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
Nov 30, 2025	UnitedHealthcare	Panniculectomy SurgeryPayerPolicy · UHC-POL-panniculectomy-body-contouring-procedures	Created
Nov 30, 2025	UnitedHealthcare	Orencia (Abatacept) Injection for Intravenous InfusionPayerPolicy · UHC-POL-orencia-abatacept-injection-intravenous-infusion	Created
Nov 30, 2025	UnitedHealthcare	Outpatient Surgical Procedures – Site of ServicePayerPolicy · UHC-POL-outpatient-surg-procedures-site-service	Created
Nov 30, 2025	UnitedHealthcare	Oncology Medication Clinical CoveragePayerPolicy · UHC-POL-oncology-medication-clinical-coverage-policy	Created
Nov 30, 2025	UnitedHealthcare	Omvoh (Mirikizumab-Mrkz)PayerPolicy · UHC-POL-omvoh	Created
Nov 30, 2025	UnitedHealthcare	Orthognathic (Jaw) SurgeryPayerPolicy · UHC-POL-orthognathic-jaw-surgery	Created
Nov 30, 2025	UnitedHealthcare	Ophthalmologic Complement InhibitorsPayerPolicy · UHC-POL-ophthalmologic-complement-inhibitors	Created
Nov 30, 2025	UnitedHealthcare	Off-Label/Unproven Specialty Drug TreatmentPayerPolicy · UHC-POL-off-label-unproven-specialty-drug-treatment	Created
Nov 30, 2025	UnitedHealthcare	Ocrevus (Ocrelizumab) and Ocrevus Zunovo (Ocrelizumab and Hyaluronidase-Ocsq)PayerPolicy · UHC-POL-ocrevus-ocrelizumab	Created
Nov 30, 2025	UnitedHealthcare	Office-Based Procedures – Site of ServicePayerPolicy · UHC-POL-office-based-procedures-site-service	Created
Nov 30, 2025	UnitedHealthcare	Ocular PhotoscreeningPayerPolicy · UHC-POL-ocular-photoscreening	Created
Nov 30, 2025	UnitedHealthcare	Noncontact Warming Therapy, Ultrasound Therapy, and Fluorescence Imaging for WoundsPayerPolicy · UHC-POL-noncontact-warming-therapy-ultrasound-therapy-wounds	Created
Nov 30, 2025	UnitedHealthcare	Niktimvo (Axatilimab-Csfr)PayerPolicy · UHC-POL-niktimvo	Created
Nov 30, 2025	UnitedHealthcare	Neurophysiologic Testing and MonitoringPayerPolicy · UHC-POL-neurophysiologic-testing	Created
Nov 30, 2025	UnitedHealthcare	Negative Pressure Wound TherapyPayerPolicy · UHC-POL-negative-pressure-wound-therapy	Created
Nov 30, 2025	UnitedHealthcare	Nerve Graft to Restore Erectile Function During Radical ProstatectomyPayerPolicy · UHC-POL-nerve-graft-restore-erectile-function-during-radical-prostatectomy	Created
Nov 30, 2025	UnitedHealthcare	Motorized Spinal TractionPayerPolicy · UHC-POL-motorized-spinal-traction	Created
Nov 30, 2025	UnitedHealthcare	Medical Therapies for Enzyme DeficienciesPayerPolicy · UHC-POL-enzyme-replacement-therapy	Created
Nov 30, 2025	UnitedHealthcare	Minimally Invasive Spine Surgery ProceduresPayerPolicy · UHC-POL-minimally-invasive-spine-surgery	Created
Nov 30, 2025	UnitedHealthcare	Molecular Oncology Testing for Hematologic Cancer Diagnosis, Prognosis, and Treatment DecisionsPayerPolicy · UHC-POL-molecular-oncology-hematologic-cancer-diagnosis	Created
Nov 30, 2025	UnitedHealthcare	Mechanical Stretching DevicesPayerPolicy · UHC-POL-mechanical-stretching-devices	Created
Nov 30, 2025	UnitedHealthcare	Medical Benefit Therapeutic Equivalent Medications – Excluded DrugsPayerPolicy · UHC-POL-medical-benefit-therapeutic-equivalent-excluded-drugs	Created
Nov 30, 2025	UnitedHealthcare	Lower Extremity ProstheticsPayerPolicy · UHC-POL-lower-extremity-prosthetics	Created
Nov 30, 2025	UnitedHealthcare	Luxturna (Voretigene Neparvovec-Rzyl)PayerPolicy · UHC-POL-luxturna-voretigene-neparvovec-rzyl	Created
Nov 30, 2025	UnitedHealthcare	Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) Scan – Site of ServicePayerPolicy · UHC-POL-mri-ct-scan-site-of-service	Created
Nov 30, 2025	UnitedHealthcare	Manipulation Under AnesthesiaPayerPolicy · UHC-POL-manipulation-under-anesthesia	Created
Nov 30, 2025	UnitedHealthcare	Manipulative TherapyPayerPolicy · UHC-POL-manipulative-therapy	Created
Nov 30, 2025	UnitedHealthcare	Long-Acting Injectable Antiretroviral Agents for HIVPayerPolicy · UHC-POL-long-acting-injectable-antiretroviral-agents	Created
Nov 30, 2025	UnitedHealthcare	Leqvio (Inclisiran)PayerPolicy · UHC-POL-leqvio	Created
Nov 30, 2025	UnitedHealthcare	Light and Laser TherapyPayerPolicy · UHC-POL-light-laser-therapy	Created
Nov 30, 2025	UnitedHealthcare	Lower Extremity Endovascular ProceduresPayerPolicy · UHC-POL-lower-endovascular-procedures	Created
Nov 30, 2025	UnitedHealthcare	Liposuction for LipedemaPayerPolicy · UHC-POL-liposuction-lipedema	Created
Nov 30, 2025	UnitedHealthcare	Leqembi (Lecanemab-Irmb)PayerPolicy · UHC-POL-leqembi	Created
Nov 30, 2025	UnitedHealthcare	Lemtrada (Alemtuzumab)PayerPolicy · UHC-POL-lemtrada-alemtuzumab	Created
Nov 30, 2025	UnitedHealthcare	Kisunla (Donanemab-Azbt)PayerPolicy · UHC-POL-kisunla	Created
Nov 30, 2025	UnitedHealthcare	Ketalar (Ketamine) and Spravato (Esketamine)PayerPolicy · UHC-POL-ketalar-spravato	Created
Nov 30, 2025	UnitedHealthcare	Korsuva (Difelikefalin)PayerPolicy · UHC-POL-korsuva	Created
Nov 30, 2025	UnitedHealthcare	Krystexxa (Pegloticase)PayerPolicy · UHC-POL-krystexxa-pegloticase	Created
Nov 30, 2025	UnitedHealthcare	Intravenous Iron Replacement Therapy (Injectafer & Monoferric)PayerPolicy · UHC-POL-iv-iron-replacement-therapy	Created
Nov 30, 2025	UnitedHealthcare	Kebilidi (Eladocagene Exuparvovec-Tneq)PayerPolicy · UHC-POL-kebilidi	Created
Nov 30, 2025	UnitedHealthcare	Intracanalicular and Intravitreal Corticosteroid ImplantsPayerPolicy · UHC-POL-intravitreal-corticosteroid-implants	Created
Nov 30, 2025	UnitedHealthcare	Intensity-Modulated Radiation TherapyPayerPolicy · UHC-POL-intensity-modulated-radiation-therapy	Created
Nov 30, 2025	UnitedHealthcare	Intravenous Enzyme Replacement Therapy (ERT) for Gaucher DiseasePayerPolicy · UHC-POL-intravenous-enzyme-replacement-therapy-gaucher-disease	Created
Nov 30, 2025	UnitedHealthcare	Interspinous Fusion and Decompression DevicesPayerPolicy · UHC-POL-interspinous-fusion-decompression-devices	Created
Nov 30, 2025	UnitedHealthcare	Immune Globulin (IVIG and SCIG)PayerPolicy · UHC-POL-immune-globulin-ivig-scig	Created
Nov 30, 2025	UnitedHealthcare	Infertility Diagnosis, Treatment, and Fertility PreservationPayerPolicy · UHC-POL-infertility-diagnosis-treatment	Created
Nov 30, 2025	UnitedHealthcare	Injectable Dermal Fillers and Bulking AgentsPayerPolicy · UHC-POL-injectables-reconstructive-procedures	Created
Nov 30, 2025	UnitedHealthcare	Implanted Spinal Drug Delivery SystemsPayerPolicy · UHC-POL-implanted-spinal-drug-delivery-systems	Created
Nov 30, 2025	UnitedHealthcare	Inhaled Nitric Oxide TherapyPayerPolicy · UHC-POL-inhaled-nitric-oxide-therapy	Created
Nov 30, 2025	UnitedHealthcare	Implanted Electrical Stimulator for the Spinal CordPayerPolicy · UHC-POL-implanted-electrical-stimulator-spinal-cord	Created