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 | Hydrolyzed Enteral Formula Diagnosis | Retired |
| Sep 30, 2026 | Molina Healthcare | Hospice Value Code 61 | Retired |
| Sep 30, 2026 | Molina Healthcare | Global Surgical Packages for Professional Providers | Retired |
| Sep 30, 2026 | Molina Healthcare | Facility Bilateral or Anatomical Modifier Use | Retired |
| Sep 30, 2026 | Molina Healthcare | Diagnosis Code Y65 XX | Retired |
| Sep 30, 2026 | Molina Healthcare | Diagnosis Code Coding | Retired |
| Sep 30, 2026 | Molina Healthcare | Decision for Surgery Modifier 57 | Retired |
| Sep 30, 2026 | Molina Healthcare | Critical Care Codes when Discharging Home from the Emergency Department | Retired |
| Sep 30, 2026 | Molina Healthcare | Co Surgeon Team Surgeon Professional | Retired |
| Sep 30, 2026 | Molina Healthcare | Add-on Coding | Retired |
| Sep 30, 2026 | Molina Healthcare | Corrected Claims | Retired |
| Sep 30, 2026 | Molina Healthcare | Self Administered Drugs | Retired |
| Sep 30, 2026 | Molina Healthcare | Opioid Treatment Service | Retired |
| Sep 30, 2026 | Molina Healthcare | NDC | Retired |
| Sep 30, 2026 | Molina Healthcare | High Dollar Pharmacy | Retired |
| Sep 30, 2026 | Molina Healthcare | EpiduralSteroidInjectionsForPainManagement | Retired |
| Sep 30, 2026 | Molina Healthcare | G2022 Biomarker Testing for Autoimmune Rheumatic Disease | 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 | Colonoscopy and Sigmoidoscopy | 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 | ESRD Consolidated Billing | Retired |
| Sep 30, 2026 | Molina Healthcare | ESRD Billing for J0406 or J0606 with Modifier AX | Retired |
| Sep 30, 2026 | Molina Healthcare | DME Place of Service Separately Reimbursable | Retired |
| Sep 30, 2026 | Molina Healthcare | DME Place of Service 31or 32 | 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 Diagnosis Codes | 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 | Overlapping Room and Borad | Retired |
| Sep 30, 2026 | Molina Healthcare | Multiple Procedure Payment Reduction | Retired |
| Sep 30, 2026 | Molina Healthcare | MemberNotActive12162024l | Retired |
| Sep 30, 2026 | Molina Healthcare | Duplicate Claims | Retired |
| Sep 30, 2026 | Molina Healthcare | Cross-Departmental Recovery Policy | Retired |
| Sep 30, 2026 | Molina Healthcare | Corrected Claims | Retired |
| Sep 30, 2026 | Molina Healthcare | Authorization Review | Retired |
| Sep 30, 2026 | Molina Healthcare | Annual Wellness Visit sooner than 11 months following Initial IPPE | Retired |
| Sep 30, 2026 | Molina Healthcare | After Hours and Weekend Care Professional | Retired |
| Sep 30, 2026 | Molina Healthcare | G2014 Vitamin B12 and Methylmalonic Acid Testing | Retired |
| Sep 30, 2026 | Molina Healthcare | G2031 Allergen Testing | Retired |
| Sep 30, 2026 | Molina Healthcare | G2035 Prenatal Screening Nongenetic Prior Variance | Retired |