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 Montana | Reconstructive Breast SurgeryPayerPolicy · BCBSMT-SUR716.011 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Ravulizumab-cwvzPayerPolicy · BCBSMT-RX501.107 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Radiofrequency Volumetric Tissue Reduction for Nasal ObstructionPayerPolicy · BCBSMT-SUR706.001 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Radiofrequency Ablation of Miscellaneous Solid Tumors Excluding Liver TumorsPayerPolicy · BCBSMT-SUR701.021 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Radiofrequency Ablation (RFA) of Primary or Metastatic Liver TumorsPayerPolicy · BCBSMT-SUR709.029 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Radioembolization for Primary and Metastatic Tumors of the LiverPayerPolicy · BCBSMT-RAD601.047 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Quantitative Sensory TestingPayerPolicy · BCBSMT-MED205.030 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Prostatic Urethral LiftPayerPolicy · BCBSMT-SUR710.023 | Criteria changed |
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| May 18, 2026 | BCBS Montana | ProlotherapyPayerPolicy · BCBSMT-MED201.013 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Pozelimab-bbfgPayerPolicy · BCBSMT-RX501.182 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Postsurgical Home Use of Limb Compression Devices for Venous Thromboembolism ProphylaxisPayerPolicy · BCBSMT-MED202.073 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Polysomnography for Non-Respiratory Sleep DisordersPayerPolicy · BCBSMT-MED201.049 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Plugs for Anal Fistula RepairPayerPolicy · BCBSMT-SUR709.032 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Physical Therapy (PT) and Occupational Therapy (OT) ServicesPayerPolicy · BCBSMT-THE803.010 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Phototherapeutic KeratectomyPayerPolicy · BCBSMT-SUR713.023 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Periureteral Bulking Agents as a Treatment of Vesicoureteral Reflux (VUR)PayerPolicy · BCBSMT-SUR710.022 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Percutaneous Intradiscal Electrothermal Annuloplasty, Radiofrequency Annuloplasty, and BiacuplastyPayerPolicy · BCBSMT-SUR712.023 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Percutaneous Electrical Nerve Field Stimulation for Irritable Bowel SyndromePayerPolicy · BCBSMT-MED201.055 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Pelvic Floor Stimulation as a Treatment of Urinary or Fecal IncontinencePayerPolicy · BCBSMT-DME101.037 | Criteria changed |
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| May 18, 2026 | BCBS Montana | PegloticasePayerPolicy · BCBSMT-RX501.120 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Patient-Specific Instrumentation (e.g., Cutting Guides) for Joint ArthroplastyPayerPolicy · BCBSMT-SUR705.037 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Outpatient Pulmonary RehabilitationPayerPolicy · BCBSMT-THE803.025 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Orthoptics (Vergence/Accommodative Therapy), Visual Exercises or TrainingPayerPolicy · BCBSMT-OTH903.012 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Optical Coherence Tomography of the Anterior Eye SegmentPayerPolicy · BCBSMT-OTH903.021 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Ophthalmologic Techniques That Evaluate the Posterior Segment for GlaucomaPayerPolicy · BCBSMT-OTH903.022 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Oncologic Applications of Photodynamic Therapy, Including Barrett EsophagusPayerPolicy · BCBSMT-THE801.029 | Criteria changed |
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| May 18, 2026 | BCBS Montana | OmalizumabPayerPolicy · BCBSMT-RX501.058 | Criteria changed |
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| May 18, 2026 | BCBS Montana | OctreotidePayerPolicy · BCBSMT-RX501.156 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Nutritional SupportPayerPolicy · BCBSMT-MED201.011 | Criteria changed |
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| May 18, 2026 | BCBS Montana | NusinersenPayerPolicy · BCBSMT-RX501.086 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Nonwearable Automatic External DefibrillatorsPayerPolicy · BCBSMT-DME101.021 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Noncontact Ultrasound Treatment for WoundsPayerPolicy · BCBSMT-DME101.044 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Non-Invasive Measurement of Central Blood Pressure (cBP)PayerPolicy · BCBSMT-MED202.070 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Neuralgia Inducing Cavitational Osteonecrosis (NICO)PayerPolicy · BCBSMT-SUR705.028 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Nerve Graft with Radical ProstatectomyPayerPolicy · BCBSMT-SUR710.019 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Natalizumab and Associated Biosimilar(s)PayerPolicy · BCBSMT-RX501.059 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Myoelectric Prosthetic and Orthotic Components for the Upper LimbPayerPolicy · BCBSMT-DME104.001 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Myocardial Sympathetic Innervation Imaging in Individuals With Heart FailurePayerPolicy · BCBSMT-RAD604.012 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Myocardial Strain ImagingPayerPolicy · BCBSMT-RAD601.069 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Mirikizumab-mrkzPayerPolicy · BCBSMT-RX501.168 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Minimally Invasive Fixation/Fusion of the Sacroiliac JointPayerPolicy · BCBSMT-SUR705.033 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Minimally Invasive Approaches to Vertebral Fractures and Osteolytic Lesions of the SpinePayerPolicy · BCBSMT-RAD601.041 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Microwave Tumor AblationPayerPolicy · BCBSMT-SUR701.038 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Microvolt T-Wave Alternans (MTWA)PayerPolicy · BCBSMT-MED202.006 | Criteria changed |
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| May 18, 2026 | BCBS Montana | MepolizumabPayerPolicy · BCBSMT-RX501.080 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Measurement of Serum Antibodies to Selected Biologic AgentsPayerPolicy · BCBSMT-MED207.153 | Criteria changed |
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| May 18, 2026 | BCBS Montana | MastopexyPayerPolicy · BCBSMT-SUR716.010 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Magnetic Resonance-Guided Focused UltrasoundPayerPolicy · BCBSMT-SUR701.022 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Lysis of Epidural AdhesionsPayerPolicy · BCBSMT-SUR712.024 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Lung and Lobar Lung TransplantPayerPolicy · BCBSMT-SUR703.010 | Criteria changed |
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