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 Blue Shield of Michigan and Blue Care Network	GENETIC TESTING FOR MYOTONIC DYSTROPHY (EFFECTIVE 07/01/2026)PayerPolicy · BCBSM-2209356-875B6C6DF8	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING FOR ALZHEIMER’S DISEASE (EFFECTIVE 07/01/2026)PayerPolicy · BCBSM-2209372-BDB67D20A6	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	INTENSITY-MODULATED RADIATION THERAPY (IMRT) OF THE PROSTATE - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2193815-B1EFFEF1BF	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	MYOLYSIS OF UTERINE FIBROIDS USING LAPAROSCOPIC, PERCUTANEOUS OR TRANSCERVICAL TECHNIQUESPayerPolicy · BCBSM-2033115-31840434F7	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	TRANSPLANT-SMALL BOWEL (ISOLATED) (EFFECTIVE 09/01/2026)PayerPolicy · BCBSM-2210512-FAF78BC65C	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	Refractive Keratoplasties, PTK and Corneal Ring Segments - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2198266-9D8DD16155	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING FOR DILATED CARDIOMYOPATHY (EFFECTIVE 09/01/2026)PayerPolicy · BCBSM-2210506-622D17CAD3	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	FRENUM SURGERY (FENULUM SURGERY, FRENUMECTOMY, FRENULECTOMY, FRENECTOMY, FRENOTOMY)PayerPolicy · BCBSM-80226-DA58534875	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	TRANSCATHETER PULMONARY VALVE IMPLANTATION (EFFECTIVE 07/01/2026)PayerPolicy · BCBSM-2209366-BC25B8F4AA	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	SURGICAL TREATMENT OF FEMOROACETABULAR IMPINGEMENT (EFFECTIVE 09/01/2026)PayerPolicy · BCBSM-2210515-B5A0FF3655	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BONE MARROW TRANSPLANTATION / HEMATOPOIETIC CELL TRANSPLANTATION FOR AUTOIMMUNE DISEASESPayerPolicy · BCBSM-2019827-C509C47517	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	PROGRAMS FOR DISORDERS OF CONSCIOUSNESS (DOC) (EFFECTIVE 09/01/2026)PayerPolicy · BCBSM-2210519-1B35B1988E	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BCBSM ONLY: HOME OXYGEN EQUIPMENT AND RELATED SUPPLIESPayerPolicy · BCBSM-2045166-73F173E9BC	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BONE MARROW HEMATOPOIETIC CELL TRANSPLANTATION FOR PRIMARY AMYLOIDOSISPayerPolicy · BCBSM-2026176-9F691BD252	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	VERTEBRAL BODY TETHERING AND/OR STAPLING FOR SCOLIOSIS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2195923-497BFF5940	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	MAGNETIC RESONANCE SPECTROSCOPY (EFFECTIVE 07/01/2026)PayerPolicy · BCBSM-2209377-AEFD366383	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BONE MORPHOGENETIC PROTEIN (EFFECTIVE 09/01/2026)PayerPolicy · BCBSM-2210523-1B129C9468	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	CARDIAC REHABILITATION, OUTPATIENT (EFFECTIVE 09/01/2026)PayerPolicy · BCBSM-2210505-9455A74A33	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	MISCELLANEOUS AND GENETIC AND MOLECULAR DIAGNOSTIC TESTS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2198886-59188A7230	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BOWEL MANAGEMENT DEVICES (EFFECTIVE 07/01/2026)PayerPolicy · BCBSM-2209361-C340F8CCCF	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	MEDICAL POLICY – Avlayah (tividenofusp alfa-eknm) 12-25PayerPolicy · BCBSM-2208868-AB748A6F39	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	CHEMICAL PEELS (EFFECTIVE 09/01/2026)PayerPolicy · BCBSM-2210525-370C3ADCC0	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	MICROPROCESSOR-CONTROLLED PROSTHESES AND ORTHOSES FOR THE LOWER LIMBPayerPolicy · BCBSM-2132824-C8FCB2C388	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENE ANALYSIS FOR CORNEAL DYSTROPHY - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2198595-A595210730	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	REMOTE ELECTRICAL NEUROMODULATION FOR MIGRAINES - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2197635-47FC892287	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	COGNITIVE REHABILITATION (EFFECTIVE 09/01/2026)PayerPolicy · BCBSM-2210522-127492DC60	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	LIGHT AND LASER THERAPY FOR VITILIGO AND ATOPIC DERMATITISPayerPolicy · BCBSM-2043115-D6EF4E1C15	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	SALIVARY TESTING FOR HORMONE LEVELS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2192865-83E6165FC8	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BCN ONLY - ELECTRICAL STIMULATION FOR THE TREATMENT OF ARTHRITISPayerPolicy · BCBSM-2017032-35650C8A34	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	ASPRIN RESISTANCE TESTING - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2191551-30D3EA4F7D	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BREAST REDUCTION FOR BREAST-RELATED SYMPTOMSPayerPolicy · BCBSM-76979-4D076EDC78	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BOROFRFLEX STIMULATION DEVICES - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2191555-37FE41BDE7	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	HOME UTERINE ACTIVITY MONITORING (HUAM)PayerPolicy · BCBSM-79606-F56BF1332F	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	ENDOVASCULAR PROCEDURES FOR INTRACRANIAL ARTERIAL DISEASEPayerPolicy · BCBSM-76965-9CB3BAAAF1	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	FETAL MAGNETOCARDIOGRAPHY - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2195259-268208BDB5	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	EMERGENCY MEDICAL CARE (EFFECTIVE 07/01/2026)PayerPolicy · BCBSM-2209373-2E06982ED4	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	INTERFERENTIAL STIMULATION (SYMPATHETIC THERAPY)PayerPolicy · BCBSM-76859-73F0F90EC6	Retired
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	SCREENING FOR LUNG CANCER AND PULMONARY NODULE EVALUATION USING LOW DOSE COMPUTED TOMOGRAPHY (CT), SCANNING AND COMPUTER AIDED DETECTION (CAD) - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2212068	New policy
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	DRUG COATED BALLOON FOR BENIGN PROSTATIC HYPERPLASIA LOWER URINARY TRACT SYMPTOMS & URETHRAL STRICTURES (I.E. OPTILUME DRUG COATED BALLOON) - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2211913	New policy
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING - NEXT GENERATION SEQUENCING FOR ASSESSMENT OF MEASURABLE RESIDUAL DISEASE (E.G, CLONOSEQ) IN HEMATOLOGICAL MALIGNANCIES (EFFECTIVE 11/1/2026)PayerPolicy · BCBSM-2212422	New policy
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING-ASSAYS OF GENETIC EXPRESSION IN TUMOR TISSUE AS A TECHNIQUE TO DETERMINE PROGNOSIS AND PREDICT THERAPEUTIC RESPONSE IN INDIVIDUALS WITH BREAST CANCER (MXD)PayerPolicy · BCBSM-86868	New policy
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	ACCELERATED BREAST IRRADIATION AND BRACHYTHERAPY BOOST AFTER BREAST-CONSERVING SURGERY FOR EARLY-STAGE BREAST CANCER. (EFFECTIVE 11/01/2026PayerPolicy · BCBSM-2212438	New policy
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	INTENSITY-MODULATED RADIATION THERAPY (IMRT) AND IMAGE GUIDED RADIATION THERAPY (IGRT): CANCER OF THE HEAD AND NECK OR THYROID - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2193814	New policy
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	INTENSITY MODULATED RADIATION THERAPY (IMRT)AND IMAGE GUIDED RADIATION THERAPY (IGRT): CENTRAL NERVOUS SYSTEM TUMORS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2197010	New policy
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GT-TUMOR-INFORMED CIRCULATING TUMOR DNA TESTING FOR CANCER MANAGEMENT (E.G., SIGNATERA) (EFFECTIVE 11/01/2026PayerPolicy · BCBSM-2212435	New policy
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	ORTHOPEDIC APPLICATIONS OF STEM-CELL THERAPY (INCLUDING ALLOGRAFTS AND BONE SUBSTITUTES USED WITH AUTOLOGOUS BONE MARROW) - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2194064	New policy
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	INTENSITY-MODULATED RADIATION THERAPY (IMRT) AND IMAGE GUIDED RADIATION THERAPY (IGRT): ABDOMEN, PELVIS, AND CHEST - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2193858	New policy
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	INTENSITY MODULATED RADIATION THERAPY (IMRT) AND IMAGE GUIDED RADIATION THERAPY (IGRT) OF THE BREAST AND LUNG - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2193813	New policy
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	PERCUTANEOUS LEFT ATRIAL APPENDAGE CLOSURE DEVICES FOR STROKE PREVENTION IN ATRIAL FIBRILLATION (EFFECTIVE 11/1/2026)PayerPolicy · BCBSM-2212414	New policy
Sep 30, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	COMPRESSION PUMPS AND APPLIANCES (E.G., FLEXITOUCH SYSTEM, KOYA DAYSPRING SYSTEM) FOR LYMPHEDEMA (EFFECTIVE 11/01/2026)PayerPolicy · BCBSM-2212375	New policy