Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Recorded changes
82,180 on record
Recorded policy changes, newest first| Recorded | Payer | Policy | Change |
|---|
| Sep 30, 2026 | UnitedHealthcare | Diagnostic Testing for Influenza Policy, Professional and FacilityPayerPolicy · UHC-EXCH-RP-COMM-DIAGNOSTIC-TESTING-INFLUENZA-POLICY | New policy |
|---|
| Sep 30, 2026 | UnitedHealthcare | Diabetes Mellitus Testing Policy Professional and FacilityPayerPolicy · UHC-EXCH-RP-COMM-DIABETES-MELLITUS-TESTING-POLICY | New policy |
|---|
| Sep 30, 2026 | UnitedHealthcare | Clinical Diagnostic Lab Policy, ProfessionalPayerPolicy · UHC-EXCH-RP-VB-EXCHANGE-CLINICAL-DIAGNOSTIC-LAB-POLICY-PROFESSIONAL | New policy |
|---|
| Sep 30, 2026 | UnitedHealthcare | White Blood Cell Colony Stimulating Factors – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-WHITE-BLOOD-CELL-COLONY-STIMULATING-FACT-7E6DF0F05A | Retired |
|---|
| Sep 30, 2026 | UnitedHealthcare | Vyepti (Eptinezumab-Jjmr) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-VYEPTI-EPTINEZUMAB-JJMR-INDIVIDUAL-EXCHA-91EC036520 | Retired |
|---|
| Sep 30, 2026 | UnitedHealthcare | Oncology Medication Clinical Coverage – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-ONCOLOGY-MEDICATION-CLINICAL-COVERAGE-IN-868B8040BF | Retired |
|---|
| Sep 30, 2026 | UnitedHealthcare | Intravenous Iron Replacement Therapy (Feraheme, Injectafer, & Monoferric) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-INTRAVENOUS-IRON-REPLACEMENT-THERAPY-FER-77E39326F4 | Retired |
|---|
| Sep 30, 2026 | UnitedHealthcare | Antiemetics for Oncology – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-ANTIEMETICS-FOR-ONCOLOGY-INDIVIDUAL-EXCH-59C0C2CB1E | Retired |
|---|
| Sep 30, 2026 | UnitedHealthcare | White Blood Cell Colony Stimulating Factors – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-WHITE-BLOOD-CELL-COLONY-STIMULATING-FACTORS | New policy |
|---|
| Sep 30, 2026 | UnitedHealthcare | Vyepti (Eptinezumab-Jjmr) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-VYEPTI | New policy |
|---|
| Sep 30, 2026 | UnitedHealthcare | Sympathetic BlockadePayerPolicy · UHC-EXCH-MD-SYMPATHETIC-BLOCKADE | Metadata changed |
|---|
| Sep 30, 2026 | UnitedHealthcare | Surgery of the Wrist or ThumbPayerPolicy · UHC-EXCH-MD-SURGERY-HAND-WRIST | Metadata changed |
|---|
| Sep 30, 2026 | UnitedHealthcare | Surgery of the ShoulderPayerPolicy · UHC-EXCH-MD-SURGERY-SHOULDER | Metadata changed |
|---|
| Sep 30, 2026 | UnitedHealthcare | Surgery of the KneePayerPolicy · UHC-EXCH-MD-SURGERY-KNEE | Metadata changed |
|---|
| Sep 30, 2026 | UnitedHealthcare | Surgery of the HipPayerPolicy · UHC-EXCH-MD-SURGERY-HIP | Metadata changed |
|---|
| Sep 30, 2026 | UnitedHealthcare | Spinraza (Nusinersen) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-SPINRAZA-NUSINERSEN-IEX | Metadata changed |
|---|
| Sep 30, 2026 | UnitedHealthcare | Spinal Fusion and DecompressionPayerPolicy · UHC-EXCH-MD-SPINAL-FUSION-DECOMPRESSION | Metadata changed |
|---|
| Sep 30, 2026 | UnitedHealthcare | Sacroiliac Joint InterventionsPayerPolicy · UHC-EXCH-MD-SACROILIAC-JOINT-INTERVENTIONS | Metadata changed |
|---|
| Sep 30, 2026 | UnitedHealthcare | Rituximab (Riabni, Rituxan, Ruxience, & Truxima) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-RITUXAN-RITUXIMAB-IEX | Metadata changed |
|---|
| Sep 30, 2026 | UnitedHealthcare | Oncology Medication Clinical Coverage – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-ONCOLOGY-MEDICATION-CLINICAL-COVERAGE-POLICY | New policy |
|---|
| Sep 30, 2026 | UnitedHealthcare | Occipital Nerve Injections and Ablation (Including Occipital Neuralgia and Headache)PayerPolicy · UHC-EXCH-MD-OCCIPITAL-NEURALGIA-HEADACHE-TREATMENT | Metadata changed |
|---|
| Sep 30, 2026 | UnitedHealthcare | Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) Scan – Site of ServicePayerPolicy · UHC-EXCH-MD-MRI-CT-SCAN-SITE-OF-SERVICE | Metadata changed |
|---|
| Sep 30, 2026 | UnitedHealthcare | Intravenous Iron Replacement Therapy (Injectafer & Monoferric) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-IV-IRON-REPLACEMENT-THERAPY | New policy |
|---|
| Sep 30, 2026 | UnitedHealthcare | Inhaled Nitric Oxide TherapyPayerPolicy · UHC-EXCH-MD-INHALED-NITRIC-OXIDE-THERAPY | Metadata changed |
|---|
| Sep 30, 2026 | UnitedHealthcare | Implanted Spinal Drug Delivery SystemsPayerPolicy · UHC-EXCH-MD-IMPLANTED-SPINAL-DRUG-DELIVERY-SYSTEMS | Metadata changed |
|---|
| Sep 30, 2026 | UnitedHealthcare | Glaucoma Surgical TreatmentsPayerPolicy · UHC-EXCH-MD-GLAUCOMA-SURGICAL-TREATMENTS | Metadata changed |
|---|
| Sep 30, 2026 | UnitedHealthcare | Genetic Testing for Neurological DisordersPayerPolicy · UHC-EXCH-MD-GENETIC-TESTING-NEUROMUSCULAR-DISORDERS | Metadata changed |
|---|
| Sep 30, 2026 | UnitedHealthcare | Genetic Testing for Cardiac DiseasePayerPolicy · UHC-EXCH-MD-GENETIC-TESTING-CARDIAC-DISEASE | Metadata changed |
|---|
| Sep 30, 2026 | UnitedHealthcare | Facet Joint and Medial Branch Block Injections for Spinal PainPayerPolicy · UHC-EXCH-MD-FACET-JOINT-INJECTIONS-SPINAL-PAIN | Metadata changed |
|---|
| Sep 30, 2026 | UnitedHealthcare | Epidural Steroid Injections for Spinal PainPayerPolicy · UHC-EXCH-MD-EPIDURAL-STEROID-INJECTIONS-SPINAL-PAIN | Metadata changed |
|---|
| Sep 30, 2026 | UnitedHealthcare | Electric Tumor Treatment Field TherapyPayerPolicy · UHC-EXCH-MD-ELECTRIC-TUMOR-TREATMENT-FIELD-THERAPY | Metadata changed |
|---|
| Sep 30, 2026 | UnitedHealthcare | Clotting Factors, Coagulant Blood Products, & Other Hemostatics – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-CLOTTING-FACTORS-COAGULANT-BLOOD-PRODUCTS-IEX | Metadata changed |
|---|
| Sep 30, 2026 | UnitedHealthcare | Clinical TrialsPayerPolicy · UHC-EXCH-MD-CLINICAL-TRIALS | Metadata changed |
|---|
| Sep 30, 2026 | UnitedHealthcare | Autologous Cellular TherapyPayerPolicy · UHC-EXCH-MD-AUTOLOGOUS-CELLULAR-THERAPY | Metadata changed |
|---|
| Sep 30, 2026 | UnitedHealthcare | Oral Surgery: Orthodontic Related ProceduresPayerPolicy · UHC-DENT-ORAL-SURGERY-ORTHODONTIC-RELATED-PROCEDURES | Metadata changed |
|---|
| Sep 30, 2026 | UnitedHealthcare | Oral Surgery: Alveoloplasty and VestibuloplastyPayerPolicy · UHC-DENT-ORAL-SURGERY-ALVEOLOPLASTY-VESTIBULOPLASTY | Metadata changed |
|---|
| Sep 30, 2026 | UnitedHealthcare | General Anesthesia and Conscious Sedation ServicesPayerPolicy · UHC-DENT-GENERAL-ANESTHESIA-CONSCIOUS-SEDATION-SVCS | Metadata changed |
|---|
| Sep 30, 2026 | UnitedHealthcare | Full Mouth DebridementPayerPolicy · UHC-DENT-FULL-MOUTH-DEBRIDEMENT | Metadata changed |
|---|
| Sep 30, 2026 | UnitedHealthcare | Maximum Frequency Per DayPayerPolicy · UHC-COMM-RP-MAXIMUM-FREQUENCY-PER-DAY-41ACDC8FDE | Retired |
|---|
| Sep 30, 2026 | UnitedHealthcare | Anatomical Modifier Anatomical Modifier Requirement Policy, ProfessionalPayerPolicy · UHC-COMM-RP-ANATOMICAL-MODIFIER-ANATOMICAL-MODIFIER-189C1FBA51 | Retired |
|---|
| Sep 30, 2026 | UnitedHealthcare | New Jersey Drug Testing Policy, Professional and FacilityPayerPolicy · UHC-COMM-RP-UHCCP-NJ-DRUG-TESTING-POLICY-PROFESSIONAL-AND-FACILITY | New policy |
|---|
| Sep 30, 2026 | UnitedHealthcare | Maximum Frequency Per DayPayerPolicy · UHC-COMM-RP-UHCCP-MAXIMUM-FREQUENCY-PER-DAY-POLICY | New policy |
|---|
| Sep 30, 2026 | UnitedHealthcare | Anatomical Modifier Requirement Policy, ProfessionalPayerPolicy · UHC-COMM-RP-UHCCP-ANATOMICAL-MODIFIER-REQUIREMENT-POLICY-PROFESSIONAL | New policy |
|---|
| Sep 30, 2026 | UnitedHealthcare | Surgery of the Hand or WristPayerPolicy · UHC-COMM-MD-SURGERY-OF-THE-HAND-OR-WRIST-AAA09CC04F | Retired |
|---|
| Sep 30, 2026 | UnitedHealthcare | White Blood Cell Colony Stimulating Factors – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-WHITE-BLOOD-CELL-COLONY-STIMULATING-FACTORS-CS | Metadata changed |
|---|
| Sep 30, 2026 | UnitedHealthcare | Vyepti (Eptinezumab-Jjmr) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-VYEPTI-CS | Metadata changed |
|---|
| Sep 30, 2026 | UnitedHealthcare | Ustekinumab – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-USTEKINUMAB-CS | Metadata changed |
|---|
| Sep 30, 2026 | UnitedHealthcare | Tocilizumab – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-TOCILIZUMAB-CS | Metadata changed |
|---|
| Sep 30, 2026 | UnitedHealthcare | Surgery of the Wrist or ThumbPayerPolicy · UHC-COMM-MD-SURGERY-HAND-WRIST-CS | New policy |
|---|
| Sep 30, 2026 | UnitedHealthcare | Surgery of the ElbowPayerPolicy · UHC-COMM-MD-SURGERY-ELBOW-CS | Metadata changed |
|---|