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 | Independence Blue Cross | Wound Care: Skin Substitutes for the Treatment of Burns and Chronic, Non-Healing WoundsPayerPolicy · IBX-MEDICARE-ADVANTAGE-MA11-015AG-DA1171A28A | Retired |
|---|
| Sep 30, 2026 | Independence Blue Cross | Reimbursement for Radiopharmaceutical AgentsPayerPolicy · IBX-MEDICARE-ADVANTAGE-MA09-009AA-9332D7A55D | Retired |
|---|
| Sep 30, 2026 | Independence Blue Cross | Preventive Care ServicesPayerPolicy · IBX-MEDICARE-ADVANTAGE-MA00-003AH-2B334B660F | 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-MEDICARE-ADVANTAGE-MA00-010AV-527C0CC5C1 | 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-MEDICARE-ADVANTAGE-MA00-010AV-CBEA5340F8 | Retired |
|---|
| Sep 30, 2026 | Independence Blue Cross | Molecular DiagnosticsPayerPolicy · IBX-MEDICARE-ADVANTAGE-MA06-017AA-F524CC52A9 | Retired |
|---|
| Sep 30, 2026 | Independence Blue Cross | Medicare Part B vs. Part D Crossover DrugsPayerPolicy · IBX-MEDICARE-ADVANTAGE-MA08-007AW-37ED65726B | 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-MEDICARE-ADVANTAGE-MA00-030AK-AC83E9683E | Retired |
|---|
| Sep 30, 2026 | Independence Blue Cross | High-Technology Radiology ServicesPayerPolicy · IBX-MEDICARE-ADVANTAGE-MA09-002AH-74FD99EFFA | Retired |
|---|
| Sep 30, 2026 | Independence Blue Cross | Experimental/Investigational ServicesPayerPolicy · IBX-MEDICARE-ADVANTAGE-MA00-005AT-C853E690C6 | Retired |
|---|
| Sep 30, 2026 | Independence Blue Cross | Bundled Procedure CodesPayerPolicy · IBX-MEDICARE-ADVANTAGE-MA00-026AA-49676FE50F | Retired |
|---|
| Sep 30, 2026 | Independence Blue Cross | Wound Care: Skin Substitutes for the Treatment of Burns and Chronic, Non-Healing WoundsPayerPolicy · IBX-COMMERCIAL-11-08-20AS-5B16B589B1 | Retired |
|---|
| Sep 30, 2026 | Independence Blue Cross | Sleep Disorder Testing and Positive Airway Pressure Therapy Services and SuppliesPayerPolicy · IBX-COMMERCIAL-07-03-05AB-BB7C0BDB6F | Retired |
|---|
| Sep 30, 2026 | Independence Blue Cross | Services Paid Above Capitation for Health Maintenance Organization (HMO) and Health Maintenance Organization Point-of-Service (HMO-POS) Primary Care ProvidersPayerPolicy · IBX-COMMERCIAL-00-10-01AN-7FAFE94057 | Retired |
|---|
| Sep 30, 2026 | Independence Blue Cross | Self-Administered Drugs and BiologicsPayerPolicy · IBX-COMMERCIAL-08-00-78AX-8845E90EE6 | Retired |
|---|
| Sep 30, 2026 | Independence Blue Cross | Routine/Non-routine VaccinesPayerPolicy · IBX-COMMERCIAL-08-01-04AJ-C0133A4CD9 | Retired |
|---|
| Sep 30, 2026 | Independence Blue Cross | Rituximab (Rituxan) Infusion and Related Biosimilars, and Rituximab/Hyaluronidase Human for Subcutaneous Injection (Rituxan Hycela)PayerPolicy · IBX-COMMERCIAL-08-00-50AF-C912D250F8 | Retired |
|---|
| Sep 30, 2026 | Independence Blue Cross | Reimbursement for Radiopharmaceutical AgentsPayerPolicy · IBX-COMMERCIAL-09-00-32AL-9B54531E0C | Retired |
|---|
| Sep 30, 2026 | Independence Blue Cross | Reconstructive Breast Surgery and Post-Mastectomy ProsthesesPayerPolicy · IBX-COMMERCIAL-11-08-15AD-E5C9A7561F | Retired |
|---|
| Sep 30, 2026 | Independence Blue Cross | Preventive Care ServicesPayerPolicy · IBX-COMMERCIAL-00-06-02AZ-DDFED56970 | 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-COMMERCIAL-00-01-25BU-378CC1E8C5 | 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-COMMERCIAL-00-01-25BT-E8C43924DA | Retired |
|---|
| Sep 30, 2026 | Independence Blue Cross | Modifier 62: Two SurgeonsPayerPolicy · IBX-COMMERCIAL-00-10-11AB-CCCE323449 | Retired |
|---|
| Sep 30, 2026 | Independence Blue Cross | Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other ServicePayerPolicy · IBX-COMMERCIAL-03-00-06AE-B4AF5C873C | 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-COMMERCIAL-00-03-07AS-FD86FE5065 | Retired |
|---|
| Sep 30, 2026 | Independence Blue Cross | Intravitreal Injection of Vascular Endothelial Growth Factor (VEGF) Antagonists, VEGF Biosimilars, and Combination VEGF/Angiopoietin-2 (Ang-2) InhibitorsPayerPolicy · IBX-COMMERCIAL-08-00-74AC-04AF371E67 | Retired |
|---|
| Sep 30, 2026 | Independence Blue Cross | Immune Globulin Intravenous (IVIG), Subcutaneous (SCIG)PayerPolicy · IBX-COMMERCIAL-08-00-13AO-68CBFF4879 | Retired |
|---|
| Sep 30, 2026 | Independence Blue Cross | High-Technology Radiology ServicesPayerPolicy · IBX-COMMERCIAL-09-00-46AW-F6DFDAAA7C | Retired |
|---|
| Sep 30, 2026 | Independence Blue Cross | Hematopoietic Stem Cell TransplantationPayerPolicy · IBX-COMMERCIAL-11-07-01AC-3F45305192 | Retired |
|---|
| Sep 30, 2026 | Independence Blue Cross | Genetic Testing (Independence Administrators)PayerPolicy · IBX-COMMERCIAL-06-02-35AO-99F361E037 | Retired |
|---|
| Sep 30, 2026 | Independence Blue Cross | Experimental/Investigational ServicesPayerPolicy · IBX-COMMERCIAL-12-01-01BU-BC29B59C40 | Retired |
|---|
| Sep 30, 2026 | Independence Blue Cross | eviCore Lab Management (Independence)PayerPolicy · IBX-COMMERCIAL-06-02-52AN-536913BE57 | Retired |
|---|
| Sep 30, 2026 | Independence Blue Cross | Durable Medical Equipment (DME) and Consumable Medical SuppliesPayerPolicy · IBX-COMMERCIAL-05-00-21AI-A7B57A91DD | Retired |
|---|
| Sep 30, 2026 | Independence Blue Cross | Diagnostic Radiology Services Included in CapitationPayerPolicy · IBX-COMMERCIAL-00-03-02AF-4188520175 | Retired |
|---|
| Sep 30, 2026 | Independence Blue Cross | Coagulation FactorsPayerPolicy · IBX-COMMERCIAL-08-00-92AK-05DBF15A3D | Retired |
|---|
| Sep 30, 2026 | Independence Blue Cross | Bundled Procedure CodesPayerPolicy · IBX-COMMERCIAL-00-01-52AB-EA8079987D | Retired |
|---|
| Sep 30, 2026 | Independence Blue Cross | Brachytherapy and Accelerated Whole Breast Irradiation using Three-Dimensional Conformation Radiation Therapy (Independence Administrators)PayerPolicy · IBX-COMMERCIAL-09-00-10AA-75477E1E28 | Retired |
|---|
| Sep 30, 2026 | Independence Blue Cross | Botulinum Toxin AgentsPayerPolicy · IBX-COMMERCIAL-08-00-26AF-4AD42BB08F | Retired |
|---|
| Sep 30, 2026 | Independence Blue Cross | Reimbursement for Radiopharmaceutical AgentsPayerPolicy · IBX-MA-PPO-HOST-MA09-009 | New policy |
|---|
| Sep 30, 2026 | Independence Blue Cross | Psychiatric Collaborative Care Management (CoCM)PayerPolicy · IBX-MA-PPO-HOST-MA00-052 | New policy |
|---|
| 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-MA00-010 | New policy |
|---|
| 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-MA00-030 | New policy |
|---|
| Sep 30, 2026 | Independence Blue Cross | Bundled Procedure CodesPayerPolicy · IBX-MA-PPO-HOST-MA00-026 | New policy |
|---|
| Sep 30, 2026 | Independence Blue Cross | Wound Care: Skin Substitutes for the Treatment of Burns and Chronic, Non-Healing WoundsPayerPolicy · IBX-MEDICARE-ADVANTAGE-MA11-015 | New policy |
|---|
| Sep 30, 2026 | Independence Blue Cross | Ustekinumab for Intravenous InfusionPayerPolicy · IBX-MEDICARE-ADVANTAGE-MA08-042 | Metadata changed |
|---|
| Sep 30, 2026 | Independence Blue Cross | Reimbursement for Radiopharmaceutical AgentsPayerPolicy · IBX-MEDICARE-ADVANTAGE-MA09-009 | New policy |
|---|
| Sep 30, 2026 | Independence Blue Cross | Preventive Care ServicesPayerPolicy · IBX-MEDICARE-ADVANTAGE-MA00-003 | New policy |
|---|
| 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-MEDICARE-ADVANTAGE-MA00-010 | New policy |
|---|
| Sep 30, 2026 | Independence Blue Cross | Molecular DiagnosticsPayerPolicy · IBX-MEDICARE-ADVANTAGE-MA06-017 | New policy |
|---|
| Sep 30, 2026 | Independence Blue Cross | Medicare Part B vs. Part D Crossover DrugsPayerPolicy · IBX-MEDICARE-ADVANTAGE-MA08-007 | New policy |
|---|