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	Blue Cross of Idaho	Transcatheter Mitral Valve Repair or Replacement. approach 02UG38Z Supplement mitral valve with zooplastic tissue, percutaneous approach 02UG4JZ Supplement, mitral valve, percutaneousPayerPolicy · BCIDAHO-02-02-030-2493DFA45C	Retired
Sep 30, 2026	Blue Cross of Idaho	Prostatic Urethral Lift. added. Repeat procedures explicitly added to the investigational policy statement; statements otherwise unchanged. 08/26/21 Replace policy Blue Cross of Idaho adoptedPayerPolicy · BCIDAHO-07-01-151-69A7571B7D	Retired
Sep 30, 2026	Blue Cross of Idaho	Percutaneous Electrical Nerve Field Stimulation for Disorders of Gut Brain InteractionPayerPolicy · BCIDAHO-02-01-106-E84169B72A	Retired
Sep 30, 2026	Blue Cross of Idaho	Diagnosis and Treatment of Sacroiliac Joint Pain. Type of Service Medicine Place of Service Outpatient POLICY HISTORY Date Action Description 12/15/20 Replace policy Blue Cross of Idaho adoptePayerPolicy · BCIDAHO-06-01-023-E6876C405C	Retired
Sep 30, 2026	Blue Cross of Idaho	Guidelines for Coverage of Mental Health and Substance-Related and Addictive DisordersPayerPolicy · BCIDAHO-03-01-501-3A3B91FCF9	Retired
Sep 30, 2026	Blue Cross of Idaho	Identification of Microorganisms Using Nucleic Acid Probes. viral, hepatitis, other and unspecified viral diseases) U07.1 COVID-19 Z03.818 Encounter for observation for suspected exposurPayerPolicy · BCIDAHO-02-04-010-19ADAD4D86	Retired
Sep 30, 2026	Blue Cross of Idaho	Automated Ambulatory Blood Pressure Monitoring for Diagnosis of Hypertension in Patients With Elevated Office Blood Pressure. Type of service DME Place of service Inpatient/OutpatientPayerPolicy · BCIDAHO-01-01-002-B76861AEF7	Retired
Sep 30, 2026	Blue Cross of Idaho	Radiofrequency Ablation of Primary or Metastatic Liver Tumors. ICD-10-PCS ICD-10-PCS would only be used if the procedure is done inpatient. 0F500ZZ, 0F510ZZ, 0F520ZZ, 0F503ZZ, 0F513ZZ, 0F523ZZ,PayerPolicy · BCIDAHO-07-01-091-616ED5FC6A	Retired
Sep 30, 2026	Blue Cross of Idaho	Magnetic Resonance‒Guided Focused Ultrasound. total leiomyomata volume of less than 200 cc of tissue 0072T Focused ultrasound ablation of uterine leiomyomata, including MR guidance; totalPayerPolicy · BCIDAHO-07-01-109-22873783C3	Retired
Sep 30, 2026	Blue Cross of Idaho	Reproductive Techniques. Date Action Description 08/20/20 Replace policy Blue Cross of Idaho adopted changes as noted, effective 08/20/2020PayerPolicy · BCIDAHO-04-02-004-5CDE828657	Retired
Sep 30, 2026	Blue Cross of Idaho	Lung and Lobar Lung Transplant. MP 7.03.07 Lung and Lobar Lung Transplant POLICY HISTORY Date Action Description 08/20/20 Replace policy Blue Cross of Idaho adopted changes as noted, effectivePayerPolicy · BCIDAHO-07-03-007-E443036643	Retired
Sep 30, 2026	Blue Cross of Idaho	Adoptive Immunotherapy. MP 8.01.01 Adoptive Immunotherapy service ESSENTIAL HEALTH BENEFITS The Affordable Care Act (ACA) requires fully insured non-grandfathered individual and small groupPayerPolicy · BCIDAHO-08-01-001-517A38AA16	Retired
Sep 30, 2026	Blue Cross of Idaho	Electronic Brachytherapy for Nonmelanoma Skin Cancer. C44.320-C44.329 Squamous cell carcinoma of skin of other and unspecified parts of face code range (includes nose). C44.41 Basal cellPayerPolicy · BCIDAHO-08-01-062-0136C4C605	Retired
Sep 30, 2026	Blue Cross of Idaho	Hematopoietic cell Transplantation for Chronic Myelogenous Leukemia. 30253G0, 30253X0,30253Y0 Administration, circulatory, transfusion, peripheral artery, percutaneous, autologous, code byPayerPolicy · BCIDAHO-08-01-030-387FD18AB4	Retired
Sep 30, 2026	Blue Cross of Idaho	Stem Cell Therapy for Peripheral Arterial Disease. cells, multiple injections, one leg, including ultrasound guidance, if performed; complete procedure excluding bone marrow harvest 0265TPayerPolicy · BCIDAHO-08-01-055-BD7CC27517	Retired
Sep 30, 2026	Blue Cross of Idaho	Autologous Chondrocyte Implantation for Focal Articular Cartilage Lesions. MP 7.01.48 Autologous Chondrocyte Implantation for Focal Articular Cartilage Lesions code by side (right or left)PayerPolicy · BCIDAHO-07-01-048-D8CCA95435	Retired
Sep 30, 2026	Blue Cross of Idaho	Computer-Assisted Navigation for Orthopedic Procedure. Codes Number Description CPT 20985 Computer-assisted surgical navigational procedure for musculoskeletal procedures; image-less (ListPayerPolicy · BCIDAHO-07-01-096-EBD6FB775C	Retired
Sep 30, 2026	Blue Cross of Idaho	Implantable Peripheral Nerve Stimulation for Chronic Pain ConditionsPayerPolicy · BCIDAHO-01-01-031-328EB463A0	Retired
Sep 30, 2026	Blue Cross of Idaho	Bioimpendance Devices for Detection and Management of Lymphedema. Codes Number Description CPT 93702 Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(sPayerPolicy · BCIDAHO-02-01-582-4BF32153A1	Retired
Sep 30, 2026	Blue Cross of Idaho	Pelvic Floor Stimulation as a Treatment of Urinary and Fecal Incontinence. Codes Number Description CPT 97014 Application of a modality that does not require direct (one-on-one) contaPayerPolicy · BCIDAHO-01-01-017-74975B8A4F	Retired
Sep 30, 2026	Blue Cross of Idaho	Epidural Steroid Injections for Neck or Back Pain. radiculopathy code range M54.12 Radiculopathy, cervical region M54.13 Radiculopathy, cervicothoracic region M54.16 Radiculopathy, luPayerPolicy · BCIDAHO-02-01-594-9663144D82	Retired
Sep 30, 2026	Blue Cross of Idaho	Bioengineered Skin and Soft Tissue Substitutes. Surgical, skin and breast, repair, external, synthetic substitute, code by body part and thickness of graft Original Policy Date: December 2007PayerPolicy · BCIDAHO-07-01-113-3FBB677A83	Retired
Sep 30, 2026	Blue Cross of Idaho	Treatment for Spinal Muscular Atrophy. 3E0R3GC Administration, physiological systems and anatomical regions, introduction, spinal canal, percutaneous, other therapeutic substance Type ofPayerPolicy · BCIDAHO-05-01-028-AFB8A61758	Retired
Sep 30, 2026	Blue Cross of Idaho	Percutaneous Left Atrial Appendage Closure Devices for Stroke Prevention in Atrial Fibrillation. 02L73DK Occlusion of left atrial appendage with intraluminal device, percutaneous OriginalPayerPolicy · BCIDAHO-02-02-026-C7DE86EC58	Retired
Sep 30, 2026	Blue Cross of Idaho	Hyperthermic Intraperitoneal Chemotherapy for Select IntraAbdominal and Pelvic Malignancies. Codes Number Description CPT 96446 Chemotherapy administration into the peritoneal cavityPayerPolicy · BCIDAHO-02-03-007-4430B53F70	Retired
Sep 30, 2026	Blue Cross of Idaho	Serum Biomarker Panel Testing for Systemic Lupus Erythematosus and Other Connective Tissue Diseases. Type of service Pathology Place of service Laboratory/Physician’s Office POLICY HISTORYPayerPolicy · BCIDAHO-02-04-123-51F2505199	Retired
Sep 30, 2026	Blue Cross of Idaho	Periureteral Bulking Agents as a Treatment of Vesicoureteral Reflux. 3E0K8GC Introduction of other therapeutic substance into genitourinary tract, via natural or artificial opening endoscopicPayerPolicy · BCIDAHO-07-01-102-37BFD50AA0	Retired
Sep 30, 2026	Blue Cross of Idaho	Oncologic Applications of Photodynamic Therapy, Including Barrett Esophagus. C78.80-C78.89 Secondary malignant neoplasm of other and unspecified digestive organs code range D00.1 Carcinoma inPayerPolicy · BCIDAHO-08-01-006-77F3498D8E	Retired
Sep 30, 2026	Blue Cross of Idaho	Radioembolization for Primary and Metastatic Tumors of the Liver. special services 77778 Interstitial radiation source application; complex 79445 Radiopharmaceutical therapy, by intra-arterialPayerPolicy · BCIDAHO-08-01-043-0F43215F3C	Retired
Sep 30, 2026	Blue Cross of Idaho	Cellular Immunotherapy for Prostate Cancer. 6A550Z1, 6A551Z1 Extracorporeal therapies, physiological systems, pheresis, circulatory, leukocytes, code by duration (single or multiple) 30233Q0,PayerPolicy · BCIDAHO-08-01-053-B273EFF4C0	Retired
Sep 30, 2026	Blue Cross of Idaho	Islet Transplantation for Chronic Pancreatitis and Donislecel-jujn for Type 1 Diabetes. including guidance, and radiological supervision and interpretation, when performed; open HCPCS G0341PayerPolicy · BCIDAHO-07-03-012-CF09657738	Retired
Sep 30, 2026	Blue Cross of Idaho	Allogeneic Pancreas Transplant. 48552 Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each 48554 Transplantation of pancreaticPayerPolicy · BCIDAHO-07-03-002-EB3DD78616	Retired
Sep 30, 2026	Blue Cross of Idaho	Small Bowel/Liver and Multivisceral Transplant. 47144 ; with trisegment split of whole liver graft into two partial liver grafts (i.e., left lateral segment (segments II and III) and rightPayerPolicy · BCIDAHO-07-03-005-A3E21C3C25	Retired
Sep 30, 2026	Blue Cross of Idaho	Testosterone Replacement Therapies. Codes Number Description CPT 11980 Subcutaneous hormone pellet implantation (implantation of estradiol and/or testosterone pellets beneath the skin) 96372PayerPolicy · BCIDAHO-05-01-023-94287A8509	Retired
Sep 30, 2026	Blue Cross of Idaho	Saturation Biopsy for Diagnosis, Staging and Management of Prostate Cancer. MP 7.01.121 Saturation Biopsy for Diagnosis, Staging, and Management of Prostate Cancer Codes Number Description CPTPayerPolicy · BCIDAHO-07-01-121-6C7465E582	Retired
Sep 30, 2026	Blue Cross of Idaho	Tibial Nerve StimulationPayerPolicy · BCIDAHO-07-01-106-A70F16D722	Retired
Sep 30, 2026	Blue Cross of Idaho	Tibial Nerve StimulationPayerPolicy · BCIDAHO-07-01-106-5A807D02FB	Retired
Sep 30, 2026	Blue Cross of Idaho	Maternal Serum Testing for Prediction of Adverse Obstetric Outcomes. Codes Number Description CPT 0243U Obstetrics (preeclampsia), biochemical assay of placental-growth factor, timeresolvedPayerPolicy · BCIDAHO-02-04-152-10A2B0808C	Retired
Sep 30, 2026	Blue Cross of Idaho	Computer-Assisted Navigation for Orthopedic Procedure. 0054T Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image guidance based on fluoroscopic images (ListPayerPolicy · BCIDAHO-07-01-096-4EFE36E127	Retired
Sep 30, 2026	Blue Cross of Idaho	Hematopoietic Cell Transplantation for Autoimmune Diseases. 07DQ0ZZ, 07DQ3ZZ, 07DR0ZZ, 07DR3ZZ, 07DS0ZZ, 07DS3ZZ Surgical, lymphatic and hemic systems, extraction, bone marrow, code list TypePayerPolicy · BCIDAHO-08-01-025-C5163958DC	Retired
Sep 30, 2026	Blue Cross of Idaho	Preventive Health Services. Accessed 9/12/25. 17. Women’s Preventive Services Initiative (WPSI): https://www.womenspreventivehealth.org/recommendations/ Accessed 9/12/25 POLICY HISTORY DatePayerPolicy · BCIDAHO-10-01-510-83AFFCE6D6	Retired
Sep 30, 2026	Blue Cross of Idaho	Extracranial Carotid Artery Stenting. 037P34Z, 037P3DZ, 037P3ZZ, 037P44Z, 037P4DZ, 037P4ZZ, 037Q34Z, 037Q3DZ,037Q3ZZ, 037Q44Z, 037Q4DZ, 037Q4ZZ Surgical, upper arteries, dilation, vertebralPayerPolicy · BCIDAHO-07-01-068-AD854AFD46	Retired
Sep 30, 2026	Blue Cross of Idaho	Ovarian and Internal Iliac Vein Endovascular Occlusion as a Treatment of Pelvic Congestion Syndrome. Codes Number Description CPT 36012 Selective catheter placement, venous system:PayerPolicy · BCIDAHO-04-01-018-15C161C4D7	Retired
Sep 30, 2026	Blue Cross of Idaho	Kidney Transplant. 50325 Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, including dissection and removal of perinephric fat andPayerPolicy · BCIDAHO-07-03-001-3C3ABA63F5	Retired
Sep 30, 2026	Blue Cross of Idaho	Stereotactic Radiosurgery and Stereotactic Body RadiotherapyPayerPolicy · BCIDAHO-06-01-010-928017B201	Retired
Sep 30, 2026	Blue Cross of Idaho	Percutaneous Electrical Nerve Stimulation and Percutaneous Neuromodulation Therapy, and Restorative Neurostimulation Therapy. R52 Pain, unspecified ICD-10-PCS ICD-10-PCS codes are only usePayerPolicy · BCIDAHO-07-01-029-39DC7F6583	Retired
Sep 30, 2026	Blue Cross of Idaho	Computed Tomography to Detect Coronary Artery Calcification. the chest with report S8092 Electron beam computed tomography (also known as ultrafast CT, cine CT) ICD-10-CM InvestigPayerPolicy · BCIDAHO-06-01-003-FA14D04246	Retired
Sep 30, 2026	Blue Cross of Idaho	Oscillatory Devices for the Treatment of Cystic Fibrosis and Other Respiratory Conditions. patient-owned equipment, each E0480 Percussor, electric or pneumatic, home model E0481 IntrapulmonaryPayerPolicy · BCIDAHO-01-01-015-DD4179DB97	Retired
Sep 30, 2026	Blue Cross of Idaho	Accelerated Breast Irradiation and Brachytherapy Boost After Breast-Conserving Surgery for Early-Stage Breast Cancer. Surgical, skin & breast, insertion, radioactive element, code by body partPayerPolicy · BCIDAHO-08-01-513-E4A88D4915	Retired
Sep 30, 2026	Blue Cross of Idaho	Treatment of Nasal Valve Collapse and Nasal Septal Swell Bodies. MP 7.01.663 Treatment of Nasal Valve Collapse and Nasal Septal Swell Bodies 30465 Repair of nasal vestibular stenosis (e.g.,PayerPolicy · BCIDAHO-07-01-663-6E209580D3	Retired