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 | STI Lab 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 |
| 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 | Excludes 1 Note | Retired |
| Sep 30, 2026 | Molina Healthcare | DRG Clinical Validation | Retired |
| Sep 30, 2026 | Molina Healthcare | Breast Cancer Genetic Testing Tier 1 vs Tier 2 | Retired |
| Sep 30, 2026 | Molina Healthcare | Unlisted Coding | Retired |
| Sep 30, 2026 | Molina Healthcare | Tendon Injections Missing Diagnosis | Retired |
| Sep 30, 2026 | Molina Healthcare | Status Indicator Flag B Bundled Codes | 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 | PT OT ST Yearly Limit | Retired |
| Sep 30, 2026 | Molina Healthcare | PT OT Initial Evaluations | Retired |
| Sep 30, 2026 | Molina Healthcare | Podiatric Q Modifiers | Retired |
| Sep 30, 2026 | Molina Healthcare | Physical Therapy Max Units Per Day | Retired |
| Sep 30, 2026 | Molina Healthcare | NPFS Status Indicator T | Retired |
| 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 KX | Retired |
| Sep 30, 2026 | Molina Healthcare | Modifier 26 | Retired |
| Sep 30, 2026 | Molina Healthcare | Modifier 25 | Retired |
| Sep 30, 2026 | Molina Healthcare | Modifier TC | 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 | ICD-10 First Listed Diagnosis Coding Policy | 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 | Discontinued Procedures | 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 | 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 | 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 |