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 17, 2026 | Blue Shield of California | Tibial Nerve Stimulation | Criteria changed |
| May 17, 2026 | Blue Shield of California | Thoracic Spine Surgery | Criteria changed |
| May 17, 2026 | Blue Shield of California | Temporarily Implanted Nitinol Device (iTind) for Benign Prostatic Hyperplasia | Criteria changed |
| May 17, 2026 | Blue Shield of California | Targeted Phototherapy and Psoralen with Ultraviolet A for Vitiligo | Criteria changed |
| May 17, 2026 | Blue Shield of California | Synthetic Cartilage Implants for Joint Pain | Criteria changed |
| May 17, 2026 | Blue Shield of California | Suture Button Suspensionplasty Fixation System for Thumb Carpometacarpal Osteoarthritis | Criteria changed |
| May 17, 2026 | Blue Shield of California | Surgical Ventricular Restoration | Criteria changed |
| May 17, 2026 | Blue Shield of California | Surgical Treatment of Snoring and Obstructive Sleep Apnea Syndrome | Criteria changed |
| May 17, 2026 | Blue Shield of California | Surgical Treatment of Gynecomastia | Criteria changed |
| May 17, 2026 | Blue Shield of California | Surgical Treatment of Femoroacetabular Impingement | Criteria changed |
| May 17, 2026 | Blue Shield of California | Surgical Left Atrial Appendage Occlusion Devices for Stroke Prevention in Atrial Fibrillation | Criteria changed |
| May 17, 2026 | Blue Shield of California | Surgical Deactivation of Headache Trigger Sites | Criteria changed |
| May 17, 2026 | Blue Shield of California | Surgery for Groin Pain in Athletes | Criteria changed |
| May 17, 2026 | Blue Shield of California | Subtalar Arthroereisis | Criteria changed |
| May 17, 2026 | Blue Shield of California | Stem Cell Therapy for Peripheral Arterial Disease | Criteria changed |
| May 17, 2026 | Blue Shield of California | Stationary Ultrasonic Diathermy Devices | Criteria changed |
| May 17, 2026 | Blue Shield of California | Spinal Cord and Dorsal Root Ganglion Stimulation | Criteria changed |
| May 17, 2026 | Blue Shield of California | Sphenopalatine Ganglion Block for Headache | Criteria changed |
| May 17, 2026 | Blue Shield of California | Small Bowel/Liver and Multivisceral Transplant | Criteria changed |
| May 17, 2026 | Blue Shield of California | Serum Biomarker Panel Testing for Systemic Lupus Erythematosus and Other Connective Tissue Diseases | Criteria changed |
| May 17, 2026 | Blue Shield of California | Serum Biomarker Human Epididymis Protein 4 | Criteria changed |
| May 17, 2026 | Blue Shield of California | Serologic Genetic and Molecular Screening for Colorectal Cancer | Criteria changed |
| May 17, 2026 | Blue Shield of California | Sensory Integration Therapy and Auditory Integration Therapy | Criteria changed |
| May 17, 2026 | Blue Shield of California | Semi-Implantable and Fully Implantable Middle Ear Hearing Aids | Criteria changed |
| May 17, 2026 | Blue Shield of California | Scintimammography and Gamma Imaging of the Breast and Axilla | Criteria changed |
| May 17, 2026 | Blue Shield of California | Saturation Biopsy for Diagnosis, Staging, and Management of Prostate Cancer | Criteria changed |
| May 17, 2026 | Blue Shield of California | Sacroiliac Joint Injections | Criteria changed |
| May 17, 2026 | Blue Shield of California | Sacral Nerve Neuromodulation/Stimulation | Criteria changed |
| May 17, 2026 | Blue Shield of California | Risk-Reducing Mastectomy | Criteria changed |
| May 17, 2026 | Blue Shield of California | Rib Remodeling and Clavicle Shortening | Criteria changed |
| May 17, 2026 | Blue Shield of California | Responsive Neurostimulation for the Treatment of Refractory Focal Epilepsy | Criteria changed |
| May 17, 2026 | Blue Shield of California | Reproductive Techniques | Criteria changed |
| May 17, 2026 | Blue Shield of California | Renal Denervation for Uncontrolled Hypertension | Criteria changed |
| May 17, 2026 | Blue Shield of California | Remote Electrical Neuromodulation for Migraines | Criteria changed |
| May 17, 2026 | Blue Shield of California | Reduction Mammaplasty for Breast-Related Symptoms | Criteria changed |
| May 17, 2026 | Blue Shield of California | Reconstructive Services | Criteria changed |
| May 17, 2026 | Blue Shield of California | Reconstructive Breast Surgery/Management of Breast Implants | Criteria changed |
| May 17, 2026 | Blue Shield of California | Radiofrequency Volumetric Tissue Reduction for Nasal Obstruction | Criteria changed |
| May 17, 2026 | Blue Shield of California | Radiofrequency Coblation Tenotomy for Musculoskeletal Conditions | Criteria changed |
| May 17, 2026 | Blue Shield of California | Radiofrequency Ablation of Miscellaneous Solid Tumors Excluding Liver Tumors | Criteria changed |
| May 17, 2026 | Blue Shield of California | Quantitative Sensory Testing | Criteria changed |
| May 17, 2026 | Blue Shield of California | Quantitative Electroencephalography as a Diagnostic Aid for Attention-Deficit/Hyperactivity Disorder, Cognitive Impairment, or Autism Spectrum Disorder | Criteria changed |
| May 17, 2026 | Blue Shield of California | Proteomic Testing for Targeted Therapy in Non-Small-Cell Lung Cancer | Criteria changed |
| May 17, 2026 | Blue Shield of California | Proteogenomic Testing for Patients With Cancer | Criteria changed |
| May 17, 2026 | Blue Shield of California | Prostatic Urethral Lift | Criteria changed |
| May 17, 2026 | Blue Shield of California | Prolotherapy | Criteria changed |
| May 17, 2026 | Blue Shield of California | Preimplantation Genetic Testing | Criteria changed |
| May 17, 2026 | Blue Shield of California | Powered Exoskeleton for Ambulation in Patients With Lower-Limb Disabilities | Criteria changed |
| May 17, 2026 | Blue Shield of California | Power Wheelchairs and Power Operated Vehicles for Permanent Use | Criteria changed |
| May 17, 2026 | Blue Shield of California | Power Morcellation for the Treatment of Uterine Fibroids | Criteria changed |