Capital Blue Cross coverage policies

223 active Capital Blue Cross policies in Backwork, grouped by policy type. Each policy page shows the codes the policy lists and links to the payer’s own copy.

Summary of the payer’s published policy. Not a coverage determination — confirm with Capital Blue Cross before submitting.

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Policies

51–100 of 223, by type and title

PayerPolicy

CAPBLUE-MP-2.063

Electromyography and Nerve Conduction Studies

Effective Sep 1, 2026

CAPBLUE-MP-7.013

Endometrial Ablation

CAPBLUE-MP-1.118

Endoscopic Radiofrequency Ablation or Cryoablation for Barrett's Esophagus

Effective Feb 1, 2026

CAPBLUE-MP-1.090

Endovascular Grafts for Abdominal Aortic Aneurysm

CAPBLUE-MP-1.132

Endovascular Stent Grafts for Disorders of the Thoracic Aorta

Effective Mar 1, 2026

CAPBLUE-MP-2.015

Enteral Nutrition

CAPBLUE-MP-4.014

Epidural Steroid Injections for Back Pain

Effective May 1, 2026

CAPBLUE-MP-2.367

Esketamine (Spravato)

CAPBLUE-MP-2.017

Esophageal pH Monitoring

CAPBLUE-MP-2.402

Esophagogastroduodenoscopy (EGD)

CAPBLUE-MP-4.029