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 | Psychotherapy Add On with High Level EM | Retired |
| Sep 30, 2026 | Molina Healthcare | Optum EDC Analyzer - Facility ER E&M Leveling Prepayment | Retired |
| Sep 30, 2026 | Molina Healthcare | Observation | Retired |
| Sep 30, 2026 | Molina Healthcare | Newborn and NICU | Retired |
| Sep 30, 2026 | Molina Healthcare | Hospital Routine Supplies Services | Retired |
| Sep 30, 2026 | Molina Healthcare | Hospice | Retired |
| Sep 30, 2026 | Molina Healthcare | High Level Evaluation and Management with Preventive Medicine | Retired |
| Sep 30, 2026 | Molina Healthcare | Facility Emergency Department Evaluation and Management leveling | Retired |
| Sep 30, 2026 | Molina Healthcare | DRG Clinical Validation | Retired |
| Sep 30, 2026 | Molina Healthcare | Unlisted Coding | Retired |
| Sep 30, 2026 | Molina Healthcare | Therapy Modifier Coding | Retired |
| Sep 30, 2026 | Molina Healthcare | Tendon Injections Missing Diagnosis | Retired |
| Sep 30, 2026 | Molina Healthcare | Repeat Procedure Modifiers 76 77 | Retired |
| Sep 30, 2026 | Molina Healthcare | Reduced Services and Discontinued Procedures | Retired |
| Sep 30, 2026 | Molina Healthcare | Podiatric Q Modifiers | Retired |
| Sep 30, 2026 | Molina Healthcare | PT OT ST Yearly Limit | Retired |
| Sep 30, 2026 | Molina Healthcare | NCCI PTP with Modifiers | Retired |
| Sep 30, 2026 | Molina Healthcare | Modifiers XE XS XP XU and 59 Usage | Retired |
| Sep 30, 2026 | Molina Healthcare | Modifier KX | Retired |
| Sep 30, 2026 | Molina Healthcare | Modifier 26 | Retired |
| Sep 30, 2026 | Molina Healthcare | Member PCP as Attending Provider in a ER Facility Setting | Retired |
| Sep 30, 2026 | Molina Healthcare | Medically Unlikely Edits | Retired |
| Sep 30, 2026 | Molina Healthcare | Incarceration Diagnosis Code | Retired |
| 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 | Emergency EM Codes and Place of Service | Retired |
| Sep 30, 2026 | Molina Healthcare | Discontinued Procedures | 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 | Co Surgeon Team Surgeon Professional | Retired |
| Sep 30, 2026 | Molina Healthcare | Condition Codes 49, 50, and 53 | Retired |
| Sep 30, 2026 | Molina Healthcare | CMS Replacement Codes | 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 | Add-on Coding | Retired |
| Sep 30, 2026 | Molina Healthcare | Opioid Treatment Service | Retired |
| Sep 30, 2026 | Molina Healthcare | NDC | 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 | Pulmonary Function Testing | Retired |
| Sep 30, 2026 | Molina Healthcare | Image Guided Radiation Therapy | 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 |