Policy changes Backwork has recorded, newest first. The most recent change on record is from October 11, 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.
82,244 on record
| Recorded | Payer | Policy | Change |
|---|---|---|---|
| Aug 22, 2026 | Carelon Medical Benefits Management | Lung Cancer, Small Cell | Codes changed |
| Aug 22, 2026 | Carelon Medical Benefits Management | Lung Cancer, Non-Small Cell | Codes changed |
| Aug 22, 2026 | Carelon Medical Benefits Management | Head and Neck Cancer | Codes changed |
| Aug 22, 2026 | Carelon Medical Benefits Management | Gastroesophageal Cancer | Codes changed |
| Aug 22, 2026 | Carelon Medical Benefits Management | Cancer Treatment Pathways | Codes changed |
| Aug 22, 2026 | Carelon Medical Benefits Management | Breast Cancer (Neoadjuvant & Adjuvant) | Codes changed |
| Aug 22, 2026 | Carelon Medical Benefits Management | Breast Cancer (Metastatic) | Codes changed |
| Aug 22, 2026 | Carelon Medical Benefits Management | Breast Cancer (Endocrine) | Codes changed |
| Aug 22, 2026 | Carelon Medical Benefits Management | Bladder Cancer | Codes changed |
| Aug 22, 2026 | Novitas Solutions | Trigger Point Injections | Codes changed |
| Aug 22, 2026 | Novitas Solutions | Multiple Imaging in Oncology | Codes changed |
| Aug 22, 2026 | Novitas Solutions | Wound Care | Codes changed |
| Aug 22, 2026 | Novitas Solutions | Frequency of Laboratory Tests | Codes changed |
| Aug 22, 2026 | Novitas Solutions | Application of Bioengineered Skin Substitutes to Lower Extremity Chronic Non-Healing Wounds | Codes changed |
| Aug 22, 2026 | Novitas Solutions | Trigger Point Injections | Codes changed |
| Aug 22, 2026 | National Government Services | Multimarker Serum Tests Related to Ovarian Cancer Testing | Codes changed |
| Aug 22, 2026 | National Government Services | Corneal Hysteresis | Codes changed |
| Aug 22, 2026 | National Government Services | Total Joint Arthroplasty | Codes changed |
| Aug 22, 2026 | National Government Services | Drugs and Biologicals, Coverage of, for Label and Off-Label Uses | Codes changed |
| Aug 22, 2026 | CGS Administrators | <b> MolDX: HLA-DQB1*06:02 Testing for Narcolepsy</b> | Codes changed |
| Aug 22, 2026 | CGS Administrators | MolDX: Molecular Diagnostic Tests (MDT) | Codes changed |
| Aug 22, 2026 | CGS Administrators | Stretta Procedure | Codes changed |
| Aug 22, 2026 | CGS Administrators | Psychological Services Coverage under the Incident to Provision for Physicians and Non-physicians | Codes changed |
| Aug 22, 2026 | CGS Administrators | Psychiatric Inpatient Hospitalization | Codes changed |
| Aug 22, 2026 | WPS Government Health Administrators | Corneal Hysteresis | Codes changed |
| Aug 22, 2026 | WPS Government Health Administrators | Lab: Special Histochemical Stains and Immunohistochemical Stains | Codes changed |
| Aug 22, 2026 | WPS Government Health Administrators | MolDX: Genetic Testing for Hypercoagulability/Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR) | Codes changed |
| Aug 22, 2026 | Health Partners Plans / Jefferson Health Plans | Q3 - 2026 Jefferson Health Plans MedOnc Master Drug List | Codes changed |
| Aug 22, 2026 | Health Alliance Plan | Health Alliance Plan Sleep CPT Code List | Codes changed |
| Aug 22, 2026 | Health Alliance Plan | Health Alliance Plan Radiology Code List | Codes changed |
| Aug 22, 2026 | EOCCO / Moda Health | EOCCO Specialty Therapies Code List | Codes changed |
| Aug 22, 2026 | Cigna Medicare Advantage / HealthSpring | Cigna Commercial & Medicare Cardiology & Radiology Code List | Codes changed |
| Aug 22, 2026 | Cigna Medicare Advantage / HealthSpring | Cigna Commercial & Medicare Advantage Radiation Oncology Code List | Codes changed |
| Aug 22, 2026 | Cigna Medicare Advantage / HealthSpring | Cigna OBM Radiology Code List | Codes changed |
| Aug 22, 2026 | Cigna Medicare Advantage / HealthSpring | Cigna OBM Radiation Oncology Code List | Codes changed |
| Aug 22, 2026 | Cigna Medicare Advantage / HealthSpring | Cigna Medicare Advantage Interventional Pain Management Code List | Codes changed |
| Aug 22, 2026 | Cigna Medicare Advantage / HealthSpring | Cigna Commercial & Medicare Advantage Joint Surgery Code List | Codes changed |
| Aug 22, 2026 | Cigna Medicare Advantage / HealthSpring | Cigna Medicare Advantage Home Health Code List | Codes changed |
| Aug 22, 2026 | Cigna Medicare Advantage / HealthSpring | Cigna Medicare Advantage Durable Medical Equipment Code List | Codes changed |
| Aug 22, 2026 | Cigna | Cigna Commercial Other Services Code List - Effective 03/07/2026 | Codes changed |
| Aug 22, 2026 | Cigna | Cigna Comprehensive Code List - Effective 03/07/2026 | Codes changed |
| Aug 22, 2026 | Cigna | Q3 - 2026 Cigna MedOnc Master Drug List.pdf | Codes changed |
| Aug 22, 2026 | Cigna | Cigna Commercial Cardiology Code List | Codes changed |
| Aug 22, 2026 | Aetna | Aetna Radiation Oncology Code List | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Rituximab (Rituxan, Ruxience, Truxima, Riabni) | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Nplate (romiplostim) Non-oncology | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Aflibercept (Eylea, Eylea HD, Pavblu) Injection | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Vyvgart (efgartigimod alfa-fcab) Vyvgart Hytrulo (efgartigimod alfa and hyaluronidase-qvfc) | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Tzield (teplizumab-mzwv) | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Rebyota (fecal microbiota, live-jslm) | Codes changed |