Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Recorded changes
86,510 on record
Recorded policy changes, newest first| Recorded | Payer | Policy | Change |
|---|
| May 17, 2026 | BCBS New Mexico | Renal Denervation for Uncontrolled HypertensionPayerPolicy · BCBSNM-SUR701.030 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Remote Electrical Neuromodulation for MigrainesPayerPolicy · BCBSNM-SUR701.046 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | RemdesivirPayerPolicy · BCBSNM-RX501.130 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Reduction Mammaplasty for Breast-Related SymptomsPayerPolicy · BCBSNM-SUR716.012 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Reconstructive Breast Surgery/Management of Breast ImplantsPayerPolicy · BCBSNM-SUR716.009 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Reconstructive Breast SurgeryPayerPolicy · BCBSNM-SUR716.011 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Recombinant and Autologous Platelet-Derived Growth Factors for Wound Healing and Other Non-Orthopedic ConditionsPayerPolicy · BCBSNM-RX501.034 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Ravulizumab-cwvzPayerPolicy · BCBSNM-RX501.107 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Ranibizumab Injections, Implants and BiosimilarsPayerPolicy · BCBSNM-OTH903.041 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Radiofrequency Volumetric Tissue Reduction for Nasal ObstructionPayerPolicy · BCBSNM-SUR706.001 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Radiofrequency Energy Therapy for Stress Urinary IncontinencePayerPolicy · BCBSNM-SUR710.021 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Radiofrequency Ablation of Miscellaneous Solid Tumors Excluding Liver TumorsPayerPolicy · BCBSNM-SUR701.021 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Radiofrequency Ablation (RFA) of Primary or Metastatic Liver TumorsPayerPolicy · BCBSNM-SUR709.029 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Radioembolization for Primary and Metastatic Tumors of the LiverPayerPolicy · BCBSNM-RAD601.047 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Quantitative Sensory TestingPayerPolicy · BCBSNM-MED205.030 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Quantitative Electroencephalography as a Diagnostic Aid for Attention-Deficit/Hyperactivity Disorder, Cognitive Impairment, or Autism Spectrum DisorderPayerPolicy · BCBSNM-MED205.040 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Prostatic Urethral LiftPayerPolicy · BCBSNM-SUR710.023 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | ProlotherapyPayerPolicy · BCBSNM-MED201.013 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Progenitor Cell Therapy for the Treatment of Damaged Myocardium Due to IschemiaPayerPolicy · BCBSNM-SUR703.027 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Pozelimab-bbfgPayerPolicy · BCBSNM-RX501.182 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Powered Exoskeleton for Ambulation in Patients With Lower-Limb DisabilitiesPayerPolicy · BCBSNM-DME103.008 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Postsurgical Home Use of Limb Compression Devices for Venous Thromboembolism ProphylaxisPayerPolicy · BCBSNM-MED202.073 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Polysomnography for Non-Respiratory Sleep DisordersPayerPolicy · BCBSNM-MED201.049 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Plugs for Anal Fistula RepairPayerPolicy · BCBSNM-SUR709.032 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Physical Therapy (PT) and Occupational Therapy (OT) ServicesPayerPolicy · BCBSNM-THE803.010 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Phrenic Nerve Stimulation for Central Sleep ApneaPayerPolicy · BCBSNM-SUR701.042 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Phototherapeutic KeratectomyPayerPolicy · BCBSNM-SUR713.023 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Photodynamic Therapy for Choroidal NeovascularizationPayerPolicy · BCBSNM-OTH903.015 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Periureteral Bulking Agents as a Treatment of Vesicoureteral Reflux (VUR)PayerPolicy · BCBSNM-SUR710.022 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Peripheral Subcutaneous Field StimulationPayerPolicy · BCBSNM-MED205.036 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Percutaneous Revascularization Procedures for Lower Extremity Peripheral Arterial DiseasePayerPolicy · BCBSNM-SUR707.034 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Percutaneous Left Atrial Appendage Closure Devices for Stroke Prevention in Atrial FibrillationPayerPolicy · BCBSNM-SUR701.009 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Percutaneous Intradiscal Electrothermal Annuloplasty, Radiofrequency Annuloplasty, and BiacuplastyPayerPolicy · BCBSNM-SUR712.023 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Percutaneous Electrical Nerve Stimulation, Percutaneous Neuromodulation Therapy, and Restorative Neurostimulation TherapyPayerPolicy · BCBSNM-MED205.032 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Percutaneous Electrical Nerve Field Stimulation for Irritable Bowel SyndromePayerPolicy · BCBSNM-MED201.055 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Pelvic Floor Stimulation as a Treatment of Urinary or Fecal IncontinencePayerPolicy · BCBSNM-DME101.037 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | PegloticasePayerPolicy · BCBSNM-RX501.120 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Patient-Specific Instrumentation (e.g., Cutting Guides) for Joint ArthroplastyPayerPolicy · BCBSNM-SUR705.037 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Outpatient Pulmonary RehabilitationPayerPolicy · BCBSNM-THE803.025 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Orthoptics (Vergence/Accommodative Therapy), Visual Exercises or TrainingPayerPolicy · BCBSNM-OTH903.012 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Orthopedic Applications of Stem Cell Therapy (Including Allografts and Bone Substitutes Used with Autologous Bone Marrow)PayerPolicy · BCBSNM-SUR703.051 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Orthopedic Applications of Platelet-Rich PlasmaPayerPolicy · BCBSNM-RX501.101 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Orthognathic SurgeryPayerPolicy · BCBSNM-SUR705.030 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Organ and Tissue Transplantation (General Donor and Recipient Information)PayerPolicy · BCBSNM-SUR703.001 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Optical Coherence Tomography of the Anterior Eye SegmentPayerPolicy · BCBSNM-OTH903.021 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Ophthalmologic Techniques That Evaluate the Posterior Segment for GlaucomaPayerPolicy · BCBSNM-OTH903.022 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Oncology MedicationsPayerPolicy · BCBSNM-RX502.061 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Oncologic Applications of Photodynamic Therapy, Including Barrett EsophagusPayerPolicy · BCBSNM-THE801.029 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | Onasemnogene abeparvovec-xioiPayerPolicy · BCBSNM-RX501.104 | Criteria changed |
|---|
| May 17, 2026 | BCBS New Mexico | OmalizumabPayerPolicy · BCBSNM-RX501.058 | Criteria changed |
|---|