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 | 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 | 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 | Status Indicator Flag B Bundled Codes | Retired |
| Sep 30, 2026 | Molina Healthcare | Repeat Procedure Modifiers 76 77 | 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 | NCCI PTP with Modifiers | 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 | 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 | Facility Bilateralor Anatomical Modifier Use | 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 | 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 | 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 | NPFS Status Indicator T | 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 Rental Vs Purchase | Retired |
| Sep 30, 2026 | Molina Healthcare | DME Non Invasive Ventilator Settings | Retired |