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 | Readmission | Retired |
| Sep 30, 2026 | Molina Healthcare | Psychotherapy Add On with High Level EM | 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 | Facility Emergency Department Evaluation and Management leveling | 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 | Therapy Modifier 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 | Podiatric Q Modifiers | Retired |
| Sep 30, 2026 | Molina Healthcare | PT OT Initial Evaluations | 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 TC | Retired |
| Sep 30, 2026 | Molina Healthcare | Modifier 26 | Retired |
| Sep 30, 2026 | Molina Healthcare | Modifier 25 | 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 | Hydrolyzed Enteral Formula Diagnosis | 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 Y65 XX | 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 | 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 | Self Administered Drugs | Retired |
| Sep 30, 2026 | Molina Healthcare | NDC | Retired |
| Sep 30, 2026 | Molina Healthcare | EpiduralSteroidInjectionsForPainManagement | 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 | Image Guided Radiation Therapy | Retired |
| Sep 30, 2026 | Molina Healthcare | Colonoscopy and Sigmoidoscopy | 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 | Ambulance Modifier | 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 31or 32 | Retired |
| Sep 30, 2026 | Molina Healthcare | DME Non Invasive Ventilator Settings | Retired |
| Sep 30, 2026 | Molina Healthcare | DME KF Modifier | Retired |