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 | Psychotherapy Add On with High Level EM | Retired |
| Sep 30, 2026 | Molina Healthcare | Optum EDC Analyzer - Facility ER E&M Leveling Prepayment | 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 | 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 | PT OT Initial Evaluations | Retired |
| Sep 30, 2026 | Molina Healthcare | PT OT ST Yearly Limit | 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 TC | 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 Specificity | Retired |
| Sep 30, 2026 | Molina Healthcare | Hydrolyzed Enteral Formula Diagnosis | 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 | Facility Bilateral or Anatomical Modifier Use | Retired |
| Sep 30, 2026 | Molina Healthcare | NDC | 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 | 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 | Recovery Policy for Diagnosis Codes | 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 | Overlapping Room and Borad | Retired |
| Sep 30, 2026 | Molina Healthcare | General Billing and Coding Policy | Retired |
| Sep 30, 2026 | Molina Healthcare | G2151 Serum Testing For Evidence of Mild Traumatic Brain Injury | Retired |
| Sep 30, 2026 | Molina Healthcare | G2153 Pancreatic Enzyme Testing for Acute Pancreatitis | Retired |
| Sep 30, 2026 | Molina Healthcare | G2006 Diabetes Mellitus Testing | Retired |
| Sep 30, 2026 | Molina Healthcare | G2005 Vitamin D Testing | Retired |
| Sep 30, 2026 | Molina Healthcare | Packaged and conditionally packaged lab services | 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 | Facility Emergency Department Evaluation and Management leveling | Retired |
| Sep 30, 2026 | Molina Healthcare | Reduced Services and Discontinued Procedures | Retired |
| Sep 30, 2026 | Molina Healthcare | Inpatient services billed on Outpatient bill types | Retired |
| Sep 30, 2026 | Molina Healthcare | Facility Bilateralor Anatomical Modifier Use | Retired |
| Sep 30, 2026 | Molina Healthcare | Diagnosis Code Y65 XX | Retired |