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 | Molina Healthcare | Multiple EM codes for the same provider same date of service | Retired |
| Sep 30, 2026 | Molina Healthcare | Modifiers XE XS XP XU and 59 Usage | Retired |
| Sep 30, 2026 | Molina Healthcare | Modifier 25 | Retired |
| Sep 30, 2026 | Molina Healthcare | Member PCP as Attending Provider in a ER Facility Setting | Retired |
| Sep 30, 2026 | Molina Healthcare | ICD-10 Specificity | Retired |
| Sep 30, 2026 | Molina Healthcare | Emergency EM Codes and Place of Service | Retired |
| Sep 30, 2026 | Molina Healthcare | Critical Care Codes when Discharging Home from the Emergency Department | Retired |
| Sep 30, 2026 | Molina Healthcare | Self Administered Drugs | Retired |
| Sep 30, 2026 | Molina Healthcare | Opioid Treatment Service | Retired |
| Sep 30, 2026 | Molina Healthcare | High Dollar Pharmacy | Retired |
| Sep 30, 2026 | Molina Healthcare | EpiduralSteroidInjectionsForPainManagement | Retired |
| Sep 30, 2026 | Molina Healthcare | Authorized Pain Management Services with a Claim Modifier Mismatch | Retired |
| Sep 30, 2026 | Molina Healthcare | Radiology for chest | Retired |
| Sep 30, 2026 | Molina Healthcare | Radiology Bone Density | Retired |
| Sep 30, 2026 | Molina Healthcare | Pulmonary Function Testing | Retired |
| Sep 30, 2026 | Molina Healthcare | Electrocardiographic EKG or ECG Monitoring Holteror Real Time Monitoring | Retired |
| Sep 30, 2026 | Molina Healthcare | CT Computed Tomography of the Abdomen and Pelvis | Retired |
| Sep 30, 2026 | Molina Healthcare | Autonomic FunctionTesting | Retired |
| Sep 30, 2026 | Molina Healthcare | Aortography and Peripheral Angiography | Retired |
| Sep 30, 2026 | Molina Healthcare | Ambulatory Echocardiograph Monitoring | Retired |
| Sep 30, 2026 | Molina Healthcare | Ambulance Modifier | Retired |
| Sep 30, 2026 | Molina Healthcare | ESRD Consolidated Billing | Retired |
| Sep 30, 2026 | Molina Healthcare | DME Place of Service Separately Reimbursable | Retired |
| Sep 30, 2026 | Molina Healthcare | DME Non Invasive Ventilator Settings | Retired |
| Sep 30, 2026 | Molina Healthcare | DME KF Modifier | Retired |
| Sep 30, 2026 | Molina Healthcare | Semiprivate Vs Private Room | Retired |
| Sep 30, 2026 | Molina Healthcare | Recovery Policy Variable Discount Payments for Providers | Retired |
| Sep 30, 2026 | Molina Healthcare | Recovery Policy for Revenue to CPT Code Review | Retired |
| Sep 30, 2026 | Molina Healthcare | Recovery Policy for CPT to CPT Code | Retired |
| Sep 30, 2026 | Molina Healthcare | Paid Amount Exceeded Billed Amount | Retired |
| Sep 30, 2026 | Molina Healthcare | Multiple Procedure Payment Reduction | Retired |
| Sep 30, 2026 | Molina Healthcare | MemberNotActive12162024l | 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 | R2162 Laboratory Procedures Reimbursement | Retired |
| Sep 30, 2026 | Molina Healthcare | G2011 Diagnostic Testing of Iron Homeostasis Metabolism | Retired |
| Sep 30, 2026 | Molina Healthcare | Specimen Validity Testing | Retired |
| Sep 30, 2026 | Molina Healthcare | STI Lab Panel Testing | Retired |
| Sep 30, 2026 | Molina Healthcare | Respiratory Pathogen Panel Testing | Retired |
| Sep 30, 2026 | Molina Healthcare | Physician Office Laboratory Testing | Retired |
| Sep 30, 2026 | Molina Healthcare | Packaged and conditionally packaged lab services | Retired |
| Sep 30, 2026 | Molina Healthcare | Lab Panel | Retired |
| Sep 30, 2026 | Molina Healthcare | Clinical Diagnostic Laboratory Services | Retired |
| Sep 30, 2026 | Molina Healthcare | Allergy Testing | Retired |
| Sep 30, 2026 | Molina Healthcare | Sepsis | Retired |
| Sep 30, 2026 | Molina Healthcare | Readmission | Retired |
| Sep 30, 2026 | Molina Healthcare | Psychotherapy Add On with High Level EM | Retired |
| Sep 30, 2026 | Molina Healthcare | Optum Pause and Pay | Retired |
| Sep 30, 2026 | Molina Healthcare | Observation | Retired |
| Sep 30, 2026 | Molina Healthcare | Newborn and NICU | Retired |