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	Kaiser Permanente Washington	Alternative Services - Massage TherapyPayerPolicy · KAISER_WA-ALTERNATIVE-SERVICES-MASSAGE-THERAPY	New policy
Aug 2, 2026	Kaiser Permanente Washington	Alternative Services - AcupuncturePayerPolicy · KAISER_WA-ALTERNATIVE-SERVICES-ACUPUNCTURE	New policy
Aug 2, 2026	Kaiser Permanente Washington	Air AmbulancePayerPolicy · KAISER_WA-AIR-AMBULANCE	New policy
Aug 2, 2026	Kaiser Permanente Washington	Afirma GEC for Indeterminate ThyroidPayerPolicy · KAISER_WA-AFIRMA-GEC-FOR-INDETERMINATE-THYROID	New policy
Aug 2, 2026	Kaiser Permanente Washington	AED for Home Use in Adult PatientsPayerPolicy · KAISER_WA-AED-FOR-HOME-USE-IN-ADULT-PATIENTS	New policy
Aug 2, 2026	Kaiser Permanente Washington	Advanced Radiation TherapyPayerPolicy · KAISER_WA-ADVANCED-RADIATION-THERAPY	New policy
Aug 2, 2026	Kaiser Permanente Washington	Advanced Care at HomePayerPolicy · KAISER_WA-ADVANCED-CARE-AT-HOME	New policy
Aug 2, 2026	Kaiser Permanente Washington	Advanced Bronchoscopy TechniquesPayerPolicy · KAISER_WA-ADVANCED-BRONCHOSCOPY-TECHNIQUES	New policy
Aug 2, 2026	Kaiser Permanente Washington	Adaptive Servo-Ventilation Therapy (ASV)PayerPolicy · KAISER_WA-ADAPTIVE-SERVO-VENTILATION-THERAPY-ASV	New policy
Aug 2, 2026	Kaiser Permanente Washington	AcupuncturePayerPolicy · KAISER_WA-ACUPUNCTURE	New policy
Aug 2, 2026	Kaiser Permanente Washington	Accommodative Intraocular LensPayerPolicy · KAISER_WA-ACCOMMODATIVE-INTRAOCULAR-LENS	New policy
Aug 2, 2026	Kaiser Permanente Washington	AbortionPayerPolicy · KAISER_WA-ABORTION	New policy
Aug 2, 2026	Kaiser Permanente Washington	Ablative Therapy: Intra-Thoracic and Intra-AbdominalPayerPolicy · KAISER_WA-ABLATIVE-THERAPY-INTRA-THORACIC-AND-INTRA-ABDOMINAL	New policy
Aug 2, 2026	Kaiser Permanente Washington	ABI Vest for Cystic FibrosisPayerPolicy · KAISER_WA-ABI-VEST-FOR-CYSTIC-FIBROSIS	New policy
Aug 2, 2026	Kaiser Permanente Washington	ABA - Applied Behavioral Analysis Therapy for Early Intensive Behavior Interventions (EIBI) for Young Children with AutismPayerPolicy · KAISER_WA-ABA-APPLIED-BEHAVIORAL-ANALYSIS-THERAPY-FOR-EARLY-INTENSIVE-BEHAVIOR-INTERVENTIONS-EIBI-FOR-YOUNG-CHILDREN-WITH-AUTISM	New policy
Aug 2, 2026	Independence Blue Cross	X-rays Associated with Fractures in the Office SettingPayerPolicy · IBX-MA-PPO-HOST-MA00-031	New policy
Aug 2, 2026	Independence Blue Cross	Wheelchair Cushions and SeatingPayerPolicy · IBX-MA-PPO-HOST-05-00-55	New policy
Aug 2, 2026	Independence Blue Cross	Use of a Robotic-Assisted Surgical SystemPayerPolicy · IBX-MA-PPO-HOST-MA11-057	New policy
Aug 2, 2026	Independence Blue Cross	STAT Laboratory Tests Performed in the Outpatient Hospital Setting for Health Maintenance Organization (HMO) and Point-of-Service (POS) ProductsPayerPolicy · IBX-MA-PPO-HOST-MA00-021	New policy
Aug 2, 2026	Independence Blue Cross	Services Paid Above Capitation for Health Maintenance Organization (HMO) and Health Maintenance Organization Point-of-Service (HMO-POS) Primary Care ProvidersPayerPolicy · IBX-MA-PPO-HOST-MA00-033	New policy
Aug 2, 2026	Independence Blue Cross	Routine Costs of Clinical Trials and Coverage of Investigational Devices A and BPayerPolicy · IBX-MA-PPO-HOST-MA00-004	New policy
Aug 2, 2026	Independence Blue Cross	Rituximab (Rituxan) Infusion and Related Biosimilars, and Rituximab/Hyaluronidase Human for Subcutaneous Injection (Rituxan Hycela)PayerPolicy · IBX-MA-PPO-HOST-MA08-022	New policy
Aug 2, 2026	Independence Blue Cross	Reporting Requirements for Drugs and BiologicsPayerPolicy · IBX-MA-PPO-HOST-MA00-024	New policy
Aug 2, 2026	Independence Blue Cross	Reporting and Documentation Requirements for Anesthesia ServicesPayerPolicy · IBX-MA-PPO-HOST-MA00-009	New policy
Aug 2, 2026	Independence Blue Cross	Repair and Replacement of Durable Medical Equipment (DME) and Prosthetic DevicesPayerPolicy · IBX-MA-PPO-HOST-MA05-062	New policy
Aug 2, 2026	Independence Blue Cross	Repair and Replacement of Durable Medical Equipment (DME) and Prosthetic DevicesPayerPolicy · IBX-MA-PPO-HOST-05-00-44	New policy
Aug 2, 2026	Independence Blue Cross	Reimbursement of Surgical Pathology Services for Prostate BiopsyPayerPolicy · IBX-MA-PPO-HOST-MA00-058	New policy
Aug 2, 2026	Independence Blue Cross	Reimbursement for the Administration of ImmunizationsPayerPolicy · IBX-MA-PPO-HOST-MA07-019	New policy
Aug 2, 2026	Independence Blue Cross	Reimbursement for Radiopharmaceutical AgentsPayerPolicy · IBX-MA-PPO-HOST-MA09-009AA-35A866E2E0	New policy
Aug 2, 2026	Independence Blue Cross	Reimbursement for Components of Comprehensive Laboratory PanelsPayerPolicy · IBX-MA-PPO-HOST-MA01-006	New policy
Aug 2, 2026	Independence Blue Cross	Reimbursement for Certain Evaluation and Management (E/M) ServicesPayerPolicy · IBX-MA-PPO-HOST-MA00-049	New policy
Aug 2, 2026	Independence Blue Cross	Reimbursement for an Intraocular LensPayerPolicy · IBX-MA-PPO-HOST-MA11-043	New policy
Aug 2, 2026	Independence Blue Cross	Reimbursement For Advanced Practice Provider ServicesPayerPolicy · IBX-MA-PPO-HOST-MA00-056	New policy
Aug 2, 2026	Independence Blue Cross	Radiologic Guidance and/or Supervision and Interpretation of a ProcedurePayerPolicy · IBX-MA-PPO-HOST-MA00-019	New policy
Aug 2, 2026	Independence Blue Cross	PPO Network Rules for Provision of Specialty Services for Durable Medical Equipment and Laboratory, Radiology, and Physical Medicine and Rehabilitative ServicesPayerPolicy · IBX-MA-PPO-HOST-MA00-010AV-5B5ACC3CE5	New policy
Aug 2, 2026	Independence Blue Cross	PPO Network Rules for Provision of Specialty Services for Durable Medical Equipment and Laboratory, Radiology, and Physical Medicine and Rehabilitative ServicesPayerPolicy · IBX-MA-PPO-HOST-MA00-010AV-EB6E418DB2	New policy
Aug 2, 2026	Independence Blue Cross	PPO Network Rules for Provision of Specialty Services for Durable Medical Equipment and Laboratory, Radiology, and Physical Medicine and Rehabilitative ServicesPayerPolicy · IBX-MA-PPO-HOST-MA00-010AV-95321AD519	New policy
Aug 2, 2026	Independence Blue Cross	Octreotide Acetate (Sandostatin LAR Depot)PayerPolicy · IBX-MA-PPO-HOST-MA08-065	New policy
Aug 2, 2026	Independence Blue Cross	Multiple Surgery Payment ReductionPayerPolicy · IBX-MA-PPO-HOST-MA11-032	New policy
Aug 2, 2026	Independence Blue Cross	Multiple Procedure Payment Reduction Guidelines for Physical, Occupational, and Speech Therapy ServicesPayerPolicy · IBX-MA-PPO-HOST-MA00-050	New policy
Aug 2, 2026	Independence Blue Cross	Multiple Procedure Payment Reduction (MPPR) on Certain Diagnostic ServicesPayerPolicy · IBX-MA-PPO-HOST-MA01-005	New policy
Aug 2, 2026	Independence Blue Cross	Modifiers XE, XP, XS, XU, and 59PayerPolicy · IBX-MA-PPO-HOST-MA03-005	New policy
Aug 2, 2026	Independence Blue Cross	Modifiers for Shared or Split Surgical Services (Modifiers 54, 55, 56)PayerPolicy · IBX-MA-PPO-HOST-MA03-017	New policy
Aug 2, 2026	Independence Blue Cross	Modifiers for Assistant-at-Surgery Services: 80, 81, 82, and ASPayerPolicy · IBX-MA-PPO-HOST-MA00-015	New policy
Aug 2, 2026	Independence Blue Cross	Modifiers 26 (Professional Component) and TC (Technical Component)PayerPolicy · IBX-MA-PPO-HOST-MA03-011	New policy
Aug 2, 2026	Independence Blue Cross	Modifier 79: Unrelated Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative PeriodPayerPolicy · IBX-MA-PPO-HOST-MA03-012	New policy
Aug 2, 2026	Independence Blue Cross	Modifier 78: Unplanned Return to the Operating/Procedure Room by the Same Physician or Other Qualified Health Care Professional Following Initial Procedure for a Related Procedure During the Postoperative PeriodPayerPolicy · IBX-MA-PPO-HOST-MA03-008	New policy
Aug 2, 2026	Independence Blue Cross	Modifier 77: Repeat Procedure or Service by Another Physician or Other Qualified Health Care ProfessionalPayerPolicy · IBX-MA-PPO-HOST-MA03-007	New policy
Aug 2, 2026	Independence Blue Cross	Modifier 76: Repeat Procedure or Service by Same Physician or Other Qualified Health Care ProfessionalPayerPolicy · IBX-MA-PPO-HOST-MA03-001	New policy
Aug 2, 2026	Independence Blue Cross	Modifier 66: Surgical TeamPayerPolicy · IBX-MA-PPO-HOST-MA00-014	New policy