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 10, 2026	Surest (UnitedHealthcare)	Cardiovascular Disease Risk Tests – Surest Medical PolicyPayerPolicy · SUREST-POL-SUREST-cardiovascular-disease-risk-tests-sur	Criteria changed
May 10, 2026	Surest (UnitedHealthcare)	Bariatric Surgery – Surest Medical PolicyPayerPolicy · SUREST-POL-SUREST-bariatric-surgery-sur	Criteria changed
May 10, 2026	Surest (UnitedHealthcare)	Ablative Treatment for Spinal Pain – Surest Medical PolicyPayerPolicy · SUREST-POL-SUREST-ablative-treatment-spinal-pain-sur	Criteria changed
May 10, 2026	UMR (UnitedHealthcare)	Itvisma (Onasemnogene Abeparvovec-Brve)PayerPolicy · UMR-POL-UMR-itvisma	Criteria changed
May 10, 2026	UnitedHealthcare	Vitamin D Testing Policy, Professional and FacilityPayerPolicy · UHC-POL-COMM-IEX-Vitamin-D-Testing-Pro-Facility	Criteria changed
May 10, 2026	UnitedHealthcare	Itvisma (Onasemnogene Abeparvovec-Brve)PayerPolicy · UHC-POL-itvisma	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Time Span Codes Policy, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Time-Span-Codes-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Supply Policy, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Supply-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Standby Services Policy, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Standby-Services-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Split Surgical Package Policy, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Split-Surgical-Package-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Services Included in Facility Reimbursement Policy, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Services-Included-Facility-Reimbursement-Professional	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Services by Residents, Interns and Medical Students Policy, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Services-by-Residents-Interns-MedStudents-Policy-Professional	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Same Day, Same Service Policy, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Same-Day-Same-Services-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Reduced Services and Discontinued Procedures Policy, Professional and FacilityPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Reduced-Services-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Rebundling and NCCI Edits, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Rebundling-and-NCCI-Edits-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Radiation Therapy Planning, Dosimetry, Simulation/Devices and Management Policy, Professional and FacilityPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-IEX-RTP-D-SDM-Policy-Pro-Facility	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Professional/Technical Component, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Professional-Technical-Component-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Procedure to Modifier Policy, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Procedure-to-Modifier-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Procedure and Place of Service, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Procedure-and-Place-of-Service-Professional-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Onychomycosis Testing Policy, Professional and FacilityPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Onychomycosis-Testing-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Once in a Lifetime Procedures, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Once-in-a-Lifetime-Procedures-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Observation and Discharge Policy, Professional and FacilityPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Observation-Care-Evaluation-Mgmt-Codes	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Nonphysician Health Care Professionals Billing Evaluation and Management Policy, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Nonphysician-Healthcare-Professionals-Billing-Evaluation-Management-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Non-Chemotherapy Injection and Infusion Services, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Non-Chemotherapy-Injection-Infusion-Services-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	New Patient Visit Policy, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-New-Patient-Visit-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	National Drug Code (NDC) Requirement Professional and FacilityPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-National-Drug-Code-Requirement-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Multiple Procedure Payment Reduction (MPPR) for Therapy Services, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-MPPR-Therapy-Services-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Multiple Procedure Payment Reduction (MPPR) for Medical and Surgical Services Policy, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Multiple-Procedure-Payment-Reduction-Medical-Surgical-Services-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Multiple Procedure Payment Reduction (MPPR) for Diagnostic Imaging Policy, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-MPPR-for-Diagnostic-Imaging-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Multiple Procedure Payment Reduction (MPPR) for Diagnostic Cardiovascular and Ophthalmology Procedures, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-MPPR-Diagnostic-Cardiovascular-Ophthalmology	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing Policy, Professional and Facility - UnitedHealthcare Medicare Advantage Reimbursement PolicyPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-MSPIDPIT-Pro-Facility	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Molecular Pathology Policy, Professional and FacilityPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Molecular-Pathology-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Mohs Micrographic Surgery Policy, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Mohs-Micrographic-Surgery-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Modifiers Not Reimbursable to Healthcare Professionals Policy, Professional - UnitedHealthcare Medicare Advantage Reimbursement PolicyPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Modifiers-Not-Reimbursable-to-Healthcare-Professionals	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Modifier Reference Policy, Professional Professional - UnitedHealthcare Medicare Advantage Reimbursement PolicyPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Modifier-Reference-Policy-Professional	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Medicare Physician Fee Schedule Status Indicator, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Medicare-Physician-Fee-Schedule-Status-Indicator-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Medically Unlikely Edits (MUE) Policy, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Medically-Unlikely-Edits-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Lyme Disease Testing Policy, Professional and FacilityPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Lyme-Disease-Testing-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Laboratory Services Policy, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Laboratory-Services-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Iron Homeostasis and Metabolism Policy, Professional and FacilityPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Iron-Homeostasis-Metabolism-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Intraoperative Neuromonitoring Policy, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Intraoperative-Neuromonitoring-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Intracellular Micronutrient Analysis Policy, Professional and FacilityPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Intracellular-Micronutrient-Analysis-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Intestinal Dysbiosis and Fecal Microbiota Transplant Testing PolicyPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Intestinal-Dysbiosis-Fecal-Microbiota-Transplant-Testing-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Intensity Modulated Radiation Therapy (IMRT) Policy, Professional and FacilityPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Intensity-Modulated-Radiation-Therapy-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Increased Procedural Services Policy, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Increased-Procedural-Services-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Incident To Services, ProfessionalPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Incident-to-Services-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Immune Cell Function Assay Policy, Professional and FacilityPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Immune-Cell-Function-Assay-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Hospital Inclusive Charges Policy, Facility - UnitedHealthcare Medicare Advantage Reimbursement PolicyPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Hospital-Inclusive-Charges-Policy-Facility	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Hospital Acquired Conditions Policy, FacilityPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Hospital-Acquired-Conditions-Policy	Criteria changed
May 10, 2026	UnitedHealthcare Medicare Advantage	Homocysteine Testing for Metabolism Policy, Professional and FacilityPayerPolicy · UHCMA-POL-UHC_MA-MEDADV-Homocysteine-Testing-Metabolism-Policy	Criteria changed