Policy changes Backwork has recorded, newest first. The most recent change on record is from October 24, 2026. Changes appear here after Backwork reviews and applies a refresh, so this page can trail the payers’ own sites.
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
86,510 on record
| Recorded | Payer | Policy | Change |
|---|---|---|---|
| May 18, 2026 | Blue Shield of California | Reproductive Techniques | Criteria changed |
| May 18, 2026 | Blue Shield of California | Renal Denervation for Uncontrolled Hypertension | Criteria changed |
| May 18, 2026 | Blue Shield of California | Remote Electrical Neuromodulation for Migraines | Criteria changed |
| May 18, 2026 | Blue Shield of California | Reduction Mammaplasty for Breast-Related Symptoms | Criteria changed |
| May 18, 2026 | Blue Shield of California | Reconstructive Breast Surgery/Management of Breast Implants | Criteria changed |
| May 18, 2026 | Blue Shield of California | Radiofrequency Coblation Tenotomy for Musculoskeletal Conditions | Criteria changed |
| May 18, 2026 | Blue Shield of California | Radiofrequency Ablation of Primary or Metastatic Liver Tumors | Criteria changed |
| May 18, 2026 | Blue Shield of California | Proteomic Testing for Targeted Therapy in Non-Small-Cell Lung Cancer | Criteria changed |
| May 18, 2026 | Blue Shield of California | Prostatic Urethral Lift | Criteria changed |
| May 18, 2026 | Blue Shield of California | Power Wheelchairs and Power Operated Vehicles for Permanent Use | Criteria changed |
| May 18, 2026 | Blue Shield of California | Postsurgical Home Use of Limb Compression Devices for Venous Thromboembolism Prophylaxis | Criteria changed |
| May 18, 2026 | Blue Shield of California | Polysomnography for Non-Respiratory Sleep Disorders | Criteria changed |
| May 18, 2026 | Blue Shield of California | Physical Therapy | Criteria changed |
| May 18, 2026 | Blue Shield of California | Photodynamic Therapy for Choroidal Neovascularization | Criteria changed |
| May 18, 2026 | Blue Shield of California | Personalized Breast Cancer Screening Clinical Trial | Criteria changed |
| May 18, 2026 | Blue Shield of California | Peripheral Nerve Injury Repair Using Synthetic Conduits or Processed Nerve Allografts | Criteria changed |
| May 18, 2026 | Blue Shield of California | Percutaneous Left-Atrial Appendage Closure Devices for Stroke Prevention in Atrial Fibrillation | Criteria changed |
| May 18, 2026 | Blue Shield of California | Paravertebral Facet Joint Injections or Blocks | Criteria changed |
| May 18, 2026 | Blue Shield of California | Outpatient Pulmonary Rehabilitation | Criteria changed |
| May 18, 2026 | Blue Shield of California | Orthognathic Surgery | Criteria changed |
| May 18, 2026 | Blue Shield of California | Open and Thoracoscopic Approaches to Treat Atrial Fibrillation and Atrial Flutter (Maze and Related Procedures) | Criteria changed |
| May 18, 2026 | Blue Shield of California | Occupational Therapy | Criteria changed |
| May 18, 2026 | Blue Shield of California | Nutrient/Nutritional Panel Testing | Criteria changed |
| May 18, 2026 | Blue Shield of California | Noninvasive Techniques for the Evaluation and Monitoring of Patients With Chronic Liver Disease | Criteria changed |
| May 18, 2026 | Blue Shield of California | Noninvasive Prenatal Screening for Fetal Aneuploidies, Microdeletions, Single-Gene Disorders, and Twin Zygosity Using Cell-Free Fetal DNA | Criteria changed |
| May 18, 2026 | Blue Shield of California | Non-emergency Ground Ambulance | Criteria changed |
| May 18, 2026 | Blue Shield of California | Nerve Fiber Density Measurement | Criteria changed |
| May 18, 2026 | Blue Shield of California | Negative Pressure Wound Therapy in the Outpatient Setting | Criteria changed |
| May 18, 2026 | Blue Shield of California | Nasal Septoplasty and Rhinoplasty | Criteria changed |
| May 18, 2026 | Blue Shield of California | Myoelectric Prosthetic and Orthotic Components for the Upper Limb | Criteria changed |
| May 18, 2026 | Blue Shield of California | Monitored Anesthesia Care | Criteria changed |
| May 18, 2026 | Blue Shield of California | Molecular Markers in Fine Needle Aspiration of the Thyroid | Criteria changed |
| May 18, 2026 | Blue Shield of California | Minimally Invasive Approaches to Vertebral Fractures and Osteolytic Lesions of the Spine | Criteria changed |
| May 18, 2026 | Blue Shield of California | Microwave Tumor Ablation | Criteria changed |
| May 18, 2026 | Blue Shield of California | Meniscal Allografts and Other Meniscal Implants | Criteria changed |
| May 18, 2026 | Blue Shield of California | Measurement of Exhaled Nitric Oxide and Exhaled Breath Condensate in the Diagnosis and Management of Respiratory Disorders | Criteria changed |
| May 18, 2026 | Blue Shield of California | Magnetoencephalography/Magnetic Source Imaging | Criteria changed |
| May 18, 2026 | Blue Shield of California | Magnetic Resonance-Guided Focused Ultrasound | Criteria changed |
| May 18, 2026 | Blue Shield of California | Lung Volume Reduction Surgery for Severe Emphysema | Criteria changed |
| May 18, 2026 | Blue Shield of California | Lung and Lobar Lung Transplant | Criteria changed |
| May 18, 2026 | Blue Shield of California | Lumbar Spine Surgery | Criteria changed |
| May 18, 2026 | Blue Shield of California | Low-Level Laser Therapy | Criteria changed |
| May 18, 2026 | Blue Shield of California | Low-Dose Radiotherapy for Non-Oncologic Indications | Criteria changed |
| May 18, 2026 | Blue Shield of California | Liver Transplant and Combined Liver-Kidney Transplant | Criteria changed |
| May 18, 2026 | Blue Shield of California | Liposuction for Lipedema and Lymphedema | Criteria changed |
| May 18, 2026 | Blue Shield of California | Lifestyle Modification Program for Reversing Heart Disease | Criteria changed |
| May 18, 2026 | Blue Shield of California | Laser Interstitial Thermal Therapy for Neurological Conditions | Criteria changed |
| May 18, 2026 | Blue Shield of California | Laboratory Tests Post Transplant and for Heart Failure | Criteria changed |
| May 18, 2026 | Blue Shield of California | Knee Arthroscopy in Knee Osteoarthritis | Criteria changed |
| May 18, 2026 | Blue Shield of California | Knee Arthroplasty for Adults | Criteria changed |