| May 17, 2026 | Blue Shield of California | Aqueous Shunts and Stents for GlaucomaPayerPolicy · BSCA-Aqueous-Shunts-Stents-Glaucoma | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Applied Behavior Analysis for Autism Spectrum Disorder or Pervasive Developmental DisorderPayerPolicy · BSCA-Applied-Behavioral-Analysis-Autism-Spectrum-Dis | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Amniotic Membrane and Amniotic FluidPayerPolicy · BSCA-Amniotic-Membrane-Amniotic-Fluid | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Ambulatory Surgery CenterPayerPolicy · BSCA-Ambulatory-Surg-Center | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Ambulatory Event Monitors and Mobile Cardiac Outpatient TelemetryPayerPolicy · BSCA-Ambulatory-Event-Monitors-Cardiac-Outpatient-Telemetry | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Allograft Injection for Degenerative Disc DiseasePayerPolicy · BSCA-Allograft-Inj-Deg-Disc | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Allogeneic Pancreas TransplantPayerPolicy · BSCA-Allogen-Pancreas-Trans | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Allogeneic Hematopoietic Cell Transplantation for Myelodysplastic Syndromes and Myeloproliferative NeoplasmsPayerPolicy · BSCA-Allogeneic-HCT-Myelodysplastic-Myeloproliferative-Neoplasms | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Adjustable Cranial Orthoses for Positional Plagiocephaly and CraniosynostosesPayerPolicy · BSCA-Adjust-Cranial-Orthoses-Pos-Plag-Craniosynostoses | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Adipose-Derived Stem Cells in Autologous Fat Grafting to the BreastPayerPolicy · BSCA-Adiposed-StemCells-Autologous-Fat-Grafting-Breast | Criteria changed |
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| May 17, 2026 | Blue Shield of California | ActigraphyPayerPolicy · BSCA-Actigraphy | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Absorbable Nasal Implant for Treatment of Nasal Valve CollapsePayerPolicy · BSCA-Absorb-Nasal-Imp-TX-Nasal-Valve-Collapse | Criteria changed |
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| May 17, 2026 | Blue Shield of California | Ablation of Peripheral Nerves to Treat PainPayerPolicy · BSCA-Ablation-Perph-Nerves-Pain | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Mechanical Stretching Devices for Contracture and Joint StiffnessPayerPolicy · CAPBLUE-MP-6.039-9864a07c | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Wound and Burn Management and Specialized Treatment CentersPayerPolicy · CAPBLUE-MP-4.028 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Wireless Capsule Endoscopy for Gastrointestinal (GI) DisordersPayerPolicy · CAPBLUE-MP-5.033 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Whole Exome and Whole Genome Sequencing for Diagnosis of Genetic DisordersPayerPolicy · CAPBLUE-MP-2.324 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Whole Body Dual X-Ray Absorptiometry to Determine Body CompositionPayerPolicy · CAPBLUE-MP-5.037 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Vision TherapyPayerPolicy · CAPBLUE-MP-4.007 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Vertical Expandable Prosthetic Titanium RibPayerPolicy · CAPBLUE-MP-1.136 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Vertebral Fracture Assessment and Biochemical Computed Tomography (Formerly Vertebral Fracture Assessment and Trabecular Bone Score)PayerPolicy · CAPBLUE-MP-5.046 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Vertebral Axial DecompressionPayerPolicy · CAPBLUE-MP-2.065 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Vagus Nerve and Implantable Peripheral Nerve StimulatorsPayerPolicy · CAPBLUE-MP-1.034 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Use of Common Genetic Variants (Single Nucleotide Polymorphisms) to Predict Risk of Non-Familial Breast CancerPayerPolicy · CAPBLUE-MP-2.249 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Upper Limb ProsthesesPayerPolicy · CAPBLUE-MP-6.052 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Tumor Treating Fields TherapyPayerPolicy · CAPBLUE-MP-6.054 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Trigger Point and Tender Point InjectionsPayerPolicy · CAPBLUE-MP-2.072 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Focal Treatments for Prostate Cancer (Formerly Treatments of the Prostate (Focal, Water Vapor, Aquablation, and Hydrogel Spacer))PayerPolicy · CAPBLUE-MP-4.043 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Treatment of Varicose Veins - Venous InsufficiencyPayerPolicy · CAPBLUE-MP-1.061 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Transvaginal and Transurethral Radiofrequency Tissue Remodeling for Urinary Stress IncontinencePayerPolicy · CAPBLUE-MP-4.034 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Transmyocardial RevascularizationPayerPolicy · CAPBLUE-MP-1.057 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Transesophageal Endoscopic Therapies For Gastroesophageal Reflux Disease (Formerly Procedures For The Treatment Of Gastroesophageal Reflux Disease)PayerPolicy · CAPBLUE-MP-2.053 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Transcutaneous Electrical Nerve Stimulation and Transcutaneous Afferent Patterned StimulationPayerPolicy · CAPBLUE-MP-6.020 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Tibial Nerve StimulationPayerPolicy · CAPBLUE-MP-1.134 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Threshold Electrical Stimulation as a Treatment of Motor DisordersPayerPolicy · CAPBLUE-MP-6.046 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | ThermographyPayerPolicy · CAPBLUE-MP-5.017 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Thermal Capsulorrhaphy as a Treatment of Joint InstabilityPayerPolicy · CAPBLUE-MP-1.086 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Therapeutic Shoes for Persons with DiabetesPayerPolicy · CAPBLUE-MP-6.061 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Temporomandibular DisorderPayerPolicy · CAPBLUE-MP-2.062 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Temporarily Implanted Nitinol Device (iTind) for Benign Prostatic HyperplasiaPayerPolicy · CAPBLUE-MP-1.164 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Technologies for the Evaluation of Skin Lesions Suspected of MalignancyPayerPolicy · CAPBLUE-MP-2.066 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Synthetic Cartilage Implants for the First Metatarsophalangeal JointPayerPolicy · CAPBLUE-MP-1.160 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Surgical Treatment of Sleep Apnea and SnoringPayerPolicy · CAPBLUE-MP-1.128 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Surgical Ventricular RestorationPayerPolicy · CAPBLUE-MP-1.082 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Surgical Treatment of GynecomastiaPayerPolicy · CAPBLUE-MP-1.129 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Surgery for Groin Pain in AthletesPayerPolicy · CAPBLUE-MP-1.163 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Subtalar ArthroereisisPayerPolicy · CAPBLUE-MP-1.114 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Substance Use Disorder Site of ServicePayerPolicy · CAPBLUE-MP-4.052 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Subcutaneous Hormone Pellet ImplantsPayerPolicy · CAPBLUE-MP-2.345 | Criteria changed |
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| May 17, 2026 | Capital Blue Cross | Steroid-Eluting Sinus Stents and ImplantsPayerPolicy · CAPBLUE-MP-1.140 | Criteria changed |
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