CELL-DISEASE-FL-MEDICAID	Retired
May 14, 2026	Humana	Platelet Rich Plasma for Wound Healing - Medicare AdvantagePayerPolicy · HUMANA-PLATELET-RICH-PLASMA-FOR-WOUND-HEALING-MA	Retired
May 14, 2026	Humana	Gastric Pacing/Gastric Electrical Stimulation - Medicare AdvantagePayerPolicy · HUMANA-GASTRIC-PACINGGASTRIC-ELECTRICAL-STIMULATION-MA	Retired
May 14, 2026	Humana	Ryoncil (remestemcel-L-rknd) - MEDICAID - SOUTH CAROLINAPayerPolicy · HUMANA-RYONCIL-REMESTEMCEL-L-RKND-SC-MEDICAID	Retired
May 14, 2026	Humana	Ryoncil (remestemcel-L-rknd) - MEDICAID - FLORIDAPayerPolicy · HUMANA-RYONCIL-REMESTEMCEL-L-RKND-FL-MEDICAID	Retired
May 14, 2026	Humana	Breast Reconstruction - MEDICAID - OKLAHOMAPayerPolicy · HUMANA-BREAST-RECONSTRUCTION-OK-MEDICAID	Retired
May 14, 2026	Humana	Rethymic (allogeneic processed thymus tissue-agdc) - MEDICAID - VIRGINIAPayerPolicy · HUMANA-RETHYMIC-ALLOGENEIC-PROCESSED-THYMUS-TISSUE-AGDC-VA-MEDICAID	Retired
May 14, 2026	Humana	Early Prostate Cancer Detection - Medicare AdvantagePayerPolicy · HUMANA-EARLY-PROSTATE-CANCER-DETECTION-MA	Retired
May 14, 2026	Humana	Diagnostic Esophagogastroduodenoscopy or Esophagoscopy - Medicare AdvantagePayerPolicy · HUMANA-DIAGNOSTIC-ESOPHAGOGASTRODUODENOSCOPY-OR-ESOPHAGOSCOPY-MA	Retired