Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Recorded changes
86,510 on record
Recorded policy changes, newest first| Recorded | Payer | Policy | Change |
|---|
| Aug 1, 2026 | UnitedHealthcare | Hospital Services: Observation and InpatientPayerPolicy · UHC-EXCH-MD-HOSPITAL-SERVICES-OBSERVATION-INPATIENT | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Home Health, Skilled, and Custodial Care ServicesPayerPolicy · UHC-EXCH-MD-HOME-HEALTH-CARE | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Hemgenix (Etranacogene Dezaparvovec-Drlb) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-HEMGENIX | New policy |
|---|
| Aug 1, 2026 | UnitedHealthcare | Habilitation and Rehabilitation Therapy (Occupational, Physical, and Speech)PayerPolicy · UHC-EXCH-MD-HABILITATIVE-SERVICES-OUTPATIENT-REHABILITATION-THERAPY | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Gynecomastia SurgeryPayerPolicy · UHC-EXCH-MD-GYNECOMASTIA-SURGERY | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Genetic Testing for Hereditary CancerPayerPolicy · UHC-EXCH-MD-GENETIC-TESTING-HEREDITARY-CANCER | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Gender Dysphoria TreatmentPayerPolicy · UHC-EXCH-MD-GENDER-DYSPHORIA-TREATMENT | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Gastrointestinal Disorders Diagnostic ProceduresPayerPolicy · UHC-EXCH-MD-GASTROINTESTINAL-MOTILITY-DISORDERS-DIAGNOSIS-TREATMENT | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | FDA Cleared or Approved Companion Diagnostic TestingPayerPolicy · UHC-EXCH-MD-FDA-COMPANION-DIAGNOSTIC-TESTING | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Epidural Steroid Injections for Spinal PainPayerPolicy · UHC-EXCH-MD-EPIDURAL-STEROID-INJECTIONS-SPINAL-PAIN | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Entyvio (Vedolizumab) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-ENTYVIO-VEDOLIZUMAB | New policy |
|---|
| Aug 1, 2026 | UnitedHealthcare | Encelto (Revakinagene Taroretcel-Lwey) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-ENCELTO | New policy |
|---|
| Aug 1, 2026 | UnitedHealthcare | Denosumab – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-DENOSUMAB-PROLIA-XGEVA-IEX | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Cosmetic and Reconstructive ProceduresPayerPolicy · UHC-EXCH-MD-COSMETIC-AND-RECONSTRUCTIVE-PROCEDURES | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Cosentyx (Secukinumab) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-COSENTYX-IEX | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Continuous Glucose Monitoring and Insulin Delivery for Managing DiabetesPayerPolicy · UHC-EXCH-MD-CONTINUOUS-GLUCOSE-MONITORING-INSULIN-DELIVERY-MANAGING-DIABETES | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Cognitive Rehabilitation and Coma StimulationPayerPolicy · UHC-EXCH-MD-COGNITIVE-REHABILITATION | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Cochlear ImplantsPayerPolicy · UHC-EXCH-MD-COCHLEAR-IMPLANTS | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Chromosome Microarray Testing (Non-Oncology Conditions)PayerPolicy · UHC-EXCH-MD-CHROMOSOME-MICROARRAY-TESTING | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Chelation TherapyPayerPolicy · UHC-EXCH-MD-CHELATION-THERAPY-NON-OVERLOAD-CONDITIONS | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Cell-Free Fetal DNA TestingPayerPolicy · UHC-EXCH-MD-CELL-FREE-FETAL-DNA-TESTING | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Catheter Ablation for Atrial FibrillationPayerPolicy · UHC-EXCH-MD-CATHETER-ABLATION-ATRIAL-FIBRILLATION | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Category III CodesPayerPolicy · UHC-EXCH-MD-CATEGORY-III-CODES | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Carrier Testing Panels for Genetic DiseasesPayerPolicy · UHC-EXCH-MD-CARRIER-TESTING-FOR-GENETIC-DISEASES | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Brow Ptosis and Eyelid RepairPayerPolicy · UHC-EXCH-MD-BROW-PTOSIS-EYELID-REPAIR | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Breast Reduction SurgeryPayerPolicy · UHC-EXCH-MD-BREAST-REDUCTION-SURGERY | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Beds and MattressesPayerPolicy · UHC-EXCH-MD-BEDS-MATTRESSES | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Ambulance ServicesPayerPolicy · UHC-EXCH-MD-AMBULANCE-SERVICES | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Adzynma (ADAMTS13, Recombinant-Krhn) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-ADZYNMA | New policy |
|---|
| Aug 1, 2026 | UnitedHealthcare | Sealants and Hydroxyapatite Enamel RegenerationPayerPolicy · UHC-DENT-SEALANTS | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Other Restorative ProceduresPayerPolicy · UHC-DENT-OTHER-RESTORATIVE-PROCEDURES | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Oral Surgery: Miscellaneous Surgical ProceduresPayerPolicy · UHC-DENT-ORAL-SURGERY-MISCELLANEOUS-SURGICAL-PROCEDURES | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Labial VeneersPayerPolicy · UHC-DENT-LABIAL-VENEERS | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | In-Office Drug Administration and Dispensing of MedicationsPayerPolicy · UHC-DENT-THERAPEUTIC-PARENTERAL-DRUG-ADMIN-IN-OFFICE-DISPENSING-MEDS | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Genetic Testing for Oral DiseasePayerPolicy · UHC-DENT-GENETIC-TESTING-ORAL-DISEASE | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Cone Beam Computed TomographyPayerPolicy · UHC-DENT-IMAGING-SVCS-CONE-BEAM-CT | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Vitamin D TestingPayerPolicy · UHC-COMM-RP-VITAMIN-D-TESTING-F47657D74F | Retired |
|---|
| Aug 1, 2026 | UnitedHealthcare | UHCCP-Non-Covered-and-Covered-Codes-Policy-Professional.pdfPayerPolicy · UHC-COMM-RP-UHCCP-NON-COVERED-AND-COVERED-CODES-POLI-08C10190E0 | Retired |
|---|
| Aug 1, 2026 | UnitedHealthcare | Anatomical Modifier RequirementPayerPolicy · UHC-COMM-RP-ANATOMICAL-MODIFIER-REQUIREMENT-2C3A81F054 | Retired |
|---|
| Aug 1, 2026 | UnitedHealthcare | Vitamin D Testing Policy, Professional and FacilityPayerPolicy · UHC-COMM-RP-UHCCP-VITAMIN-D-TESTING-POLICY | New policy |
|---|
| Aug 1, 2026 | UnitedHealthcare | Vitamin B12 Testing Policy, Professional and FacilityPayerPolicy · UHC-COMM-RP-UHCCP-VITAMIN-B12-TESTING-POLICY | New policy |
|---|
| Aug 1, 2026 | UnitedHealthcare | Testosterone Policy, Professional and FacilityPayerPolicy · UHC-COMM-RP-UHCCP-TESTOSTERONE-POLICY | New policy |
|---|
| Aug 1, 2026 | UnitedHealthcare | Non Covered and Covered CodesPayerPolicy · UHC-COMM-RP-UHCCP-NON-COVERED-AND-COVERED-CODES-POLICY-PROFESSIONAL | New policy |
|---|
| Aug 1, 2026 | UnitedHealthcare | In Vitro Chemotherapy Assays, Professional and FacilityPayerPolicy · UHC-COMM-RP-UHCCP-IN-VITRO-CHEMOTHERAPY-ASSAYS-POLICY | New policy |
|---|
| Aug 1, 2026 | UnitedHealthcare | Hepatic Fibrosis Testing for Chronic Liver Disease Policy, Professional and FacilityPayerPolicy · UHC-COMM-RP-UHCCP-HEPATIC-FIBROSIS-TESTING-POLICY | New policy |
|---|
| Aug 1, 2026 | UnitedHealthcare | Anatomical Modifier Anatomical Modifier Requirement Policy, ProfessionalPayerPolicy · UHC-COMM-RP-ANATOMICAL-MODIFIER-ANATOMICAL-MODIFIER-189C1FBA51 | New policy |
|---|
| Aug 1, 2026 | UnitedHealthcare | Allergen Testing Policy, Professional and FacilityPayerPolicy · UHC-COMM-RP-UHCCP-ALLERGEN-TESTING-POLICY | New policy |
|---|
| Aug 1, 2026 | UnitedHealthcare | Nerve Graft to Restore Erectile Function During Radical ProstatectomyPayerPolicy · UHC-COMM-MD-NERVE-GRAFT-TO-RESTORE-ERECTILE-FUNCTION-F454969E77 | Retired |
|---|
| Aug 1, 2026 | UnitedHealthcare | Kebilidi (Eladocagene Exuparvovec-Tneq) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-KEBILIDITM-ELADOCAGENE-EXUPARVOVEC-TNEQ-5F8D97842B | Retired |
|---|
| Aug 1, 2026 | UnitedHealthcare | Gene Therapies for Hemophilia B – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-GENE-THERAPIES-FOR-HEMOPHILIA-B-COMMUNIT-FE4957963B | Retired |
|---|