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 18, 2026 | BCBS New Mexico | ProlotherapyPayerPolicy · BCBSNM-MED201.013 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Progenitor Cell Therapy for the Treatment of Damaged Myocardium Due to IschemiaPayerPolicy · BCBSNM-SUR703.027 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Polysomnography for Non-Respiratory Sleep DisordersPayerPolicy · BCBSNM-MED201.049 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Phototherapeutic KeratectomyPayerPolicy · BCBSNM-SUR713.023 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Photodynamic Therapy for Choroidal NeovascularizationPayerPolicy · BCBSNM-OTH903.015 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Periureteral Bulking Agents as a Treatment of Vesicoureteral Reflux (VUR)PayerPolicy · BCBSNM-SUR710.022 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Percutaneous Electrical Nerve Field Stimulation for Irritable Bowel SyndromePayerPolicy · BCBSNM-MED201.055 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Pelvic Floor Stimulation as a Treatment of Urinary or Fecal IncontinencePayerPolicy · BCBSNM-DME101.037 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | PegloticasePayerPolicy · BCBSNM-RX501.120 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Patient-Specific Instrumentation (e.g., Cutting Guides) for Joint ArthroplastyPayerPolicy · BCBSNM-SUR705.037 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Outpatient Pulmonary RehabilitationPayerPolicy · BCBSNM-THE803.025 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Orthoptics (Vergence/Accommodative Therapy), Visual Exercises or TrainingPayerPolicy · BCBSNM-OTH903.012 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Organ and Tissue Transplantation (General Donor and Recipient Information)PayerPolicy · BCBSNM-SUR703.001 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Optical Coherence Tomography of the Anterior Eye SegmentPayerPolicy · BCBSNM-OTH903.021 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Ophthalmologic Techniques That Evaluate the Posterior Segment for GlaucomaPayerPolicy · BCBSNM-OTH903.022 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Oncology MedicationsPayerPolicy · BCBSNM-RX502.061 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Oncologic Applications of Photodynamic Therapy, Including Barrett EsophagusPayerPolicy · BCBSNM-THE801.029 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Onasemnogene abeparvovec-xioiPayerPolicy · BCBSNM-RX501.104 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | OctreotidePayerPolicy · BCBSNM-RX501.156 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Ocrelizumab or Ocrelizumab and Hyaluronidase-ocsqPayerPolicy · BCBSNM-RX501.085 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | NusinersenPayerPolicy · BCBSNM-RX501.086 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Nonwearable Automatic External DefibrillatorsPayerPolicy · BCBSNM-DME101.021 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Nonpharmacologic Treatment of RosaceaPayerPolicy · BCBSNM-THE801.030 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Noncontact Ultrasound Treatment for WoundsPayerPolicy · BCBSNM-DME101.044 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Noncontact Normothermic Wound Therapy (NNWT)PayerPolicy · BCBSNM-DME101.050 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Nerve Graft with Radical ProstatectomyPayerPolicy · BCBSNM-SUR710.019 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Natalizumab and Associated Biosimilar(s)PayerPolicy · BCBSNM-RX501.059 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Myoelectric Prosthetic and Orthotic Components for the Upper LimbPayerPolicy · BCBSNM-DME104.001 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Myocardial Sympathetic Innervation Imaging in Individuals With Heart FailurePayerPolicy · BCBSNM-RAD604.012 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Myocardial Strain ImagingPayerPolicy · BCBSNM-RAD601.069 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Mirikizumab-mrkzPayerPolicy · BCBSNM-RX501.168 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Minimally Invasive Fixation/Fusion of the Sacroiliac JointPayerPolicy · BCBSNM-SUR705.033 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Minimally Invasive Approaches to Vertebral Fractures and Osteolytic Lesions of the SpinePayerPolicy · BCBSNM-RAD601.041 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Microwave Tumor AblationPayerPolicy · BCBSNM-SUR701.038 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Microvolt T-Wave Alternans (MTWA)PayerPolicy · BCBSNM-MED202.006 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | MepolizumabPayerPolicy · BCBSNM-RX501.080 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Medical Policies Moving to MCG GuidelinesPayerPolicy · BCBSNM-ADM1001.036 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | MastopexyPayerPolicy · BCBSNM-SUR716.010 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Manipulation Under AnesthesiaPayerPolicy · BCBSNM-THE803.016 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Magnetic Resonance-Guided Focused UltrasoundPayerPolicy · BCBSNM-SUR701.022 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Lysis of Epidural AdhesionsPayerPolicy · BCBSNM-SUR712.024 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | LumasiranPayerPolicy · BCBSNM-RX501.133 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Lower-Limb Prosthetics, Including Microprocessor-Controlled ProstheticsPayerPolicy · BCBSNM-DME104.012 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Lower Esophageal Magnetic Sphincter AugmentationPayerPolicy · BCBSNM-SUR709.036 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Low-Level Laser TherapyPayerPolicy · BCBSNM-MED201.045 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Long-Term Ambulatory Cardiac Monitoring (Outpatient Cardiac Telemetry, Implantable Cardiac Rhythm Event Monitors, and Intracardiac Ischemia Detection Systems)PayerPolicy · BCBSNM-MED202.003 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Long-Acting Injectable Antiretroviral Agents for Treatment of HIVPayerPolicy · BCBSNM-RX501.145 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Liver Transplant and Combined Liver-Kidney TransplantPayerPolicy · BCBSNM-SUR703.008 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Liposuction for Lipedema and LymphedemaPayerPolicy · BCBSNM-SUR708.003 | Criteria changed |
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| May 18, 2026 | BCBS New Mexico | Levodopa-Carbidopa Enteral Suspension (e.g., Duopa) for the Treatment of Parkinson DiseasePayerPolicy · BCBSNM-RX504.015 | Criteria changed |
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