Policy changes Backwork has recorded, newest first. The most recent change on record is from October 2, 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.
82,180 on record
| Recorded | Payer | Policy | Change |
|---|---|---|---|
| Sep 30, 2026 | BlueCross BlueShield of Tennessee | Lanadelumab-flyo (Takhzyro) | Codes changed |
| Sep 30, 2026 | BlueCross BlueShield of Tennessee | Percutaneous Vertebroplasty, Kyphoplasty, and Mechanical Vertebral Augmentation | Codes changed |
| Sep 30, 2026 | BlueCross BlueShield of Tennessee | Pancreas/Pancreas-Kidney/Pancreatic Islet Cell Transplantation | Codes changed |
| Sep 30, 2026 | BlueCross BlueShield of Tennessee | DOCUMENTATION | Codes changed |
| Sep 30, 2026 | BlueCross BlueShield of Tennessee | Icatibant (Firazyr), Icatibant (Sajazir), Icatibant | Codes changed |
| Sep 30, 2026 | BlueCross BlueShield of Tennessee | Eculizumab Products (Soliris, Bkemv [Eculizumab-aeeb], and Epysqli [Eculizumab-aagh]) | Codes changed |
| Sep 30, 2026 | BlueCross BlueShield of Tennessee | Ecallantide (Kalbitor) | Codes changed |
| Sep 30, 2026 | BlueCross BlueShield of Tennessee | Confocal Laser Endomicroscopy | Codes changed |
| Sep 30, 2026 | BlueCross BlueShield of Tennessee | C1 Esterase Inhibitor (recombinant) - Ruconest | Codes changed |
| Sep 30, 2026 | BlueCross BlueShield of Tennessee | C1 Esterase Inhibitor (Human) - Cinryze | Codes changed |
| Sep 30, 2026 | BlueCross BlueShield of Tennessee | Oscillating Devices for the Treatment of Respiratory Conditions | Codes changed |
| Sep 30, 2026 | BlueCross BlueShield of Tennessee | Digital Breast Tomosynthesis (3D Mammogram) | Codes changed |
| Sep 30, 2026 | BlueCross BlueShield of Tennessee | C1 Esterase Inhibitor (Human) - Berinert | Codes changed |
| Sep 30, 2026 | BlueCross BlueShield of Tennessee | Belimumab (Benlysta) | Codes changed |
| Sep 30, 2026 | BlueCross BlueShield of Tennessee | Diagnosis and Treatment of Sacroiliac Joint Pain | Codes changed |
| Sep 30, 2026 | BlueCross BlueShield of Tennessee | Ovarian Cancer Tumor Markers | Codes changed |
| Sep 30, 2026 | BlueCross BlueShield of Tennessee | Actigraphy | Codes changed |
| Sep 30, 2026 | BlueCross BlueShield of Tennessee | Tocilizumab (Actemra); Tocilizumab-anoh (Avtozma); Tocilizumab-bavi (Tofidence); Tocilizumab-aazg (Tyenne) | Codes changed |
| Sep 30, 2026 | BlueCross BlueShield of Tennessee | Abbreviated Daytime Sleep Study (e.g. PAP-NAP) | Codes changed |
| Sep 30, 2026 | Carelon Medical Benefits Management | Vascular Imaging | Retired |
| Sep 30, 2026 | Molina Healthcare | Anesthesia Bundling | Retired |
| Sep 30, 2026 | Molina Healthcare | Advanced Beneficiary Notice ABN Modifiers GA GX GY GZ | Retired |
| Sep 30, 2026 | Molina Healthcare | 3D Interpretation and Reporting of Imaging Studies MEDICARE | Retired |
| Sep 30, 2026 | Molina Healthcare | Opioid Treatment Service | Retired |
| Sep 30, 2026 | Molina Healthcare | NDC | Retired |
| Sep 30, 2026 | Molina Healthcare | Authorized Pain Management Services with a Claim Modifier Mismatch | Retired |
| Sep 30, 2026 | Molina Healthcare | Aortography and Peripheral Angiography | Retired |
| Sep 30, 2026 | Molina Healthcare | Recovery Policy Variable Discount Payments for Providers | Retired |
| Sep 30, 2026 | Molina Healthcare | Recovery Policy for CPT to CPT Code | Retired |
| Sep 30, 2026 | Molina Healthcare | MemberNotActive12162024l | Retired |
| Sep 30, 2026 | Molina Healthcare | Annual Wellness Visit sooner than 11 months following Initial IPPE | Retired |
| Sep 30, 2026 | Molina Healthcare | G2042 Pediatric Preventive Screening | Retired |
| Sep 30, 2026 | Molina Healthcare | G2099 Intracellular Micronutrient Analysis | Retired |
| Sep 30, 2026 | Molina Healthcare | G2120 Salivary Hormone Testing | Retired |
| Sep 30, 2026 | Molina Healthcare | G2149 Pathogen Panel Testing | Retired |
| Sep 30, 2026 | Molina Healthcare | G2154 Folate Testing | Retired |
| Sep 30, 2026 | Molina Healthcare | M2097 Identification of Microorganisms using Nucleic Acid Probes | Retired |
| Sep 30, 2026 | Molina Healthcare | M2116 Human Immunodeficiency Virus HIV | Retired |
| Sep 30, 2026 | Molina Healthcare | M2172 Onychomycosis Testing | Retired |
| Sep 30, 2026 | Molina Healthcare | G2011 Diagnostic Testing of Iron Homeostasis Metabolism | Retired |
| Sep 30, 2026 | Molina Healthcare | G2008 Prostate Specific Antigen PSA Testing | Retired |
| Sep 30, 2026 | Molina Healthcare | STI Lab Panel Testing | Retired |
| Sep 30, 2026 | Molina Healthcare | Labs Overlapping with Facility | Retired |
| Sep 30, 2026 | Molina Healthcare | Split-Night-Sleep-Study | Retired |
| Sep 30, 2026 | Molina Healthcare | Optum Pause and Pay | Retired |
| Sep 30, 2026 | Molina Healthcare | Newborn and NICU | Retired |
| Sep 30, 2026 | Molina Healthcare | Tendon Injections Missing Diagnosis | Retired |
| Sep 30, 2026 | Molina Healthcare | Diagnosis Code Y65 XX | Retired |
| Sep 30, 2026 | Molina Healthcare | Self Administered Drugs | Retired |
| Sep 30, 2026 | Molina Healthcare | High Dollar Pharmacy | Retired |