Coverage policy updates

Policy changes Backwork has recorded, newest first. The most recent change on record is from October 2, 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

82,180 on record

Recorded policy changes, newest first
Recorded	Payer	Policy	Change
Sep 30, 2026	Humana	Bariatric SurgeryPayerPolicy · HUMANA-BARIATRIC-SURGERY-MA-EFF-20260202	Retired
Sep 30, 2026	AmeriHealth	Multiple Procedure Payment Reduction (MPPR) on Certain Diagnostic Services [AmeriHealth New Jersey]PayerPolicy · AMERIHEALTH-COMMERCIAL-00-01-60J-C5A901520B	Retired
Sep 30, 2026	AmeriHealth	Multiple Procedure Payment Reduction (MPPR) on Certain Diagnostic Services [AmeriHealth New Jersey]PayerPolicy · AMERIHEALTH-COMMERCIAL-00-01-90-NEW-JERSEY	New policy
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Nutritional CounselingPayerPolicy · BCBSVT-NUTRITIONAL-COUNSELING-BA1B1B4E78	Retired
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Cranial/Scalp/Wig ProsthesisPayerPolicy · BCBSVT-CRANIAL-SCALP-WIG-PROSTHESIS-737A5DE17A	Retired
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Use of Intravascular Ultrasound and Optical Coherence TomographyPayerPolicy · BCBSVT-USE-OF-INTRAVASCULAR-ULTRASOUND-AND-OPTICAL-COHE	Metadata changed
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Transcutaneous Electrical Nerve Stimulation (TENS)PayerPolicy · BCBSVT-TRANSCUTANEOUS-ELECTRICAL-NERVE-STIMULATION-TENS-FUTURE	New policy
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Transcranial Magnetic Stimulation as a Treatment of Depression and Other Psychiatric/Neurologic DisordersPayerPolicy · BCBSVT-TRANSCRANIAL-MAGNETIC-STIMULATION-AS-A-TREATMENT	Metadata changed
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Remote Electrical Neuromodulation for MigrainesPayerPolicy · BCBSVT-REMOTE-ELECTRICAL-NEUROMODULATION-FOR-MIGRAINES	New policy
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Percutaneous Electrical Nerve Field Stimulation for Functional Abdominal Pain DisordersPayerPolicy · BCBSVT-PERCUTANEOUS-ELECTRICAL-NERVE-FIELD-STIMULATION-FUTURE	New policy
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Pediatric Neurodevelopmental & Autism Spectrum Disorder (ASD) ScreeningPayerPolicy · BCBSVT-PEDIATRIC-NEURODEVELOPMENTAL-AUTISM-SPECTRUM-DIS-FUTURE	New policy
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Nutrient/Nutritional Panel Testing & Intracellular Micronutrient AnalysisPayerPolicy · BCBSVT-NUTRIENT-NUTRITIONAL-PANEL-TESTING-INTRACELLULAR	Metadata changed
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Noninvasive Radiologic Techniques for the Evaluation and Monitoring of Patients with Chronic Liver DiseasePayerPolicy · BCBSVT-NONINVASIVE-RADIOLOGIC-TECHNIQUES-FOR-THE-EVALUA	Metadata changed
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Negative Pressure Wound Therapy in the Outpatient SettingPayerPolicy · BCBSVT-NEGATIVE-PRESSURE-WOUND-THERAPY-IN-THE-OUTPATIEN-FUTURE	New policy
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Medical Food for Inherited Metabolic DiseasePayerPolicy · BCBSVT-MEDICAL-FOOD-FOR-INHERITED-METABOLIC-DISEASE	Metadata changed
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Light Therapy for Dermatologic ConditionsPayerPolicy · BCBSVT-LIGHT-THERAPY-FOR-DERMATOLOGIC-CONDITIONS	Metadata changed
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Investigational Services & ProceduresPayerPolicy · BCBSVT-INVESTIGATIONAL-SERVICES-PROCEDURES-FUTURE-2	New policy
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Drug Testing in Pain Management and Substance Use DisorderPayerPolicy · BCBSVT-DRUG-TESTING-IN-PAIN-MANAGEMENT-AND-SUBSTANCE-US-FUTURE	New policy
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Diagnosis and Management of Idiopathic Environmental Illness/Intolerance (IEI) (ie, Multiple Chemical Sensitivities)PayerPolicy · BCBSVT-DIAGNOSIS-AND-MANAGEMENT-OF-IDIOPATHIC-ENVIRONME	Metadata changed
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Dermatologic Applications of Photodynamic TherapyPayerPolicy · BCBSVT-DERMATOLOGIC-APPLICATIONS-OF-PHOTODYNAMIC-THERAP	Metadata changed
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Cochlear Implant and Implantable Bone Conduction Hearing AidsPayerPolicy · BCBSVT-COCHLEAR-IMPLANT-AND-IMPLANTABLE-BONE-CONDUCTION-FUTURE	New policy
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Clinical TrialsPayerPolicy · BCBSVT-CLINICAL-TRIALS-FUTURE	New policy
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Autologous Chondrocyte Transplantation or ImplantationPayerPolicy · BCBSVT-AUTOLOGOUS-CHONDROCYTE-TRANSPLANTATION-OR-IMPLAN-FUTURE	New policy
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Assays of Genetic Expression in Tumor Tissue as a Technique to Determine Prognosis in Patients with Breast CancerPayerPolicy · BCBSVT-ASSAYS-OF-GENETIC-EXPRESSION-IN-TUMOR-TISSUE-AS	Metadata changed
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Allergy Testing, including Selected Blood, Serum and Cellular Testing and Toxicity TestingPayerPolicy · BCBSVT-ALLERGY-TESTING-INCLUDING-SELECTED-BLOOD-SERUM-A-FUTURE	New policy
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Use of Intravascular Ultrasound and Optical Coherence TomographyPayerPolicy · BCBSVT-USE-OF-INTRAVASCULAR-ULTRASOUND-AND-OPTICAL-COHE-B9D9842222	Retired
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Transcranial Magnetic Stimulation as a Treatment of Depression and Other Psychiatric/Neurologic DisordersPayerPolicy · BCBSVT-TRANSCRANIAL-MAGNETIC-STIMULATION-AS-A-TREATMENT-2A12D3E0FE	Retired
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Single Photon Emission Computer Tomography (SPECT/CT) Imaging for the Evaluation of the SpinePayerPolicy · BCBSVT-SINGLE-PHOTON-EMISSION-COMPUTER-TOMOGRAPHY-SPECT-4366B62218	Retired
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Psychological and Neuropsychological TestingPayerPolicy · BCBSVT-PSYCHOLOGICAL-AND-NEUROPSYCHOLOGICAL-TESTING-9993203C87	Retired
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Nutrient/Nutritional Panel Testing & Intracellular Micronutrient AnalysisPayerPolicy · BCBSVT-NUTRIENT-NUTRITIONAL-PANEL-TESTING-INTRACELLULAR-B54B248DAC	Retired
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Noninvasive Radiologic Techniques for the Evaluation and Monitoring of Patients with Chronic Liver DiseasePayerPolicy · BCBSVT-NONINVASIVE-RADIOLOGIC-TECHNIQUES-FOR-THE-EVALUA-0DCB45410D	Retired
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Medical Food for Inherited Metabolic DiseasePayerPolicy · BCBSVT-MEDICAL-FOOD-FOR-INHERITED-METABOLIC-DISEASE-81B40419CE	Retired
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Light Therapy for Dermatologic ConditionsPayerPolicy · BCBSVT-LIGHT-THERAPY-FOR-DERMATOLOGIC-CONDITIONS-B36CF7B98A	Retired
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS)PayerPolicy · BCBSVT-DURABLE-MEDICAL-EQUIPMENT-PROSTHETICS-ORTHOTICS-BD53AADF17	Retired
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Diagnosis and Treatment of Sacroiliac Joint PainPayerPolicy · BCBSVT-DIAGNOSIS-AND-TREATMENT-OF-SACROILIAC-JOINT-PAIN-8AA06DFCEC	Retired
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Diagnosis and Management of Idiopathic Environmental Illness/Intolerance (IEI) (ie, Multiple Chemical Sensitivities)PayerPolicy · BCBSVT-DIAGNOSIS-AND-MANAGEMENT-OF-IDIOPATHIC-ENVIRONME-20E5996E0C	Retired
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Dermatologic Applications of Photodynamic TherapyPayerPolicy · BCBSVT-DERMATOLOGIC-APPLICATIONS-OF-PHOTODYNAMIC-THERAP-CB94AA49B1	Retired
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Dental Services for Accidental Injury, Gross Deformity, Head and Neck Cancers, and Congenital/Genetic DisordersPayerPolicy · BCBSVT-DENTAL-SERVICES-FOR-ACCIDENTAL-INJURY-GROSS-DEFO-87D1004546	Retired
Sep 30, 2026	Blue Cross and Blue Shield of Vermont	Assays of Genetic Expression in Tumor Tissue as a Technique to Determine Prognosis in Patients with Breast CancerPayerPolicy · BCBSVT-ASSAYS-OF-GENETIC-EXPRESSION-IN-TUMOR-TISSUE-AS-834365283B	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Removal of Implantable Devices, Effective 10/1/2026PayerPolicy · BCBSRI-REMOVAL-OF-IMPLANTABLE-DEVICES-EFFECTIVE-10-1-2026-CC17FBEF81	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Prior Authorization of Services, Treatments or Procedures, Effective 10/1/2026PayerPolicy · BCBSRI-PRIOR-AUTHORIZATION-OF-SERVICES-TREATMENTS-OR-PROCEDURES-EFF-94F7B480EA	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Removal of Implantable DevicesPayerPolicy · BCBSRI-REMOVAL-OF-IMPLANTABLE-DEVICES	Metadata changed
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Prior Authorization of Services, Treatments or ProceduresPayerPolicy · BCBSRI-PRIOR-AUTHORIZATION-OF-SERVICES-TREATMENTS-OR-PROCEDURES	Metadata changed
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Pharmacy – Post Claim Review MedicationsPayerPolicy · BCBSRI-PHARMACY-POST-CLAIM-REVIEW-MEDICATIONS	New policy
Sep 30, 2026	Independence Blue Cross	Reimbursement for Radiopharmaceutical AgentsPayerPolicy · IBX-MA-PPO-HOST-MA09-009AA-35A866E2E0	Retired
Sep 30, 2026	Independence Blue Cross	PPO Network Rules for Provision of Specialty Services for Durable Medical Equipment and Laboratory, Radiology, and Physical Medicine and Rehabilitative ServicesPayerPolicy · IBX-MA-PPO-HOST-MA00-010AV-5B5ACC3CE5	Retired
Sep 30, 2026	Independence Blue Cross	PPO Network Rules for Provision of Specialty Services for Durable Medical Equipment and Laboratory, Radiology, and Physical Medicine and Rehabilitative ServicesPayerPolicy · IBX-MA-PPO-HOST-MA00-010AV-EB6E418DB2	Retired
Sep 30, 2026	Independence Blue Cross	PPO Network Rules for Provision of Specialty Services for Durable Medical Equipment and Laboratory, Radiology, and Physical Medicine and Rehabilitative ServicesPayerPolicy · IBX-MA-PPO-HOST-MA00-010AV-95321AD519	Retired
Sep 30, 2026	Independence Blue Cross	Laboratory Services for Members Enrolled in Health Maintenance Organization (HMO) or Health Maintenance Organization Point-of-Service (HMO-POS) ProductsPayerPolicy · IBX-MA-PPO-HOST-MA00-030AK-66D9FE53FC	Retired
Sep 30, 2026	Independence Blue Cross	Bundled Procedure CodesPayerPolicy · IBX-MA-PPO-HOST-MA00-026AA-B1F21E6388	Retired