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 Illinois | Rozanolixixumab-noliPayerPolicy · BCBSIL-RX501.161 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Romosozumab-aqqgPayerPolicy · BCBSIL-RX501.159 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Rituximab and Biosimilars for Non-Oncologic IndicationsPayerPolicy · BCBSIL-RX502.030 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Risankizumab-rzaaPayerPolicy · BCBSIL-RX501.147 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Responsive Neurostimulation for the Treatment of Refractory Focal EpilepsyPayerPolicy · BCBSIL-SUR712.039 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | ReslizumabPayerPolicy · BCBSIL-RX501.083 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Renal Denervation for Uncontrolled HypertensionPayerPolicy · BCBSIL-SUR701.030 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Remote Electrical Neuromodulation for MigrainesPayerPolicy · BCBSIL-SUR701.046 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | RemdesivirPayerPolicy · BCBSIL-RX501.130 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Reduction Mammaplasty for Breast-Related SymptomsPayerPolicy · BCBSIL-SUR716.012 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Reconstructive Breast Surgery/Management of Breast ImplantsPayerPolicy · BCBSIL-SUR716.009 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Reconstructive Breast SurgeryPayerPolicy · BCBSIL-SUR716.011 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Ravulizumab-cwvzPayerPolicy · BCBSIL-RX501.107 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Radiofrequency Volumetric Tissue Reduction for Nasal ObstructionPayerPolicy · BCBSIL-SUR706.001 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Radiofrequency Energy Therapy for Stress Urinary IncontinencePayerPolicy · BCBSIL-SUR710.021 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Radiofrequency Ablation (RFA) of Primary or Metastatic Liver TumorsPayerPolicy · BCBSIL-SUR709.029 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Radioembolization for Primary and Metastatic Tumors of the LiverPayerPolicy · BCBSIL-RAD601.047 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Quantitative Sensory TestingPayerPolicy · BCBSIL-MED205.030 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Quantitative Electroencephalography as a Diagnostic Aid for Attention-Deficit/Hyperactivity Disorder, Cognitive Impairment, or Autism Spectrum DisorderPayerPolicy · BCBSIL-MED205.040 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Prostatic Urethral LiftPayerPolicy · BCBSIL-SUR710.023 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | ProlotherapyPayerPolicy · BCBSIL-MED201.013 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Progenitor Cell Therapy for the Treatment of Damaged Myocardium Due to IschemiaPayerPolicy · BCBSIL-SUR703.027 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Postsurgical Home Use of Limb Compression Devices for Venous Thromboembolism ProphylaxisPayerPolicy · BCBSIL-MED202.073 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Polysomnography for Non-Respiratory Sleep DisordersPayerPolicy · BCBSIL-MED201.049 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Photodynamic Therapy for Choroidal NeovascularizationPayerPolicy · BCBSIL-OTH903.015 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Periureteral Bulking Agents as a Treatment of Vesicoureteral Reflux (VUR)PayerPolicy · BCBSIL-SUR710.022 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Percutaneous Revascularization Procedures for Lower Extremity Peripheral Arterial DiseasePayerPolicy · BCBSIL-SUR707.034 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Percutaneous Intradiscal Electrothermal Annuloplasty, Radiofrequency Annuloplasty, and BiacuplastyPayerPolicy · BCBSIL-SUR712.023 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Percutaneous Electrical Nerve Stimulation, Percutaneous Neuromodulation Therapy, and Restorative Neurostimulation TherapyPayerPolicy · BCBSIL-MED205.032 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Pelvic Floor Stimulation as a Treatment of Urinary or Fecal IncontinencePayerPolicy · BCBSIL-DME101.037 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | PegloticasePayerPolicy · BCBSIL-RX501.120 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Patient-Specific Instrumentation (e.g., Cutting Guides) for Joint ArthroplastyPayerPolicy · BCBSIL-SUR705.037 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Outpatient Pulmonary RehabilitationPayerPolicy · BCBSIL-THE803.025 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Orthoptics (Vergence/Accommodative Therapy), Visual Exercises or TrainingPayerPolicy · BCBSIL-OTH903.012 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Orthopedic Applications of Stem Cell Therapy (Including Allografts and Bone Substitutes Used with Autologous Bone Marrow)PayerPolicy · BCBSIL-SUR703.051 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Orthognathic SurgeryPayerPolicy · BCBSIL-SUR705.030 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Organ and Tissue Transplantation (General Donor and Recipient Information)PayerPolicy · BCBSIL-SUR703.001 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Optical Coherence Tomography of the Anterior Eye SegmentPayerPolicy · BCBSIL-OTH903.021 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Ophthalmologic Techniques That Evaluate the Posterior Segment for GlaucomaPayerPolicy · BCBSIL-OTH903.022 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Oncologic Applications of Photodynamic Therapy, Including Barrett EsophagusPayerPolicy · BCBSIL-THE801.029 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | OctreotidePayerPolicy · BCBSIL-RX501.156 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Ocrelizumab or Ocrelizumab and Hyaluronidase-ocsqPayerPolicy · BCBSIL-RX501.085 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Nutritional SupportPayerPolicy · BCBSIL-MED201.011 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Nonwearable Automatic External DefibrillatorsPayerPolicy · BCBSIL-DME101.021 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Noncontact Ultrasound Treatment for WoundsPayerPolicy · BCBSIL-DME101.044 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Neuralgia Inducing Cavitational Osteonecrosis (NICO)PayerPolicy · BCBSIL-SUR705.028 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Nerve Graft with Radical ProstatectomyPayerPolicy · BCBSIL-SUR710.019 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Natalizumab and Associated Biosimilar(s)PayerPolicy · BCBSIL-RX501.059 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Myoelectric Prosthetic and Orthotic Components for the Upper LimbPayerPolicy · BCBSIL-DME104.001 | Criteria changed |
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| May 18, 2026 | BCBS Illinois | Myocardial Strain ImagingPayerPolicy · BCBSIL-RAD601.069 | Criteria changed |
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