| May 17, 2026 | BlueCross BlueShield of Tennessee | Diagnosis and Treatment of Sacroiliac Joint PainPayerPolicy · BCBSTN-120579cc7e | Codes changed |
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| May 17, 2026 | BCBS Oklahoma | Transcatheter Mitral Valve Repair or ReplacementPayerPolicy · BCBSOK-SUR707.025 | Codes changed |
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| May 17, 2026 | BCBS Oklahoma | Transcatheter Arterial Chemoembolization to Treat Primary or Metastatic Liver MalignanciesPayerPolicy · BCBSOK-THE801.022 | Codes changed |
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| May 17, 2026 | BCBS Oklahoma | Transcatheter Aortic-Valve Implantation for Aortic StenosisPayerPolicy · BCBSOK-SUR707.028 | Codes changed |
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| May 17, 2026 | BCBS Oklahoma | Tibial Nerve StimulationPayerPolicy · BCBSOK-MED205.035 | Codes changed |
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| May 17, 2026 | BlueCross BlueShield of Tennessee | Ovarian Cancer Tumor MarkersPayerPolicy · BCBSTN-70fcddec50 | Codes changed |
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| May 17, 2026 | BCBS Oklahoma | Tests for Amniotic Protein to Detect Rupture of Membranes (ROM) in PregnancyPayerPolicy · BCBSOK-OB401.018 | Codes changed |
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| May 17, 2026 | BCBS Oklahoma | Testosterone Replacement TherapiesPayerPolicy · BCBSOK-RX501.076 | Codes changed |
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| May 17, 2026 | BCBS Oklahoma | Temporomandibular Joint DisordersPayerPolicy · BCBSOK-SUR705.010 | Codes changed |
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| May 17, 2026 | BCBS Oklahoma | Temporarily Implanted Nitinol Device (iTind) for Benign Prostatic HyperplasiaPayerPolicy · BCBSOK-MED201.025 | Codes changed |
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| May 17, 2026 | BCBS Oklahoma | Surgical Treatment of Femoroacetabular ImpingementPayerPolicy · BCBSOK-SUR705.029 | Codes changed |
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| May 17, 2026 | BCBS Oklahoma | Sublingual Immunotherapy as a Technique of Allergen-Specific TherapyPayerPolicy · BCBSOK-MED206.006 | Codes changed |
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| May 17, 2026 | BCBS Oklahoma | Spinal Cord Stimulation (SCS) and Dorsal Root Ganglion (DRG) StimulationPayerPolicy · BCBSOK-SUR712.009 | Codes changed |
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| May 17, 2026 | BCBS Oklahoma | Specialty Medication Administration Site of CarePayerPolicy · BCBSOK-ADM1001.034 | Codes changed |
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| May 17, 2026 | BCBS Oklahoma | Sleep Related Breathing Disorders: Surgical ManagementPayerPolicy · BCBSOK-SUR706.009 | Codes changed |
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| May 17, 2026 | BCBS Oklahoma | Sacral Nerve Neuromodulation/StimulationPayerPolicy · BCBSOK-SUR710.018 | Codes changed |
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| May 17, 2026 | BCBS Oklahoma | Rituximab and Biosimilars for Non-Oncologic IndicationsPayerPolicy · BCBSOK-RX502.030 | Codes changed |
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| May 17, 2026 | BlueCross BlueShield of Tennessee | ActigraphyPayerPolicy · BCBSTN-81b2fc03bc | Codes changed |
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| May 17, 2026 | BlueCross BlueShield of Tennessee | Tocilizumab (Actemra); Tocilizumab-anoh (Avtozma); Tocilizumab-bavi (Tofidence); Tocilizumab-aazg (Tyenne)PayerPolicy · BCBSTN-78d84e19bb | Codes changed |
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| May 17, 2026 | BCBS Oklahoma | Reproductive Techniques and Immunotherapy for Recurrent Fetal LossPayerPolicy · BCBSOK-OB402.023 | Codes changed |
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| May 17, 2026 | BCBS Oklahoma | Renal Denervation for Uncontrolled HypertensionPayerPolicy · BCBSOK-SUR701.030 | Codes changed |
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| May 17, 2026 | BCBS Oklahoma | Remote Electrical Neuromodulation for MigrainesPayerPolicy · BCBSOK-SUR701.046 | Codes changed |
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| May 17, 2026 | BCBS Oklahoma | Reconstructive Breast Surgery/Management of Breast ImplantsPayerPolicy · BCBSOK-SUR716.009 | Codes changed |
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| May 17, 2026 | BCBS Oklahoma | Ravulizumab-cwvzPayerPolicy · BCBSOK-RX501.107 | Codes changed |
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| May 17, 2026 | BlueCross BlueShield of Tennessee | Abbreviated Daytime Sleep Study (e.g. PAP-NAP)PayerPolicy · BCBSTN-07e665322d | Codes changed |
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| May 17, 2026 | BCBS Oklahoma | Ranibizumab Injections, Implants and BiosimilarsPayerPolicy · BCBSOK-OTH903.041 | Codes changed |
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| May 17, 2026 | BCBS Oklahoma | Radiofrequency Ablation of Miscellaneous Solid Tumors Excluding Liver TumorsPayerPolicy · BCBSOK-SUR701.021 | Codes changed |
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| May 17, 2026 | BCBS Oklahoma | Radiofrequency Ablation (RFA) of Primary or Metastatic Liver TumorsPayerPolicy · BCBSOK-SUR709.029 | Codes changed |
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| May 17, 2026 | BCBS Oklahoma | Radioembolization for Primary and Metastatic Tumors of the LiverPayerPolicy · BCBSOK-RAD601.047 | Codes changed |
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| May 17, 2026 | Carelon Medical Benefits Management | Febrile Neutropenia RiskClinical Guideline · CARELON-febrile-neutropenia-risk | Codes changed |
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| May 17, 2026 | BCBS Oklahoma | Postsurgical Home Use of Limb Compression Devices for Venous Thromboembolism ProphylaxisPayerPolicy · BCBSOK-MED202.073 | Codes changed |
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| May 17, 2026 | Carelon Medical Benefits Management | Proton Beam TherapyClinical Guideline · CARELON-PROTON-BEAM-THERAPY | Codes changed |
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| May 17, 2026 | BCBS Oklahoma | Photodynamic Therapy for Choroidal NeovascularizationPayerPolicy · BCBSOK-OTH903.015 | Codes changed |
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| May 17, 2026 | Carelon Medical Benefits Management | Whole Exome Sequencing and Whole Genome SequencingClinical Guideline · CARELON-whole-exome-sequencing-and-whole-genome-sequencing-2025-07-26-updated-10-01 | Codes changed |
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| May 17, 2026 | BCBS Oklahoma | Percutaneous Revascularization Procedures for Lower Extremity Peripheral Arterial DiseasePayerPolicy · BCBSOK-SUR707.034 | Codes changed |
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| May 17, 2026 | Carelon Medical Benefits Management | Somatic Tumor TestingClinical Guideline · CARELON-somatic-tumor-testing-2024-11-17-updated-2025-01-01 | Codes changed |
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| May 17, 2026 | BCBS Oklahoma | Percutaneous Left Atrial Appendage Closure Devices for Stroke Prevention in Atrial FibrillationPayerPolicy · BCBSOK-SUR701.009 | Codes changed |
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| May 17, 2026 | Carelon Medical Benefits Management | Prenatal Screening Using Cell Free DnaClinical Guideline · CARELON-prenatal-screening-using-cell-free-dna-2025-09-20 | Codes changed |
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| May 17, 2026 | BCBS Oklahoma | Percutaneous Electrical Nerve Stimulation, Percutaneous Neuromodulation Therapy, and Restorative Neurostimulation TherapyPayerPolicy · BCBSOK-MED205.032 | Codes changed |
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| May 17, 2026 | Carelon Medical Benefits Management | Predictive and Prognostic Polygenic TestingClinical Guideline · CARELON-predictive-and-prognostic-polygenic-testing-2024-10-20-updated-2026-01-01 | Codes changed |
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| May 17, 2026 | BCBS Oklahoma | Percutaneous Electrical Nerve Field Stimulation for Irritable Bowel SyndromePayerPolicy · BCBSOK-MED201.055 | Codes changed |
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| May 17, 2026 | Carelon Medical Benefits Management | Pharmacogenomic TestingClinical Guideline · CARELON-pharmacogenomic-testing-2025-07-26 | Codes changed |
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| May 17, 2026 | Carelon Medical Benefits Management | Pharmacogenetic TestingClinical Guideline · CARELON-pharmacogenetic-testing-2025-11-15-updated-2026-01-01 | Codes changed |
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| May 17, 2026 | BCBS Oklahoma | Outpatient Pulmonary RehabilitationPayerPolicy · BCBSOK-THE803.025 | Codes changed |
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| May 17, 2026 | Carelon Medical Benefits Management | Hereditary Cancer TestingClinical Guideline · CARELON-hereditary-cancer-testing-2025-03-23-updated-2026-01-01-2 | Codes changed |
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| May 17, 2026 | Carelon Medical Benefits Management | Genetic Testing for Inherited ConditionsClinical Guideline · CARELON-genetic-testing-for-inherited-conditions-2024-06-30-updated-01-20-2025 | Codes changed |
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| May 17, 2026 | Carelon Medical Benefits Management | Genetic Liquid Biopsy in the Management of Cancer and Cancer SurveillanceClinical Guideline · CARELON-genetic-liquid-biopsy-in-the-management-of-cancer-and-cancer-surveillance-2025-11-15-updated-2026-01-01 | Codes changed |
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| May 17, 2026 | Carelon Medical Benefits Management | Chromosomal Microarray AnalysisClinical Guideline · CARELON-chromosomal-microarray-analysis-2025-07-26-updated-2026-01-01 | Codes changed |
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| May 17, 2026 | BCBS Oklahoma | Oncology MedicationsPayerPolicy · BCBSOK-RX502.061 | Codes changed |
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| May 17, 2026 | Carelon Medical Benefits Management | Cell Free Dna Testing Liquid Biopsy for the Management of CancerClinical Guideline · CARELON-cell-free-dna-testing-liquid-biopsy-for-the-management-of-cancer-2024-11-17-updated-2025-10-01-2 | Codes changed |
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