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 | 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 | Inpatient services billed on Outpatient bill types | Retired |
| Sep 30, 2026 | Molina Healthcare | Incarceration Diagnosis Code | Retired |
| Sep 30, 2026 | Molina Healthcare | ICD-10 Specificity | Retired |
| Sep 30, 2026 | Molina Healthcare | ICD-10 First Listed Diagnosis Coding Policy | Retired |
| Sep 30, 2026 | Molina Healthcare | G2008 Prostate Specific Antigen PSA Testing | 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 | Emergency EM Codesand Place of Service | 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 | 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 | 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 | 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 | Epidural Steroid Injections For Pain Management | 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 | Image Guided Radiation Therapy | Retired |
| Sep 30, 2026 | Molina Healthcare | Electrocardiographic EKG or ECG Monitoring Holter or Real Time Monitoring | Retired |
| Sep 30, 2026 | Molina Healthcare | Colonoscopy and Sigmoidoscopy | Retired |
| Sep 30, 2026 | Molina Healthcare | Autonomic FunctionTesting | Retired |
| Sep 30, 2026 | Molina Healthcare | Ambulatory Echocardiograph Monitoring | Retired |
| Sep 30, 2026 | Molina Healthcare | Ambulance Modifier | Retired |
| Sep 30, 2026 | Molina Healthcare | ESRD 90999 No Modifier Weekly and Monthly Limits | 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 | 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 | Overlapping Room and Board | Retired |
| Sep 30, 2026 | Molina Healthcare | Multiple Procedure Payment Reduction | Retired |
| Sep 30, 2026 | Molina Healthcare | Member Not Active | Retired |
| Sep 30, 2026 | Molina Healthcare | General Billing and Coding Policy | Retired |
| Sep 30, 2026 | Molina Healthcare | Fee Schedule | Retired |
| Sep 30, 2026 | Molina Healthcare | Duplicate Claims | Retired |
| Sep 30, 2026 | Molina Healthcare | Corrected Claims | Retired |
| Sep 30, 2026 | Molina Healthcare | Authorization Review | Retired |