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 25 | Retired |
| Sep 30, 2026 | Molina Healthcare | Modifier TC | 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 | Hospice Value Code 61 | Retired |
| Sep 30, 2026 | Molina Healthcare | Facility Bilateralor Anatomical Modifier Use | 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 | 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 | NDC | Retired |
| Sep 30, 2026 | Molina Healthcare | High Dollar Pharmacy | Retired |
| Sep 30, 2026 | Molina Healthcare | Radiology Bone Density | 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 | CT Computed Tomography of the Abdomen and Pelvis | 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 | 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 Non Invasive Ventilator Settings | Retired |
| Sep 30, 2026 | Molina Healthcare | DME KF Modifier | 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 | 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 | Medical Supplies Home Health Consolidated Billing | Retired |
| Sep 30, 2026 | Molina Healthcare | Fee Schedule | Retired |
| Sep 30, 2026 | Molina Healthcare | Corrected Claims | Retired |
| Sep 30, 2026 | Molina Healthcare | Authorization Review | Retired |
| Sep 30, 2026 | Molina Healthcare | After Hours and Weekend Care Professional | Retired |
| Sep 30, 2026 | Molina Healthcare | G2005 Vitamin D Testing | Retired |
| Sep 30, 2026 | Molina Healthcare | G2014 Vitamin B12 and Methylmalonic Acid Testing | Retired |
| Sep 30, 2026 | Molina Healthcare | G2045 Thyroid Disease Testing | Retired |
| Sep 30, 2026 | Molina Healthcare | STI Lab Panel Testing | Retired |
| Sep 30, 2026 | Molina Healthcare | Specimen Validity Testing | Retired |
| Sep 30, 2026 | Molina Healthcare | G2124 Serum Tumor Markers for Malignancies | Retired |
| Sep 30, 2026 | Molina Healthcare | G2151 Serum Testing For Evidence of Mild Traumatic Brain Injury | Retired |
| Sep 30, 2026 | Molina Healthcare | G2120 Salivary Hormone Testing | Retired |