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 |
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| May 10, 2026 | Carelon Medical Benefits Management | Imaging of the ChestClinical Guideline · CARELON-IMAGING-OF-THE-CHEST | Criteria changed |
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| May 10, 2026 | Carelon Medical Benefits Management | Imaging of the Abdomen and PelvisClinical Guideline · CARELON-IMAGING-OF-THE-ABDOMEN-AND-PELVIS | Criteria changed |
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| May 10, 2026 | BlueCross BlueShield of Tennessee | Amivantamab and Hyaluronidase-lpuj (Rybrevant Faspro)PayerPolicy · BCBSTN-47283d87e6 | Criteria changed |
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| May 10, 2026 | BCBS Oklahoma | Uterus Transplantation for Absolute Uterine Factor InfertilityPayerPolicy · BCBSOK-OB402.035 | Criteria changed |
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| May 10, 2026 | BCBS Oklahoma | Tonic Motor Activation for Restless Legs SyndromePayerPolicy · BCBSOK-DME101.053 | Criteria changed |
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| May 10, 2026 | BCBS Oklahoma | Laboratory Testing Investigational ServicesPayerPolicy · BCBSOK-MED207.164 | Criteria changed |
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| May 10, 2026 | BCBS New Mexico | Uterus Transplantation for Absolute Uterine Factor InfertilityPayerPolicy · BCBSNM-OB402.035 | Criteria changed |
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| May 10, 2026 | BCBS New Mexico | Tonic Motor Activation for Restless Legs SyndromePayerPolicy · BCBSNM-DME101.053 | Criteria changed |
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| May 10, 2026 | BCBS New Mexico | Laboratory Testing Investigational ServicesPayerPolicy · BCBSNM-MED207.164 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Uterus Transplantation for Absolute Uterine Factor InfertilityPayerPolicy · BCBSMT-OB402.035 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Tonic Motor Activation for Restless Legs SyndromePayerPolicy · BCBSMT-DME101.053 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Laboratory Testing Investigational ServicesPayerPolicy · BCBSMT-MED207.164 | Criteria changed |
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| May 10, 2026 | BCBS Illinois | Uterus Transplantation for Absolute Uterine Factor InfertilityPayerPolicy · BCBSIL-OB402.035 | Criteria changed |
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| May 10, 2026 | BCBS Illinois | Tonic Motor Activation for Restless Legs SyndromePayerPolicy · BCBSIL-DME101.053 | Criteria changed |
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| May 10, 2026 | BCBS Illinois | Laboratory Testing Investigational ServicesPayerPolicy · BCBSIL-MED207.164 | Criteria changed |
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| May 10, 2026 | Carelon Medical Benefits Management | Sleep Disorder ManagementClinical Guideline · CARELON-sleep-disorder-management-2025-11-15-uc | Criteria changed |
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| May 10, 2026 | Regence BCBS | Wireless Capsule Endoscopy for Gastrointestinal (GI) DisordersPayerPolicy · REGENCE-RAD38 | Criteria changed |
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| May 10, 2026 | Regence BCBS | Whole Exome and Whole Genome SequencingPayerPolicy · REGENCE-GT76 | Criteria changed |
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| May 10, 2026 | Regence BCBS | Whole Body HyperthermiaPayerPolicy · REGENCE-MED15 | Criteria changed |
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| May 10, 2026 | Regence BCBS | Whole Body Dual X-ray Absorptiometry (DXA) to Determine Body CompositionPayerPolicy · REGENCE-RAD41 | Criteria changed |
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| May 10, 2026 | Regence BCBS | Whole Body CT ScreeningPayerPolicy · REGENCE-RAD40 | Criteria changed |
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| May 10, 2026 | Regence BCBS | Vitamin D TestingPayerPolicy · REGENCE-LAB52 | Criteria changed |
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| May 10, 2026 | Regence BCBS | Vestibular Evoked Myogenic Potential TestingPayerPolicy · REGENCE-MED169 | Criteria changed |
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| May 10, 2026 | Regence BCBS | Vertical Expandable Prosthetic Titanium RibPayerPolicy · REGENCE-SUR159 | Criteria changed |
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| May 10, 2026 | Regence BCBS | Vertebral Body Tethering and StaplingPayerPolicy · REGENCE-SUR232 | Criteria changed |
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| May 10, 2026 | Regence BCBS | Vertebral Axial DecompressionPayerPolicy · REGENCE-MED45 | Criteria changed |
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| May 10, 2026 | Regence BCBS | Ventricular Assist Devices and Total Artificial HeartsPayerPolicy · REGENCE-SUR52 | Criteria changed |
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| May 10, 2026 | Regence BCBS | Varicose Vein TreatmentPayerPolicy · REGENCE-SUR104 | Criteria changed |
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| May 10, 2026 | Regence BCBS | Vagus Nerve StimulationPayerPolicy · REGENCE-SUR74 | Criteria changed |
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| May 10, 2026 | Regence BCBS | Uterus TransplantPayerPolicy · REGENCE-TRA19 | Criteria changed |
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| May 10, 2026 | Regence BCBS | Urinary Biomarkers for Cancer Screening, Diagnosis, and SurveillancePayerPolicy · REGENCE-LAB72 | Criteria changed |
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| May 10, 2026 | Regence BCBS | Upper Extremity Rehabilitation System with Brain-Computer InterfacePayerPolicy · REGENCE-DME94 | Criteria changed |
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| May 10, 2026 | Regence BCBS | Ultrasound-Guided Percutaneous Needle Release for the Treatment of Carpal Tunnel SyndromePayerPolicy · REGENCE-SUR241 | Criteria changed |
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| May 10, 2026 | Regence BCBS | Ultrasound Guidance for Facet Joint InjectionPayerPolicy · REGENCE-SUR135 | Criteria changed |
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| May 10, 2026 | Regence BCBS | Ultrasonographic Measurement of Carotid Artery Intima-Media Thickness as an Assessment of AtherosclerosisPayerPolicy · REGENCE-RAD37 | Criteria changed |
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| May 10, 2026 | Regence BCBS | Ultrasonic Bone Growth Stimulators (Osteogenic Stimulation)PayerPolicy · REGENCE-DME83.12 | Criteria changed |
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| May 10, 2026 | Regence BCBS | Tumor Treatment Field TherapyPayerPolicy · REGENCE-DME85 | Criteria changed |
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| May 10, 2026 | Regence BCBS | Transesophageal Endoscopic Therapies for Gastroesophageal Reflux Disease (GERD)PayerPolicy · REGENCE-SUR110 | Criteria changed |
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| May 10, 2026 | Regence BCBS | Transcutaneous Electrical Modulation Pain ReprocessingPayerPolicy · REGENCE-MED143 | Criteria changed |
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| May 10, 2026 | Regence BCBS | Transcutaneous Bone-Conduction and Bone-Anchored Hearing AidsPayerPolicy · REGENCE-SUR121 | Criteria changed |
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| May 10, 2026 | Regence BCBS | Transcranial Magnetic Stimulation as a Treatment of Depression and Other DisordersPayerPolicy · REGENCE-MED148 | Criteria changed |
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| May 10, 2026 | Regence BCBS | Transcatheter Heart Valve Procedures for Mitral or Tricuspid Valve DisordersPayerPolicy · REGENCE-SUR221 | Criteria changed |
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| May 10, 2026 | Regence BCBS | Transcatheter Aortic Valve Implantation for Aortic StenosisPayerPolicy · REGENCE-SUR201 | Criteria changed |
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| May 10, 2026 | Regence BCBS | Transanal Hemorrhoidal DearterializationPayerPolicy · REGENCE-SUR219 | Criteria changed |
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| May 10, 2026 | Regence BCBS | Total Facet ArthroplastyPayerPolicy · REGENCE-SUR171 | Criteria changed |
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| May 10, 2026 | Regence BCBS | Topographic Genotyping to Classify Cancer RiskPayerPolicy · REGENCE-GT16 | Criteria changed |
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| May 10, 2026 | Regence BCBS | Threshold Electrical Stimulation as a Treatment of Motor DisordersPayerPolicy · REGENCE-DME83.05 | Criteria changed |
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| May 10, 2026 | Regence BCBS | ThermographyPayerPolicy · REGENCE-RAD17 | Criteria changed |
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| May 10, 2026 | Regence BCBS | Testosterone TestingPayerPolicy · REGENCE-LAB81 | Criteria changed |
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| May 10, 2026 | Regence BCBS | Targeted Phototherapy for the Treatment of PsoriasisPayerPolicy · REGENCE-MED98 | Criteria changed |
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