Coverage policy updates

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.

Recorded changes

86,510 on record

Recorded policy changes, newest first
Recorded	Payer	Policy	Change
May 13, 2026	Blue Shield of California	Sacroiliac Joint InjectionsPayerPolicy · BSCA-Sacroiliac-Joint-Injections	New policy
May 13, 2026	Blue Shield of California	Sacral Nerve Neuromodulation/StimulationPayerPolicy · BSCA-Sacral-Nerve-Neuromodulation-Stimulation	New policy
May 13, 2026	Blue Shield of California	Risk-Reducing MastectomyPayerPolicy · BSCA-Risk-Reducing-Mastectomy	New policy
May 13, 2026	Blue Shield of California	Rib Remodeling and Clavicle ShorteningPayerPolicy · BSCA-Rib-Remodeling-Clavicle-Shortening	New policy
May 13, 2026	Blue Shield of California	Responsive Neurostimulation for the Treatment of Refractory Focal EpilepsyPayerPolicy · BSCA-Responsive-Neurostimulation-TX-Refractory-Focal-Epilepsy	New policy
May 13, 2026	Blue Shield of California	Reproductive TechniquesPayerPolicy · BSCA-Reproductive-Techniques	New policy
May 13, 2026	Blue Shield of California	Renal Denervation for Uncontrolled HypertensionPayerPolicy · BSCA-Renal-Denervation-Uncontrolled-Hypertension	New policy
May 13, 2026	Blue Shield of California	Remote Electrical Neuromodulation for MigrainesPayerPolicy · BSCA-Remote-Electrical-Neuromodulation-Migraines	New policy
May 13, 2026	Blue Shield of California	Reduction Mammaplasty for Breast-Related SymptomsPayerPolicy · BSCA-Reduction-Mammaplasty-Breast-Related-Symptoms	New policy
May 13, 2026	Blue Shield of California	Reconstructive ServicesPayerPolicy · BSCA-Reconstructive-Services	New policy
May 13, 2026	Blue Shield of California	Reconstructive Breast Surgery/Management of Breast ImplantsPayerPolicy · BSCA-Reconstructive-Breast-Surgery-Mng-Breast-Implants	New policy
May 13, 2026	Blue Shield of California	Radiofrequency Volumetric Tissue Reduction for Nasal ObstructionPayerPolicy · BSCA-Radiofrequency-Volumetric-Tissue-Reduct-Nasal-Obstruction	New policy
May 13, 2026	Blue Shield of California	Radiofrequency Coblation Tenotomy for Musculoskeletal ConditionsPayerPolicy · BSCA-Radio-Coblation-Tenotomy-Musculoskeletal-Conditions	New policy
May 13, 2026	Blue Shield of California	Radiofrequency Ablation of Primary or Metastatic Liver TumorsPayerPolicy · BSCA-Radiofrequency-Ablation-Primary-Metastatic-Liver-Tumors	New policy
May 13, 2026	Blue Shield of California	Radiofrequency Ablation of Miscellaneous Solid Tumors Excluding Liver TumorsPayerPolicy · BSCA-Radiofrequency-Ablation-Misc-Solid-Tumors-Excluding-Liver-Tumors	New policy
May 13, 2026	Blue Shield of California	Quantitative Sensory TestingPayerPolicy · BSCA-Quantitative-Sensory-Testing	New policy
May 13, 2026	Blue Shield of California	Quantitative Electroencephalography as a Diagnostic Aid for Attention-Deficit/Hyperactivity Disorder, Cognitive Impairment, or Autism Spectrum DisorderPayerPolicy · BSCA-Quantitative-Electroencephalography-DX-Aid-ADHD	New policy
May 13, 2026	Blue Shield of California	Proteomic Testing for Targeted Therapy in Non-Small-Cell Lung CancerPayerPolicy · BSCA-Proteomic-Testing-Targeted-Therapy-Non-Small-Cell-Lung-Cancer	New policy
May 13, 2026	Blue Shield of California	Proteogenomic Testing for Patients With CancerPayerPolicy · BSCA-Proteogenomic-Testing-Patients-With-Cancer	New policy
May 13, 2026	Blue Shield of California	Prostatic Urethral LiftPayerPolicy · BSCA-Prostatic-Urethral-Lift	New policy
May 13, 2026	Blue Shield of California	ProlotherapyPayerPolicy · BSCA-Prolotherapy	New policy
May 13, 2026	Blue Shield of California	Preimplantation Genetic TestingPayerPolicy · BSCA-Preimplantation-Genetic-Testing	New policy
May 13, 2026	Blue Shield of California	Powered Exoskeleton for Ambulation in Patients With Lower-Limb DisabilitiesPayerPolicy · BSCA-Powered-Exoskeleton-Ambulation-Patients-Lower-Limb-Disabilities	New policy
May 13, 2026	Blue Shield of California	Power Wheelchairs and Power Operated Vehicles for Permanent UsePayerPolicy · BSCA-Power-Wheelchairs-Power-Operated-Vehicles-Permanent-Use	New policy
May 13, 2026	Blue Shield of California	Power Morcellation for the Treatment of Uterine FibroidsPayerPolicy · BSCA-Power-Morcellation-TX-Uterine-Fibroids	New policy
May 13, 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	New policy
May 13, 2026	Blue Shield of California	Polysomnography for Non-Respiratory Sleep DisordersPayerPolicy · BSCA-Polysomnography-Non-Respiratory-Sleep-Disorders	New policy
May 13, 2026	Blue Shield of California	Plugs for Anal Fistula RepairPayerPolicy · BSCA-Plugs-Anal-Fistula-Repair	New policy
May 13, 2026	Blue Shield of California	Physical TherapyPayerPolicy · BSCA-Physical-Therapy	New policy
May 13, 2026	Blue Shield of California	Phrenic Nerve Stimulation For Central Sleep ApneaPayerPolicy · BSCA-Phrenic-Nerve-Stimulation-Central-Sleep-Apnea	New policy
May 13, 2026	Blue Shield of California	Photodynamic Therapy for Choroidal NeovascularizationPayerPolicy · BSCA-Photodynamic-Therapy-Choroidal-Neovascularization	New policy
May 13, 2026	Blue Shield of California	Pharmacogenetic Testing for Pain ManagementPayerPolicy · BSCA-Pharmacogenetic-Testing-Pain-Management	New policy
May 13, 2026	Blue Shield of California	Personalized Breast Cancer Screening Clinical TrialPayerPolicy · BSCA-Personalized-Breast-Cancer-Screening-Clinical-Trial	New policy
May 13, 2026	Blue Shield of California	Peroral Endoscopic Myotomy for Treatment of Esophageal Achalasia and GastroparesisPayerPolicy · BSCA-Peroral-Endoscopic-Myotomy-TX-Esophageal-Achalasia-Gastroparesis	New policy
May 13, 2026	Blue Shield of California	Periureteral Bulking Agents as a Treatment of Vesicoureteral RefluxPayerPolicy · BSCA-Periureteral-Bulking-Agents-TX-Vesicoureteral-Reflux	New policy
May 13, 2026	Blue Shield of California	Peripheral Subcutaneous Field StimulationPayerPolicy · BSCA-Peripheral-Subcutaneous-Field-Stimulation	New policy
May 13, 2026	Blue Shield of California	Peripheral Nerve Injury Repair Using Synthetic Conduits or Processed Nerve AllograftsPayerPolicy · BSCA-Peripheral-Nerve-Injury-Repair-Synthetic-Conduits	New policy
May 13, 2026	Blue Shield of California	Percutaneous Revascularization Procedures for Lower Extremity Peripheral Arterial DiseasePayerPolicy · BSCA-Perc-Revascularization-Lower-Extremity-Peripheral-Arterial	New policy
May 13, 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	New policy
May 13, 2026	Blue Shield of California	Percutaneous Electrical Nerve Stimulation, Percutaneous Neuromodulation Therapy, and Restorative Neurostimulation TherapyPayerPolicy · BSCA-Perc-Electrical-Nerve-Stim-Percutaneous-Neuromodulation-Therapy	New policy
May 13, 2026	Blue Shield of California	Percutaneous Electrical Nerve Field Stimulation for Irritable Bowel SyndromePayerPolicy · BSCA-Perc-Electrical-Nerve-Field-Stim-Irritable-Bowel-Syndrome	New policy
May 13, 2026	Blue Shield of California	Pelvic Floor Stimulation as a Treatment of Urinary and Fecal IncontinencePayerPolicy · BSCA-Pelvic-Floor-Stimulation-Treatment-Urinary-Fecal-Incontinence	New policy
May 13, 2026	Blue Shield of California	Patient-Controlled End Range of Motion Stretching DevicesPayerPolicy · BSCA-Patient-Controlled-End-Range-Motion-Stretching-Devices	New policy
May 13, 2026	Blue Shield of California	Partial Thickness Rotator Cuff Tears and Acromioplasty/Subacromial DecompressionPayerPolicy · BSCA-Partial-Thickness-Rotator-Cuff-Tears-Acromioplasty-Subacromial-Decompression	New policy
May 13, 2026	Blue Shield of California	Paravertebral Facet Joint Injections or BlocksPayerPolicy · BSCA-Paravertebral-Facet-Joint-Injections-Blocks	New policy
May 13, 2026	Blue Shield of California	Paraspinal Surface Electromyography to Evaluate and Monitor Back PainPayerPolicy · BSCA-Paraspinal-Surface-Electromyography-Evaluate-Monitor-Back-Pain	New policy
May 13, 2026	Blue Shield of California	Panniculectomy, Abdominoplasty, and Surgical Management of Diastasis RectiPayerPolicy · BSCA-Panniculectomy-Abdominoplasty-Surgical-Management-Diastasis-Recti	New policy
May 13, 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	New policy
May 13, 2026	Blue Shield of California	Outpatient Pulmonary RehabilitationPayerPolicy · BSCA-Outpatient-Pulmonary-Rehabilitation	New policy
May 13, 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	New policy