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 | Molecular Testing in the Management of Pulmonary Nodules | Criteria changed |
| May 17, 2026 | Blue Shield of California | Molecular Markers in Fine Needle Aspiration of the Thyroid | Criteria changed |
| May 17, 2026 | Blue Shield of California | Molecular Genomic Profiling for Cancers of Unknown Primary | Criteria changed |
| May 17, 2026 | Blue Shield of California | Minimally Invasive Approaches to Vertebral Fractures and Osteolytic Lesions of the Spine | Criteria changed |
| May 17, 2026 | Blue Shield of California | Microwave Tumor Ablation | Criteria changed |
| May 17, 2026 | Blue Shield of California | Microprocessor-Controlled Prostheses for the Lower Limb | Criteria changed |
| May 17, 2026 | Blue Shield of California | Meniscal Allografts and Other Meniscal Implants | Criteria changed |
| May 17, 2026 | Blue Shield of California | Medical Management of Obstructive Sleep Apnea Syndrome | Criteria changed |
| May 17, 2026 | Blue Shield of California | Measurement of Serum Antibodies to Selected Biologic Agents | Criteria changed |
| May 17, 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 17, 2026 | Blue Shield of California | Manipulation Under Anesthesia | Criteria changed |
| May 17, 2026 | Blue Shield of California | Magnetoencephalography/Magnetic Source Imaging | Criteria changed |
| May 17, 2026 | Blue Shield of California | Magnetic Resonance-Guided Focused Ultrasound | Criteria changed |
| May 17, 2026 | Blue Shield of California | Magnetic Resonance Spectroscopy | Criteria changed |
| May 17, 2026 | Blue Shield of California | Magnetic Esophageal Sphincter Augmentation to Treat Gastroesophageal Reflux Disease | Criteria changed |
| May 17, 2026 | Blue Shield of California | Lysis of Epidural Adhesions | Criteria changed |
| May 17, 2026 | Blue Shield of California | Lung Volume Reduction Surgery for Severe Emphysema | Criteria changed |
| May 17, 2026 | Blue Shield of California | Lumbar Spine Surgery | Criteria changed |
| May 17, 2026 | Blue Shield of California | Low-Level Laser Therapy | Criteria changed |
| May 17, 2026 | Blue Shield of California | Lower Limb Prostheses | Criteria changed |
| May 17, 2026 | Blue Shield of California | Low-Dose Radiotherapy for Non-Oncologic Indications | Criteria changed |
| May 17, 2026 | Blue Shield of California | Low Intensity Pulsed Ultrasound Fracture Healing Device | Criteria changed |
| May 17, 2026 | Blue Shield of California | Liver Transplant and Combined Liver-Kidney Transplant | Criteria changed |
| May 17, 2026 | Blue Shield of California | Liposuction for Lipedema and Lymphedema | Criteria changed |
| May 17, 2026 | Blue Shield of California | Lifestyle Modification Program for Reversing Heart Disease | Criteria changed |
| May 17, 2026 | Blue Shield of California | Leadless Cardiac Pacemakers | Criteria changed |
| May 17, 2026 | Blue Shield of California | Laser Treatment of Onychomycosis | Criteria changed |
| May 17, 2026 | Blue Shield of California | Laser Interstitial Thermal Therapy for Neurological Conditions | Criteria changed |
| May 17, 2026 | Blue Shield of California | Laparoscopic, Percutaneous, and Transcervical Techniques for Uterine Fibroid Myolysis | Criteria changed |
| May 17, 2026 | Blue Shield of California | Laboratory Tests Post Transplant and for Heart Failure | Criteria changed |
| May 17, 2026 | Blue Shield of California | Laboratory Testing Investigational Services | Criteria changed |
| May 17, 2026 | Blue Shield of California | Knee Braces (Custom) | Criteria changed |
| May 17, 2026 | Blue Shield of California | Knee Arthroscopy in Knee Osteoarthritis | Criteria changed |
| May 17, 2026 | Blue Shield of California | Knee Arthroplasty for Adults | Criteria changed |
| May 17, 2026 | Blue Shield of California | Kidney Transplant | Criteria changed |
| May 17, 2026 | Blue Shield of California | Keratoprosthesis | Criteria changed |
| May 17, 2026 | Blue Shield of California | Isolated Small Bowel Transplant | Criteria changed |
| May 17, 2026 | Blue Shield of California | Islet Transplantation for Chronic Pancreatitis and Donislecel-jujn for Type 1 Diabetes | Criteria changed |
| May 17, 2026 | Blue Shield of California | Irreversible Electroporation of Tumors Located in the Liver, Pancreas, Kidney, Lung or Prostate | Criteria changed |
| May 17, 2026 | Blue Shield of California | Investigational Services | Criteria changed |
| May 17, 2026 | Blue Shield of California | Invasive Prenatal (Fetal) Diagnostic Testing | Criteria changed |
| May 17, 2026 | Blue Shield of California | Intraoperative Neurophysiologic Monitoring | Criteria changed |
| May 17, 2026 | Blue Shield of California | Intraocular Radiotherapy for Age-Related Macular Degeneration | Criteria changed |
| May 17, 2026 | Blue Shield of California | Intracellular Micronutrient Analysis | Criteria changed |
| May 17, 2026 | Blue Shield of California | Interventions for Progressive Scoliosis | Criteria changed |
| May 17, 2026 | Blue Shield of California | Interferential Current Stimulation | Criteria changed |
| May 17, 2026 | Blue Shield of California | Injectable Bulking Agents for the Treatment of Urinary and Fecal Incontinence | Criteria changed |
| May 17, 2026 | Blue Shield of California | Inhaled Nitric Oxide | Criteria changed |
| May 17, 2026 | Blue Shield of California | Ingestible pH and Pressure Capsule | Criteria changed |
| May 17, 2026 | Blue Shield of California | Implantable Peripheral Nerve Stimulation for Chronic Pain Conditions | Criteria changed |