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 | Heart TransplantPayerPolicy · BCBSMT-SUR703.005 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Handheld Radiofrequency Spectroscopy for Intraoperative Assessment of Surgical Margins During Breast-Conserving SurgeryPayerPolicy · BCBSMT-SUR701.037 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Gonadotropin-Releasing Hormone (GnRH) Agonists and AntagonistsPayerPolicy · BCBSMT-RX501.041 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Givosiran for Acute Hepatic PorphyriaPayerPolicy · BCBSMT-RX501.125 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Gene Therapy for Inherited Retinal DystrophyPayerPolicy · BCBSMT-RX501.098 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Gene Therapy for Aromatic L-amino Acid Decarboxylase DeficiencyPayerPolicy · BCBSMT-RX501.178 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Gene Therapies for Treatment of Wounds in Dystrophic Epidermolysis BullosaPayerPolicy · BCBSMT-RX501.164 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Gene Therapies for ThalassemiaPayerPolicy · BCBSMT-RX501.166 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Gene Therapies for Sickle Cell DiseasePayerPolicy · BCBSMT-RX501.167 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Gastrointestinal Pathogen PanelsPayerPolicy · BCBSMT-MED207.155 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Focal Treatments for Prostate CancerPayerPolicy · BCBSMT-SUR717.004 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Fetal Surgery for Prenatally Diagnosed MalformationsPayerPolicy · BCBSMT-SUR701.016 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Fecal Microbiota Transplantation (FMT)PayerPolicy · BCBSMT-SUR703.049 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Fecal Analysis in the Diagnosis of Intestinal DysbiosisPayerPolicy · BCBSMT-MED207.118 | Criteria changed |
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| May 18, 2026 | BCBS Montana | FDA - Drugs, Biologicals, Cellular and Gene TherapiesPayerPolicy · BCBSMT-RX501.087 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Faricimab-svoaPayerPolicy · BCBSMT-OTH903.044 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Facet Joint InjectionsPayerPolicy · BCBSMT-SUR702.015 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Extracranial Carotid Angioplasty or StentingPayerPolicy · BCBSMT-SUR701.028 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Extracorporeal PhotopheresisPayerPolicy · BCBSMT-THE801.026 | Criteria changed |
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| May 18, 2026 | BCBS Montana | External Counterpulsation (ECP) Therapy for Severe AnginaPayerPolicy · BCBSMT-MED202.050 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Erythropoiesis-Stimulating Agents (ESAs)PayerPolicy · BCBSMT-RX501.069 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Eptinezumab-jjmrPayerPolicy · BCBSMT-RX501.124 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Endovascular Stent Grafts for Disorders of the Thoracic AortaPayerPolicy · BCBSMT-MED202.057 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Electrostimulation and Electromagnetic Therapy for Treating WoundsPayerPolicy · BCBSMT-MED201.027 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Electrical Bone Growth Stimulation of the Appendicular SkeletonPayerPolicy · BCBSMT-SUR705.044 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Electrical and Electromagnetic Stimulation for the Treatment of ArthritisPayerPolicy · BCBSMT-MED201.042 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Efgartigimod alfa-fcab or Efgartigimod alfa and hyaluronidase-qvfcPayerPolicy · BCBSMT-RX501.141 | Criteria changed |
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| May 18, 2026 | BCBS Montana | EdaravonePayerPolicy · BCBSMT-RX501.095 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Eculizumab and Associated Biosimilar(s)PayerPolicy · BCBSMT-RX501.066 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Dynamic PosturographyPayerPolicy · BCBSMT-MED205.026 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Durable Medical Equipment (DME) Reference ListPayerPolicy · BCBSMT-DME101.000 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Dry Needling of Trigger Points for Myofascial PainPayerPolicy · BCBSMT-SUR702.018 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Drug-Eluting Sinus ImplantsPayerPolicy · BCBSMT-SUR706.021 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Diagnosis of Obstructive Sleep Apnea SyndromePayerPolicy · BCBSMT-MED204.005 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Diagnosis and Treatment of Chronic Cerebrospinal Venous Insufficiency in Multiple SclerosisPayerPolicy · BCBSMT-MED202.064 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Dermatologic Applications of Photodynamic TherapyPayerPolicy · BCBSMT-THE801.027 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Denosumab and Biosimilars for Non-Oncologic IndicationsPayerPolicy · BCBSMT-RX501.140 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Delandistrogene moxeparvovec-roklPayerPolicy · BCBSMT-RX501.163 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Deep Brain StimulationPayerPolicy · BCBSMT-SUR712.025 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Cryosurgical Ablation of Primary or Metastatic Liver TumorsPayerPolicy · BCBSMT-SUR701.032 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Crizanlizumab-tmcaPayerPolicy · BCBSMT-RX501.126 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Cosmetic and Reconstructive ProceduresPayerPolicy · BCBSMT-SUR716.001 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Corneal HysteresisPayerPolicy · BCBSMT-OTH903.031 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Corneal Collagen Cross-LinkingPayerPolicy · BCBSMT-OTH903.028 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Continuous Passive Motion in the Home SettingPayerPolicy · BCBSMT-DME101.023 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Confocal Laser Endomicroscopy (CLE)PayerPolicy · BCBSMT-MED201.038 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Computer-Assisted Navigation for Orthopedic ProceduresPayerPolicy · BCBSMT-SUR705.023 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Computed Tomography to Detect Coronary Artery CalcificationPayerPolicy · BCBSMT-RAD604.009 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Compression Pumps for Treatment of Lymphedema and Venous UlcersPayerPolicy · BCBSMT-MED202.060 | Criteria changed |
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| May 18, 2026 | BCBS Montana | Composite Tissue Allotransplantation of the Hand and FacePayerPolicy · BCBSMT-SUR703.052 | Criteria changed |
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