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 10, 2026 | UnitedHealthcare | Device, Implant, and Skin Substitute Policy, Facility | Criteria changed |
| May 10, 2026 | UnitedHealthcare | Contrast and Radiopharmaceutical Materials Policy, Professional | Criteria changed |
| May 10, 2026 | UnitedHealthcare | Consultation Services Policy, Professional | Criteria changed |
| May 10, 2026 | UnitedHealthcare | Co-Surgeon / Team Surgeon Policy, Professional | Criteria changed |
| May 10, 2026 | UnitedHealthcare | Clinical Laboratory Improvement Amendments (CLIA) ID Requirement Policy, Professional | Criteria changed |
| May 10, 2026 | UnitedHealthcare | Chronic Heart Failure Policy, Professional and Facility | Criteria changed |
| May 10, 2026 | UnitedHealthcare | CCI Editing Policy, Professional | Criteria changed |
| May 10, 2026 | UnitedHealthcare | Care Plan Oversight Policy, Professional | Criteria changed |
| May 10, 2026 | UnitedHealthcare | Bone Turnover Marker Testing for Osteoporosis Policy Professional and Facility | Criteria changed |
| May 10, 2026 | UnitedHealthcare | Bilateral Procedures Policy, Professional | Criteria changed |
| May 10, 2026 | UnitedHealthcare | B Bundle Codes Policy, Professional | Criteria changed |
| May 10, 2026 | UnitedHealthcare | Autoimmune Rheumatic Disease Policy, Professional and Facility | Criteria changed |
| May 10, 2026 | UnitedHealthcare | Assistant-at-Surgery Policy, Professional | Criteria changed |
| May 10, 2026 | UnitedHealthcare | Anesthesia Policy, Professional | Criteria changed |
| May 10, 2026 | UnitedHealthcare | Anatomical Modifier Requirement Policy, Professional | Criteria changed |
| May 10, 2026 | UnitedHealthcare | Ambulance Policy, Professional | Criteria changed |
| May 10, 2026 | UnitedHealthcare | Age-Based Codes Policy, Professional | Criteria changed |
| May 10, 2026 | UnitedHealthcare | After Hours and Weekend Care Policy, Professional | Criteria changed |
| May 10, 2026 | UnitedHealthcare | Advanced Practice Health Care Provider Policy, Professional | Criteria changed |
| May 10, 2026 | UnitedHealthcare | Add-on Codes Policy, Professional | Criteria changed |
| May 10, 2026 | UnitedHealthcare | Acupuncture Policy, Professional | Criteria changed |
| May 10, 2026 | UnitedHealthcare | Papzimeos (Zopapogene Imadenovec-Drba) | Criteria changed |
| May 10, 2026 | UnitedHealthcare | Outpatient Radiology Procedures for EviCore Arrangement (for Oxford Only) – Oxford Medical Policy | Criteria changed |
| May 10, 2026 | UnitedHealthcare | Outpatient Cardiology Procedures for EviCore Arrangement (for Oxford Only) – Oxford Medical Policy | Criteria changed |
| May 10, 2026 | UnitedHealthcare | Otoacoustic Emissions Testing (For Oxford Only) – Oxford Medical Policy | Criteria changed |
| May 10, 2026 | UnitedHealthcare | Natalizumab (Tyruko & Tysabri) | Criteria changed |
| May 10, 2026 | UnitedHealthcare | Gazyva (Obinutuzumab) | Criteria changed |
| May 10, 2026 | Regence BCBS | Wireless Capsule Endoscopy for Gastrointestinal (GI) Disorders | Criteria changed |
| May 10, 2026 | Regence BCBS | Spinal Cord and Dorsal Root Ganglion Stimulation | Criteria changed |
| May 10, 2026 | Regence BCBS | Site of Care - Colonoscopy and Sigmoidoscopy | Criteria changed |
| May 10, 2026 | Regence BCBS | Lumbar Spinal Fusion | Criteria changed |
| May 10, 2026 | Regence BCBS | Hysterectomy | Criteria changed |
| May 10, 2026 | Carelon Medical Benefits Management | Theranostics (Therapeutic Radiopharmaceuticals) | Criteria changed |
| May 10, 2026 | Carelon Medical Benefits Management | Radiation Therapy for Non-Malignant Disease | Criteria changed |
| May 10, 2026 | Carelon Medical Benefits Management | Radiation Therapy (excludes Proton) | Criteria changed |
| May 10, 2026 | Regence BCBS | Enteral and Oral Nutrition in the Home Setting | Criteria changed |
| May 10, 2026 | Carelon Medical Benefits Management | Perirectal Hydrogel Spacer for Prostate Radiotherapy | Criteria changed |
| May 10, 2026 | Carelon Medical Benefits Management | Somatic Tumor Testing | Criteria changed |
| May 10, 2026 | Carelon Medical Benefits Management | Hereditary Cancer Testing | Criteria changed |
| May 10, 2026 | Carelon Medical Benefits Management | Genetic Testing for Inherited Conditions | Criteria changed |
| May 10, 2026 | Carelon Medical Benefits Management | Site of Care for Surgical Procedures | Criteria changed |
| May 10, 2026 | Carelon Medical Benefits Management | Wearable Cardioverter Defibrillators [for Wellpoint Massachusetts] | Criteria changed |
| May 10, 2026 | Regence BCBS | Cervical Spinal Fusion | Criteria changed |
| May 10, 2026 | Regence BCBS | Bioengineered Skin and Soft Tissue Substitutes and Amniotic Products | Criteria changed |
| May 10, 2026 | Carelon Medical Benefits Management | Diagnostic Coronary Angiography | Criteria changed |
| May 10, 2026 | Carelon Medical Benefits Management | Vascular Imaging [for Wellpoint Massachusetts] | Criteria changed |
| May 10, 2026 | Carelon Medical Benefits Management | SPECT Imaging | Criteria changed |
| May 10, 2026 | Carelon Medical Benefits Management | Oncologic Imaging | Criteria changed |
| May 10, 2026 | Carelon Medical Benefits Management | Imaging of the Heart [for Wellpoint Massachusetts] | Criteria changed |
| May 10, 2026 | Carelon Medical Benefits Management | Imaging of the Head and Neck | Criteria changed |