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 |
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| May 25, 2026 | BCBS Texas | AlemtuzumabPayerPolicy · RX501.077 | Codes changed |
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| May 25, 2026 | BCBS Texas | Aflibercept and Associated Biosimilar(s)PayerPolicy · OTH903.027 | Codes changed |
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| May 25, 2026 | BCBS Texas | Adjustable Cranial Orthoses for Positional Plagiocephaly and CraniosynostosesPayerPolicy · DME103.007 | Codes changed |
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| May 25, 2026 | BCBS Texas | AbataceptPayerPolicy · RX501.113 | Codes changed |
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| May 25, 2026 | Ambetter | Thyroid Hormones and Insulin Testing in PediatricsPayerPolicy · AMBETTER-CP-MP-154 | Codes changed |
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| May 25, 2026 | Ambetter | Skilled Nursing Facility LevelingPayerPolicy · AMBETTER-CC-PP-206 | Codes changed |
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| May 25, 2026 | Ambetter | Low-Frequency Ultrasound and Noncontact Normothermic Wound TherapyPayerPolicy · AMBETTER-CP-MP-139 | Codes changed |
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| May 25, 2026 | Ambetter | Laser Therapy for Skin ConditionsPayerPolicy · AMBETTER-CP-MP-123 | Codes changed |
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| May 25, 2026 | Ambetter | Helicobacter Pylori Serology TestingPayerPolicy · AMBETTER-CP-MP-153 | Codes changed |
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| May 25, 2026 | Ambetter | Gastrointestinal Pathogen Nucleic Acid Detection Panel TestingPayerPolicy · AMBETTER-CP.MP.209 | Codes changed |
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| May 25, 2026 | Ambetter | Endometrial AblationPayerPolicy · AMBETTER-CP-MP-106 | Codes changed |
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| May 25, 2026 | Ambetter | EEG in the Evaluation of HeadachePayerPolicy · AMBETTER-CP-MP-155 | Codes changed |
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| May 25, 2026 | Ambetter | Drugs of Abuse: Definitive Drug TestingPayerPolicy · AMBETTER-CP-MP-50 | Codes changed |
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| May 25, 2026 | Ambetter | Digital EEG Spike AnalysisPayerPolicy · AMBETTER-CP-MP-105 | Codes changed |
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| May 25, 2026 | Ambetter | 25-hydroxyvitamin D Testing in Children and AdolescentsPayerPolicy · AMBETTER-CP-MP-157 | Codes changed |
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| May 25, 2026 | Ambetter | Visual Field TestingPayerPolicy · AMBETTER-CP-VP-63 | Codes changed |
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| May 25, 2026 | Ambetter | Preventive (Routine) Eye Examination Attachment A: Refractive HardwarePayerPolicy · AMBETTER-CP-VP-13-ATTACHMENT-A-REFRACTIVE-HARDWARE | Codes changed |
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| May 25, 2026 | Ambetter | Preventative (Routine) Eye ExaminationPayerPolicy · AMBETTER-CP-VP-13 | Codes changed |
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| May 25, 2026 | Ambetter | GonioscopyPayerPolicy · AMBETTER-CP-VP-31 | Codes changed |
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| May 25, 2026 | Ambetter | Fundus PhotographyPayerPolicy · AMBETTER-CP-VP-29 | Codes changed |
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| May 25, 2026 | Ambetter | Fluorescein AngiographyPayerPolicy · AMBETTER-CP-VP-28 | Codes changed |
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| May 25, 2026 | Ambetter | External Ocular PhotographyPayerPolicy · AMBETTER-CP-VP-43 | Codes changed |
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| May 25, 2026 | Ambetter | Extended OphthalmoscopyPayerPolicy · AMBETTER-CP-VP-26 | Codes changed |
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| May 25, 2026 | Ambetter | Ventricular Assist DevicesPayerPolicy · AMBETTER-CP-MP-46 | Codes changed |
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| May 25, 2026 | Ambetter | Vagus Nerve StimulationPayerPolicy · AMBETTER-CP-MP-12 | Codes changed |
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| May 25, 2026 | Ambetter | Urinary Incontinence Devices and TreatmentsPayerPolicy · AMBETTER-CP-MP-142 | Codes changed |
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| May 25, 2026 | Ambetter | Trigger Point Injections for Pain ManagementPayerPolicy · AMBETTER-CP-MP-169 | Codes changed |
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| May 25, 2026 | Ambetter | Transcranial Magnetic Stimulation for Treatment Resistant Major DepressionPayerPolicy · AMBETTER-CP.BH.200 | Codes changed |
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| May 25, 2026 | Ambetter | Therapeutic Utilization of Inhaled Nitric OxidePayerPolicy · AMBETTER-CP-MP-87 | Codes changed |
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| May 25, 2026 | Ambetter | Tandem TransplantPayerPolicy · AMBETTER-CP-MP-162 | Codes changed |
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| May 25, 2026 | Ambetter | Stereotactic Body Radiation TherapyPayerPolicy · AMBETTER-CP-MP-22 | Codes changed |
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| May 25, 2026 | Ambetter | Spinal Cord, Peripheral Nerve, and Percutaneous Electrical Nerve StimulationPayerPolicy · AMBETTER-CP-MP-117 | Codes changed |
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| May 25, 2026 | Ambetter | Skin and Soft Tissue SubstitutesPayerPolicy · AMBETTER-CP-MP-185 | Codes changed |
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| May 25, 2026 | Ambetter | Sacroiliac Joint Interventions for Pain ManagementPayerPolicy · AMBETTER-CP-MP-166 | Codes changed |
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| May 25, 2026 | Ambetter | Radiation Therapy for Skin CancerPayerPolicy · AMBETTER-CP-MP-251 | Codes changed |
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| May 25, 2026 | Ambetter | Proton and Neutron Beam TherapiesPayerPolicy · AMBETTER-CP-MP-70 | Codes changed |
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| May 25, 2026 | Ambetter | Phototherapy for Neonatal HyperbilirubinemiaPayerPolicy · AMBETTER-CP-MP-150 | Codes changed |
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| May 25, 2026 | Ambetter | Pediatric Liver TransplantPayerPolicy · AMBETTER-CP-MP-120 | Codes changed |
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| May 25, 2026 | Ambetter | Pediatric Kidney TransplantPayerPolicy · AMBETTER-CP-MP-246 | Codes changed |
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| May 25, 2026 | Ambetter | Pediatric Heart TransplantPayerPolicy · AMBETTER-CP-MP-138 | Codes changed |
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| May 25, 2026 | Ambetter | PanniculectomyPayerPolicy · AMBETTER-CP-MP-109 | Codes changed |
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| May 25, 2026 | Ambetter | Pancreas TransplantationPayerPolicy · AMBETTER-CP-MP-102 | Codes changed |
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| May 25, 2026 | Ambetter | Outpatient Oxygen UsePayerPolicy · AMBETTER-CP-MP-190 | Codes changed |
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| May 25, 2026 | Ambetter | Outpatient Cardiac RehabilitationPayerPolicy · AMBETTER-CP-MP-176 | Codes changed |
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| May 25, 2026 | Ambetter | Osteogenic StimulationPayerPolicy · AMBETTER-CP-MP-194 | Codes changed |
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| May 25, 2026 | Ambetter | Obstetrical Home Care ProgramsPayerPolicy · AMBETTER-CP-MP-91 | Codes changed |
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| May 25, 2026 | Ambetter | Neuromuscular and Peroneal Nerve Electrical Stimulation (NMES)PayerPolicy · AMBETTER-CP-MP-48 | Codes changed |
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| May 25, 2026 | Ambetter | Nerve Blocks and Neurolysis for Pain ManagementPayerPolicy · AMBETTER-CP-MP-170 | Codes changed |
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| May 25, 2026 | Ambetter | Neonatal Sepsis ManagementPayerPolicy · AMBETTER-CP-MP-85 | Codes changed |
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| May 25, 2026 | Ambetter | Lung TransplantationPayerPolicy · AMBETTER-CP-MP-57 | Codes changed |
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