Coverage policy updates

Policy changes Backwork has recorded, newest first. The most recent change on record is from October 14, 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.

Recorded changes

83,427 on record

Recorded policy changes, newest first
Recorded	Payer	Policy	Change
Aug 2, 2026	WPS Government Health Administrators	Allergen Immunotherapy (AIT) with Subcutaneous Immunotherapy (SCIT)LCD · WPS-J5-L40195	New policy
Aug 2, 2026	WPS Government Health Administrators	Transurethral Waterjet Ablation of the ProstateLCD · WPS-J5-L40194	Codes changed
Aug 2, 2026	WPS Government Health Administrators	Transurethral Waterjet Ablation of the ProstateLCD · WPS-J5-L40194	New policy
Aug 2, 2026	WPS Government Health Administrators	Superficial Radiation Therapy (SRT) for the Treatment of Nonmelanoma Skin Cancers (NMSC)LCD · WPS-J5-L40193	Codes changed
Aug 2, 2026	WPS Government Health Administrators	Superficial Radiation Therapy (SRT) for the Treatment of Nonmelanoma Skin Cancers (NMSC)LCD · WPS-J5-L40193	New policy
Aug 2, 2026	WPS Government Health Administrators	Superficial Radiation Therapy (SRT) for the Treatment of Nonmelanoma Skin Cancers (NMSC)LCD · WPS-J5-L40192	Codes changed
Aug 2, 2026	WPS Government Health Administrators	Superficial Radiation Therapy (SRT) for the Treatment of Nonmelanoma Skin Cancers (NMSC)LCD · WPS-J5-L40192	New policy
Aug 2, 2026	WPS Government Health Administrators	MolDX: Non-Next Generation Sequencing Tests for the Diagnosis of BCR-ABL Negative Myeloproliferative NeoplasmsLCD · WPS-J5-L40022	Codes changed
Aug 2, 2026	WPS Government Health Administrators	MolDX: Non-Next Generation Sequencing Tests for the Diagnosis of BCR-ABL Negative Myeloproliferative NeoplasmsLCD · WPS-J5-L40022	New policy
Aug 2, 2026	WPS Government Health Administrators	MolDX: Genetic Testing for Heritable Thoracic Aortic DiseaseLCD · WPS-J5-L39989	Codes changed
Aug 2, 2026	WPS Government Health Administrators	MolDX: Genetic Testing for Heritable Thoracic Aortic DiseaseLCD · WPS-J5-L39989	New policy
Aug 2, 2026	WPS Government Health Administrators	MolDX: Molecular Testing for Identification and Management of Hereditary Transthyretin AmyloidosisLCD · WPS-J5-L39987	Codes changed
Aug 2, 2026	WPS Government Health Administrators	MolDX: Molecular Testing for Identification and Management of Hereditary Transthyretin AmyloidosisLCD · WPS-J5-L39987	New policy
Aug 2, 2026	WPS Government Health Administrators	Artificial Intelligence Enabled CT Based Quantitative Coronary Topography (AI-QCT)/Coronary Plaque Analysis (AI-CPA)LCD · WPS-J5-L39913	Codes changed
Aug 2, 2026	WPS Government Health Administrators	Artificial Intelligence Enabled CT Based Quantitative Coronary Topography (AI-QCT)/Coronary Plaque Analysis (AI-CPA)LCD · WPS-J5-L39913	New policy
Aug 2, 2026	WPS Government Health Administrators	Total Joint ArthroplastyLCD · WPS-J5-L39911	Codes changed
Aug 2, 2026	WPS Government Health Administrators	Total Joint ArthroplastyLCD · WPS-J5-L39911	New policy
Aug 2, 2026	WPS Government Health Administrators	Botulinum Toxin InjectionsLCD · WPS-J5-L39909	Codes changed
Aug 2, 2026	WPS Government Health Administrators	Botulinum Toxin InjectionsLCD · WPS-J5-L39909	New policy
Aug 2, 2026	WPS Government Health Administrators	Botulinum Toxin InjectionsLCD · WPS-J5-L39908	Codes changed
Aug 2, 2026	WPS Government Health Administrators	Botulinum Toxin InjectionsLCD · WPS-J5-L39908	New policy
Aug 2, 2026	WPS Government Health Administrators	Micro-Invasive Glaucoma Surgery (MIGS)LCD · WPS-J5-L39907	Codes changed
Aug 2, 2026	WPS Government Health Administrators	Micro-Invasive Glaucoma Surgery (MIGS)LCD · WPS-J5-L39907	New policy
Aug 2, 2026	WPS Government Health Administrators	Cataract SurgeryLCD · WPS-J5-L39905	Codes changed
Aug 2, 2026	WPS Government Health Administrators	Cataract SurgeryLCD · WPS-J5-L39905	New policy
Aug 2, 2026	WPS Government Health Administrators	Cervical FusionLCD · WPS-J5-L39788	Codes changed
Aug 2, 2026	WPS Government Health Administrators	Cervical FusionLCD · WPS-J5-L39788	New policy
Aug 2, 2026	WPS Government Health Administrators	MolDX: Molecular Testing for Risk Stratification of Thyroid NodulesLCD · WPS-J5-L39720	Codes changed
Aug 2, 2026	WPS Government Health Administrators	MolDX: Molecular Testing for Risk Stratification of Thyroid NodulesLCD · WPS-J5-L39720	New policy
Aug 2, 2026	WPS Government Health Administrators	Trigger Point InjectionsLCD · WPS-J5-L39713	Codes changed
Aug 2, 2026	WPS Government Health Administrators	Trigger Point InjectionsLCD · WPS-J5-L39713	New policy
Aug 2, 2026	WPS Government Health Administrators	MolDX: Molecular Biomarkers for Risk Stratification of Indeterminate Pulmonary Nodules Following BronchoscopyLCD · WPS-J5-L39711	Codes changed
Aug 2, 2026	WPS Government Health Administrators	MolDX: Molecular Biomarkers for Risk Stratification of Indeterminate Pulmonary Nodules Following BronchoscopyLCD · WPS-J5-L39711	New policy
Aug 2, 2026	WPS Government Health Administrators	MolDX: Gene Expression Profile Tests for Decision-Making in Castration Resistant and Metastatic Prostate CancersLCD · WPS-J5-L39709	Codes changed
Aug 2, 2026	WPS Government Health Administrators	MolDX: Gene Expression Profile Tests for Decision-Making in Castration Resistant and Metastatic Prostate CancersLCD · WPS-J5-L39709	New policy
Aug 2, 2026	WPS Government Health Administrators	Amniotic and Placental Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-WoundLCD · WPS-J5-L39624	Codes changed
Aug 2, 2026	WPS Government Health Administrators	Amniotic and Placental Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-WoundLCD · WPS-J5-L39624	New policy
Aug 2, 2026	WPS Government Health Administrators	MolDX: Molecular Biomarker Testing for Risk Stratification of Cutaneous Squamous Cell CarcinomaLCD · WPS-J5-L39614	Codes changed
Aug 2, 2026	WPS Government Health Administrators	MolDX: Molecular Biomarker Testing for Risk Stratification of Cutaneous Squamous Cell CarcinomaLCD · WPS-J5-L39614	New policy
Aug 2, 2026	WPS Government Health Administrators	Intraarticular Knee Injections of HyaluronanLCD · WPS-J5-L39529	Codes changed
Aug 2, 2026	WPS Government Health Administrators	Intraarticular Knee Injections of HyaluronanLCD · WPS-J5-L39529	New policy
Aug 2, 2026	WPS Government Health Administrators	MolDX: Molecular Biomarker Testing to Guide Targeted Therapy Selection in Rheumatoid ArthritisLCD · WPS-J5-L39481	Codes changed
Aug 2, 2026	WPS Government Health Administrators	MolDX: Molecular Biomarker Testing to Guide Targeted Therapy Selection in Rheumatoid ArthritisLCD · WPS-J5-L39481	New policy
Aug 2, 2026	WPS Government Health Administrators	MolDX: Molecular Assays for the Diagnosis of Cutaneous MelanomaLCD · WPS-J5-L39479	Codes changed
Aug 2, 2026	WPS Government Health Administrators	MolDX: Molecular Assays for the Diagnosis of Cutaneous MelanomaLCD · WPS-J5-L39479	New policy
Aug 2, 2026	WPS Government Health Administrators	Allogeneic Hematopoietic Cell Transplantation for Primary Refractory or Relapsed Hodgkin's and Non-Hodgkin's Lymphoma with B-cell or T-cell OriginLCD · WPS-J5-L39477	Codes changed
Aug 2, 2026	WPS Government Health Administrators	Allogeneic Hematopoietic Cell Transplantation for Primary Refractory or Relapsed Hodgkin's and Non-Hodgkin's Lymphoma with B-cell or T-cell OriginLCD · WPS-J5-L39477	New policy
Aug 2, 2026	WPS Government Health Administrators	Sacroiliac Joint Injections and ProceduresLCD · WPS-J5-L39475	Codes changed
Aug 2, 2026	WPS Government Health Administrators	Sacroiliac Joint Injections and ProceduresLCD · WPS-J5-L39475	New policy
Aug 2, 2026	WPS Government Health Administrators	MolDX: Molecular Testing for Detection of Upper Gastrointestinal Metaplasia, Dysplasia, and NeoplasiaLCD · WPS-J5-L39356	Codes changed