| May 17, 2026 | Blue Shield of California | Postsurgical Home Use of Limb Compression Devices for Venous Thromboembolism ProphylaxisPayerPolicy · BSCA-Postsurg-Home-Use-Limb-Compression-Devices-VT-Prophylaxis | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Polysomnography for Non-Respiratory Sleep DisordersPayerPolicy · BSCA-Polysomnography-Non-Respiratory-Sleep-Disorders | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Plugs for Anal Fistula RepairPayerPolicy · BSCA-Plugs-Anal-Fistula-Repair | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Physical TherapyPayerPolicy · BSCA-Physical-Therapy | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Phrenic Nerve Stimulation For Central Sleep ApneaPayerPolicy · BSCA-Phrenic-Nerve-Stimulation-Central-Sleep-Apnea | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Photodynamic Therapy for Choroidal NeovascularizationPayerPolicy · BSCA-Photodynamic-Therapy-Choroidal-Neovascularization | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Personalized Breast Cancer Screening Clinical TrialPayerPolicy · BSCA-Personalized-Breast-Cancer-Screening-Clinical-Trial | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Peroral Endoscopic Myotomy for Treatment of Esophageal Achalasia and GastroparesisPayerPolicy · BSCA-Peroral-Endoscopic-Myotomy-TX-Esophageal-Achalasia-Gastroparesis | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Periureteral Bulking Agents as a Treatment of Vesicoureteral RefluxPayerPolicy · BSCA-Periureteral-Bulking-Agents-TX-Vesicoureteral-Reflux | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Peripheral Subcutaneous Field StimulationPayerPolicy · BSCA-Peripheral-Subcutaneous-Field-Stimulation | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Peripheral Nerve Injury Repair Using Synthetic Conduits or Processed Nerve AllograftsPayerPolicy · BSCA-Peripheral-Nerve-Injury-Repair-Synthetic-Conduits | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Percutaneous Revascularization Procedures for Lower Extremity Peripheral Arterial DiseasePayerPolicy · BSCA-Perc-Revascularization-Lower-Extremity-Peripheral-Arterial | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Percutaneous Left-Atrial Appendage Closure Devices for Stroke Prevention in Atrial FibrillationPayerPolicy · BSCA-Perc-Left-Atrial-Appendage-Closure-Devices-Stroke-Prevention-Atrial-Fibrillation | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Percutaneous Electrical Nerve Stimulation, Percutaneous Neuromodulation Therapy, and Restorative Neurostimulation TherapyPayerPolicy · BSCA-Perc-Electrical-Nerve-Stim-Percutaneous-Neuromodulation-Therapy | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Percutaneous Electrical Nerve Field Stimulation for Irritable Bowel SyndromePayerPolicy · BSCA-Perc-Electrical-Nerve-Field-Stim-Irritable-Bowel-Syndrome | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Pelvic Floor Stimulation as a Treatment of Urinary and Fecal IncontinencePayerPolicy · BSCA-Pelvic-Floor-Stimulation-Treatment-Urinary-Fecal-Incontinence | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Patient-Controlled End Range of Motion Stretching DevicesPayerPolicy · BSCA-Patient-Controlled-End-Range-Motion-Stretching-Devices | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Partial Thickness Rotator Cuff Tears and Acromioplasty/Subacromial DecompressionPayerPolicy · BSCA-Partial-Thickness-Rotator-Cuff-Tears-Acromioplasty-Subacromial-Decompression | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Paravertebral Facet Joint Injections or BlocksPayerPolicy · BSCA-Paravertebral-Facet-Joint-Injections-Blocks | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Paraspinal Surface Electromyography to Evaluate and Monitor Back PainPayerPolicy · BSCA-Paraspinal-Surface-Electromyography-Evaluate-Monitor-Back-Pain | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Panniculectomy, Abdominoplasty, and Surgical Management of Diastasis RectiPayerPolicy · BSCA-Panniculectomy-Abdominoplasty-Surgical-Management-Diastasis-Recti | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Ovarian and Internal Iliac Vein Endovascular Occlusion as a Treatment of Pelvic Congestion SyndromePayerPolicy · BSCA-Ovarian-Internal-Iliac-Vein-Endovas-Occlusion-TX-Pelvic-Congestion-Syndrome | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Outpatient Pulmonary RehabilitationPayerPolicy · BSCA-Outpatient-Pulmonary-Rehabilitation | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Oscillatory Devices for the Treatment of Cystic Fibrosis and Other Respiratory ConditionsPayerPolicy · BSCA-Oscillatory-Devices-TX-Cystic-Fibrosis-Other-Resp-Conditions | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Orthopedic Applications of Stem Cell Therapy (Including Allografts and Bone Substitutes Used with Autologous Bone Marrow)PayerPolicy · BSCA-Orthopedic-App-Stem-Cell-Allografts-Bone-Subs-Autologous-Bone-Marrow | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Orthopedic Applications of Platelet-Rich PlasmaPayerPolicy · BSCA-Orthopedic-Applications-Platelet-Rich-Plasma | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Orthognathic SurgeryPayerPolicy · BSCA-Orthognathic-Surgery | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Optical Coherence Tomography of the Anterior Eye SegmentPayerPolicy · BSCA-Optical-Coherence-Tomography-Anterior-Eye-Segment | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Ophthalmologic Techniques That Evaluate the Posterior Segment for GlaucomaPayerPolicy · BSCA-Ophthalmologic-Tech-Evaluate-Posterior-Segment-Glaucoma | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Open and Thoracoscopic Approaches to Treat Atrial Fibrillation and Atrial Flutter (Maze and Related Procedures)PayerPolicy · BSCA-Open-Thoracoscopic-Atrial-Fibrillation-Atrial-Flutter-Maze-Related | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Oncologic Applications of Photodynamic Therapy, Including Barrett EsophagusPayerPolicy · BSCA-Oncologic-Applications-Photodynamic-Therapy-Barrett-Esophagus | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Occupational TherapyPayerPolicy · BSCA-Occupational-Therapy | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Occipital Nerve StimulationPayerPolicy · BSCA-Occipital-Nerve-Stimulation | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Nutrient/Nutritional Panel TestingPayerPolicy · BSCA-Nutrient-Nutritional-Panel-Testing | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Nonpharmacologic Treatment of RosaceaPayerPolicy · BSCA-Nonpharmacologic-Treatment-Rosacea | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Noninvasive Techniques for the Evaluation and Monitoring of Patients With Chronic Liver DiseasePayerPolicy · BSCA-Noninvasive-Tech-Eval-Monitoring-PT-Chronic-Liver-Disease | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Noninvasive Prenatal Screening for Fetal Aneuploidies, Microdeletions, Single-Gene Disorders, and Twin Zygosity Using Cell-Free Fetal DNAPayerPolicy · BSCA-Noninvasive-Prenatal-Screen-Fetal-Aneuploidies-Micro-Single-Gene-Dis-Twin-Zygosity | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Non-emergency Ground AmbulancePayerPolicy · BSCA-Non-emergency-Ground-Ambulance | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Noncontact Ultrasound Treatment for WoundsPayerPolicy · BSCA-Noncontact-Ultrasound-Treatment-Wounds | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Neuropsychological TestingPayerPolicy · BSCA-Neuropsychological-Testing | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Neural TherapyPayerPolicy · BSCA-Neural-Therapy | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Nerve Fiber Density MeasurementPayerPolicy · BSCA-Nerve-Fiber-Density-Measurement | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Negative Pressure Wound Therapy in the Outpatient SettingPayerPolicy · BSCA-Negative-Pressure-Wound-Therapy-Outpatient-Setting | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Nasal Septoplasty and RhinoplastyPayerPolicy · BSCA-Nasal-Septoplasty | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Myoelectric Prosthetic and Orthotic Components for the Upper LimbPayerPolicy · BSCA-Myoelectric-Prosthetic-Orthotic-Components-Upper-Limb | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Myocardial Sympathetic Innervation Imaging in Patients With Heart FailurePayerPolicy · BSCA-Myocardial-Sympathetic-Innervation-Imaging-Patients-Heart-Failure | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Myocardial Strain ImagingPayerPolicy · BSCA-Myocardial-Strain-Imaging | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Multimarker Serum Testing Related to Ovarian CancerPayerPolicy · BSCA-Multimarker-Serum-Testing-Related-Ovarian-Cancer | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Multibiomarker Disease Activity Blood Test for Rheumatoid ArthritisPayerPolicy · BSCA-Multibiomarker-Dis-Blood-Test-Rheumatoid-Arthritis | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Monitored Anesthesia CarePayerPolicy · BSCA-Monitored-Anesthesia-Care | Criteria changed |
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