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	Bioimpedance Devices for Detection and Management of LymphedemaPayerPolicy · BCIDAHO-02-01-582	New policy
Sep 30, 2026	Blue Cross of Idaho	Urethral Drug-Coated Balloon for Urethral Stricture and Benign Prostatic HyperplasiaPayerPolicy · BCIDAHO-07-01-183	New policy
Sep 30, 2026	Blue Cross of Idaho	Periureteral Bulking Agents as a Treatment of Vesicoureteral RefluxPayerPolicy · BCIDAHO-07-01-102	New policy
Sep 30, 2026	Blue Cross of Idaho	Allogeneic Pancreas TransplantPayerPolicy · BCIDAHO-07-03-002	New policy
Sep 30, 2026	Blue Cross of Idaho	Analyte Testing in Risk Assessment and Management of Cardiovascular DiseasePayerPolicy · BCIDAHO-02-04-065-FUTURE	New policy
Sep 30, 2026	Blue Cross of Idaho	Pelvic Floor Stimulation as a Treatment of Urinary and Fecal IncontinencePayerPolicy · BCIDAHO-01-01-017	New policy
Sep 30, 2026	Blue Cross of Idaho	Lung and Lobar Lung TransplantPayerPolicy · BCIDAHO-07-03-007	New policy
Sep 30, 2026	Blue Cross of Idaho	Experimental/Investigational ServicesPayerPolicy · BCIDAHO-09-01-502	New policy
Sep 30, 2026	Blue Cross of Idaho	Biomarker Testing in Risk Assessment and Management of Cardiovascular DiseasePayerPolicy · BCIDAHO-02-04-065	New policy
Sep 30, 2026	Blue Cross of Idaho	Oscillatory Devices for the Treatment of Cystic Fibrosis and Other Respiratory ConditionsPayerPolicy · BCIDAHO-01-01-015	New policy
Sep 30, 2026	Blue Cross of Idaho	Serum Panel Testing for Systemic Lupus Erythematosus and Other Connective Tissue DiseasesPayerPolicy · BCIDAHO-02-04-123	New policy
Sep 30, 2026	Blue Cross of Idaho	Islet Transplantation for Chronic Pancreatitis and Donislecel-jujn for Type 1 DiabetesPayerPolicy · BCIDAHO-07-03-012	New policy
Sep 30, 2026	Blue Cross of Idaho	Percutaneous Left Atrial Appendage Closure Devices for Stroke Prevention in Atrial FibrillationPayerPolicy · BCIDAHO-02-02-026	New policy
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Whole Exome and Whole Genome Sequencing for Diagnosis of Genetic Disorders, Effective 9/1/2026PayerPolicy · BCBSRI-WHOLE-EXOME-AND-WHOLE-GENOME-SEQUENCING-FOR-DIAGNOSIS-OF-GEN-1D89FEBA8D	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Whole Exome and Whole Genome Sequencing for Diagnosis of Genetic DisordersPayerPolicy · BCBSRI-WHOLE-EXOME-AND-WHOLE-GENOME-SEQUENCING-FOR-DIAGNOSIS-OF-GEN-1D126B5AAF	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Total Joint Arthroplasty – Hip and KneePayerPolicy · BCBSRI-TOTAL-JOINT-ARTHROPLASTY-HIP-AND-KNEE-8859668863	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Proteogenomic Testing for Patients with CancerPayerPolicy · BCBSRI-PROTEOGENOMIC-TESTING-FOR-PATIENTS-WITH-CANCER-C36D4BED28	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Prior Authorization of Spinal Procedures, Effective 9/1/2026PayerPolicy · BCBSRI-PRIOR-AUTHORIZATION-OF-SPINAL-PROCEDURES-EFFECTIVE-9-1-2026-EAA5B253D9	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Prior Authorization of Spinal ProceduresPayerPolicy · BCBSRI-PRIOR-AUTHORIZATION-OF-SPINAL-PROCEDURES-BD00803EEF	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Prior Authorization of Services, Treatments or Procedures, Effective 9/1/2026PayerPolicy · BCBSRI-PRIOR-AUTHORIZATION-OF-SERVICES-TREATMENTS-OR-PROCEDURES-EFF-47C187842F	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-34AEA8B7A6	Retired
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-2767F7F938	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Prior Authorization of Physical and Occupational Therapy ServicesPayerPolicy · BCBSRI-PRIOR-AUTHORIZATION-OF-PHYSICAL-AND-OCCUPATIONAL-THERAPY-SER-0A5835A83B	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Prior Authorization of DrugsPayerPolicy · BCBSRI-PRIOR-AUTHORIZATION-OF-DRUGS-8328717FE9	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Preimplantation Genetic TestingPayerPolicy · BCBSRI-PREIMPLANTATION-GENETIC-TESTING-8067BD2DE5	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Out-of-Network Services RequestsPayerPolicy · BCBSRI-OUT-OF-NETWORK-SERVICES-REQUESTS-6F50A5C64E	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	New Technology and Miscellaneous Services, Effective 9/1/2026PayerPolicy · BCBSRI-NEW-TECHNOLOGY-AND-MISCELLANEOUS-SERVICES-EFFECTIVE-9-1-2026-3999AA9CC5	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	New Technology and Miscellaneous ServicesPayerPolicy · BCBSRI-NEW-TECHNOLOGY-AND-MISCELLANEOUS-SERVICES-F36763FAB0	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Laparoscopic, Percutaneous, and Transcervical Techniques for the Myolysis of Uterine Fibroids & Hysterectomies Effective 8-1-26PayerPolicy · BCBSRI-LAPAROSCOPIC-PERCUTANEOUS-AND-TRANSCERVICAL-TECHNIQUES-FOR-T-7641379921	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Laparoscopic, Percutaneous, and Transcervical Techniques for the Myolysis of Uterine Fibroids & HysterectomiesPayerPolicy · BCBSRI-LAPAROSCOPIC-PERCUTANEOUS-AND-TRANSCERVICAL-TECHNIQUES-FOR-T-787103DC57	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Gender Affirming CarePayerPolicy · BCBSRI-GENDER-AFFIRMING-CARE-B67399B7CE	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Epidural Injections for Pain Management, Effective 10/1/2026PayerPolicy · BCBSRI-EPIDURAL-INJECTIONS-FOR-PAIN-MANAGEMENT-EFFECTIVE-10-1-2026-F86CDEAC1F	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Cryosurgical Ablation of Miscellaneous Solid Tumors other than Renal, Liver and ProstatePayerPolicy · BCBSRI-CRYOSURGICAL-ABLATION-OF-MISCELLANEOUS-SOLID-TUMORS-OTHER-TH-3477EDC7CE	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Comprehensive Genomic Profiling for Selecting Targeted Cancer Therapies, Effective 9/1/2026PayerPolicy · BCBSRI-COMPREHENSIVE-GENOMIC-PROFILING-FOR-SELECTING-TARGETED-CANCE-F4CE64F1FB	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Comprehensive Genomic Profiling for Selecting Targeted Cancer TherapiesPayerPolicy · BCBSRI-COMPREHENSIVE-GENOMIC-PROFILING-FOR-SELECTING-TARGETED-CANCE-697EB9F4A0	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Catheter Ablation as Treatment for Atrial FibrillationPayerPolicy · BCBSRI-CATHETER-ABLATION-AS-TREATMENT-FOR-ATRIAL-FIBRILLATION-3854F32F51	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Biomarker Testing Mandate - Effective 9/1/2026PayerPolicy · BCBSRI-BIOMARKER-TESTING-MANDATE-EFFECTIVE-9-1-2026-2181280BC8	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Biomarker Testing MandatePayerPolicy · BCBSRI-BIOMARKER-TESTING-MANDATE-9E11B0BD19	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Balloon Dilation of the Eustachian TubePayerPolicy · BCBSRI-BALLOON-DILATION-OF-THE-EUSTACHIAN-TUBE-6F233D587F	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Balloon Dilation of Eustachian Tube, Effective 9/1/2026PayerPolicy · BCBSRI-BALLOON-DILATION-OF-EUSTACHIAN-TUBE-EFFECTIVE-9-1-2026-3E7AAF3696	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Assays of Genetic Expression in Tumor Tissue as a Technique to Determine Prognosis in Patients with Breast Cancer, Effective 9/1/2026PayerPolicy · BCBSRI-ASSAYS-OF-GENETIC-EXPRESSION-IN-TUMOR-TISSUE-AS-A-TECHNIQUE-29A422FE80	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Assays of Genetic Expression in Tumor Tissue as a Technique to Determine Prognosis in Patients with Breast CancerPayerPolicy · BCBSRI-ASSAYS-OF-GENETIC-EXPRESSION-IN-TUMOR-TISSUE-AS-A-TECHNIQUE-B0E30CDD52	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Preventive Services for Medicare Advantage PlansPayerPolicy · BCBSRI-PREVENTIVE-SERVICES-FOR-MEDICARE-ADVANTAGE-PLANS-BFB5204872	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Preventive Services for Commercial MembersPayerPolicy · BCBSRI-PREVENTIVE-SERVICES-FOR-COMMERCIAL-MEMBERS-294F0696F8	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Non-Reimbursable Health Service Codes Policy 2026PayerPolicy · BCBSRI-NON-REIMBURSABLE-HEALTH-SERVICE-CODES-POLICY-2026-322CBB6EBA	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Device Intensive Procedure EditPayerPolicy · BCBSRI-DEVICE-INTENSIVE-PROCEDURE-EDIT-1DBD04564A	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Behavioral Health Outpatient Professional ServicesPayerPolicy · BCBSRI-BEHAVIORAL-HEALTH-OUTPATIENT-PROFESSIONAL-SERVICES-D16E7D5093	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Behavioral Health Integration Services including the Collaborative Care ModelPayerPolicy · BCBSRI-BEHAVIORAL-HEALTH-INTEGRATION-SERVICES-INCLUDING-THE-COLLABO-BB1E58160E	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Uterus Transplantation for Absolute Uterine Factor InfertilityPayerPolicy · BCBSRI-UTERUS-TRANSPLANTATION-FOR-ABSOLUTE-UTERINE-FACTOR-INFERTILI-9908E727A8	Retired
Sep 30, 2026	Blue Cross & Blue Shield of Rhode Island	Transvaginal and Transurethral Radiofrequency Tissue Remodeling for Urinary Stress IncontinencePayerPolicy · BCBSRI-TRANSVAGINAL-AND-TRANSURETHRAL-RADIOFREQUENCY-TISSUE-REMODEL-248BE718E0	Retired