Policy changes Backwork has recorded, newest first. The most recent change on record is from October 12, 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.
82,345 on record
| Recorded | Payer | Policy | Change |
|---|---|---|---|
| Aug 22, 2026 | EviCore by Evernorth | Entyvio Intravenous (vedolizumab) | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Enjaymo (sutimlimab-jome) | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Elfabrio (pegunigalsidase alfa) | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Eculizumab Products (Soliris, Bkemv, Epysqli) | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Elelyso (taliglucerase alfa) | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Elaprase (idursulfase) | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Edaravone Intravenous (Radicava, generic) | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Dysport (abobotulinumtoxinA) | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Denosumab Products (Prolia, Jubbonti, Stoboclo, Conexxence) Non-oncology | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Durysta (bimatoprost implant, for intracameral administration) | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Crysvita (burosumab-twza) Non-Oncology | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Daxxify (daxibotulinumtoxinA-lanm) | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Cosentyx Intravenous (secukinumab) | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Cinryze (C1 esterase inhibitor [human]) | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Coagadex (coagulation factor X [Human]) | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Cinqair (reslizumab) | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Cerezyme (imiglucerase) | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Cabenuva (cabotegravir and rilpivirine extended-release injectable suspension) | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Briumvi (ublituximab-xiiy) Intravenous Injection | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Berinert (C1 esterase inhibitor [human]) | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Benlysta (belimumab) Intravenous Injection | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Avastin (bevacizumab) Non-oncology | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Aranesp (darbepoetin alfa) Injection Non-oncology | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Aralast NP, Glassia, Prolastin-C , and Zemaira (alpha1- proteinase inhibitor [human]) | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Aldurazyme (laronidase) | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Aflibercept (Eylea, Eylea HD, Pavblu) Injection | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Adzynma (ADAMTS13 recombinant-krhn) | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Adakveo (crizanlizumab-tmca) | Codes changed |
| Aug 22, 2026 | EviCore by Evernorth | Acthar Gel (repository corticotropin injection) | Codes changed |
| Aug 22, 2026 | Aetna | Golimumab (Simponi and Simponi Aria) | Codes changed |
| Aug 22, 2026 | UnitedHealthcare | Whole Exome and Whole Genome Sequencing (Non-Oncology Conditions) | Codes changed |
| Aug 22, 2026 | UnitedHealthcare | Ustekinumab | Codes changed |
| Aug 22, 2026 | UnitedHealthcare | Tocilizumab Injection for Intravenous Infusion | Codes changed |
| Aug 22, 2026 | UnitedHealthcare | Rhinoplasty and Other Nasal Procedures | Codes changed |
| Aug 22, 2026 | UnitedHealthcare | Respiratory Interleukin-5 Inhibitor | Codes changed |
| Aug 22, 2026 | UnitedHealthcare | Prostate Surgeries and Interventions | Codes changed |
| Aug 22, 2026 | UnitedHealthcare | Pharmacogenetic Panel Testing | Codes changed |
| Aug 22, 2026 | UnitedHealthcare | Ophthalmologic Vascular Endothelial Growth Factor (VEGF) Inhibitors | Codes changed |
| Aug 22, 2026 | UnitedHealthcare | Immune Globulin (IVIG and SCIG) | Codes changed |
| Aug 22, 2026 | UnitedHealthcare | Genetic Testing for Hereditary Cancer | Codes changed |
| Aug 22, 2026 | UnitedHealthcare | FDA Cleared or Approved Companion Diagnostic Testing | Codes changed |
| Aug 22, 2026 | UnitedHealthcare | Denosumab | Codes changed |
| Aug 22, 2026 | UnitedHealthcare | Cell-Free Fetal DNA Testing | Codes changed |
| Aug 22, 2026 | CMS / Medicare | Dexamethasone Intracanalicular Ophthalmic Insert (Dextenza) | Codes changed |
| Aug 22, 2026 | CMS / Medicare | Infliximab | Codes changed |
| Aug 22, 2026 | CMS / Medicare | Octreotide Acetate for Injectable Suspension (Sandostatin LAR Depot) | Codes changed |
| Aug 22, 2026 | CMS / Medicare | Response to Comments: Dexamethasone Intracanalicular Ophthalmic Insert (Dextenza®) | Codes changed |
| Aug 14, 2026 | EviCore by Evernorth | Speech TherapyEffective 09/01/2018 - 02/04/2019 | Retired |
| Aug 14, 2026 | EviCore by Evernorth | CMM-614: Thoracic and Thoracolumbar Fusion (Arthrodesis) | Retired |
| Aug 14, 2026 | EviCore by Evernorth | CMM-613: Thoracic Decompression and Discectomy | Retired |