Coverage policy updates

Policy changes Backwork has recorded, newest first. The most recent change on record is from October 14, 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

83,427 on record

Recorded policy changes, newest first
Recorded	Payer	Policy	Change
Aug 2, 2026	Premera Blue Cross	5.01.555 Pharmacologic Treatment of Interstitial Lung DiseasePayerPolicy · PREMERA-5-01-555-PHARMACOLOGIC-TREATMENT-OF-INTERSTITIAL-LUNG-DISEAS-ED884B9297	New policy
Aug 2, 2026	Premera Blue Cross	5.01.549 Off-Label Use of Drugs and Biologic AgentsPayerPolicy · PREMERA-5-01-549-OFF-LABEL-USE-OF-DRUGS-AND-BIOLOGIC-AGENTS-2C3C27B352	New policy
Aug 2, 2026	Premera Blue Cross	5.01.533 mTOR Kinase InhibitorsPayerPolicy · PREMERA-5-01-533-MTOR-KINASE-INHIBITORS-215132FB41	New policy
Aug 2, 2026	Premera Blue Cross	5.01.512 Botulinum ToxinsPayerPolicy · PREMERA-5-01-512-BOTULINUM-TOXINS-DF9F92F5B0	New policy
Aug 2, 2026	Premera Blue Cross	3.03.523 Prescription Digital Health Diagnostic Aid for AutismPayerPolicy · PREMERA-3-03-523-PRESCRIPTION-DIGITAL-HEALTH-DIAGNOSTIC-AID-FOR-AUTI-F052D2B147	New policy
Aug 2, 2026	Premera Blue Cross	2.04.144 Gene Therapy for Inherited Retinal DystrophyPayerPolicy · PREMERA-2-04-144-GENE-THERAPY-FOR-INHERITED-RETINAL-DYSTROPHY-47916D067F	New policy
Aug 2, 2026	Premera Blue Cross	2.02.30 Transcatheter Mitral Valve Repair or ReplacementPayerPolicy · PREMERA-2-02-30-TRANSCATHETER-MITRAL-VALVE-REPAIR-OR-REPLACEMENT-A510791C7D	New policy
Aug 2, 2026	Premera Blue Cross	2.01.71 Nonpharmacologic Treatment of RosaceaPayerPolicy · PREMERA-2-01-71-NONPHARMACOLOGIC-TREATMENT-OF-ROSACEA-755738EBDD	New policy
Aug 2, 2026	Premera Blue Cross	2.01.535 Temporomandibular Joint DisorderPayerPolicy · PREMERA-2-01-535-TEMPOROMANDIBULAR-JOINT-DISORDER-868680FF80	New policy
Aug 2, 2026	Premera Blue Cross	10.01.533 Non-covered Experimental/Investigational ServicesPayerPolicy · PREMERA-10-01-533-NON-COVERED-EXPERIMENTAL-INVESTIGATIONAL-SERVICES-9261854FBF	New policy
Aug 2, 2026	Premera Blue Cross	1.01.30 Automated Insulin Delivery SystemsPayerPolicy · PREMERA-1-01-30-AUTOMATED-INSULIN-DELIVERY-SYSTEMS-89C4D11B9A	New policy
Aug 2, 2026	Premera Blue Cross	13.01.500 Prescription Digital TherapeuticsPayerPolicy · PREMERA-13-01-500-PRESCRIPTION-DIGITAL-THERAPEUTICS-5F97E78A29	New policy
Aug 2, 2026	Premera Blue Cross	8.01.539 Allogeneic Hematopoietic Cell Transplantation for MyelodysplaPayerPolicy · PREMERA-8-01-539-ALLOGENEIC-HEMATOPOIETIC-CELL-TRANSPLANTATION-FOR-M-69D9DCC57D	New policy
Aug 2, 2026	Premera Blue Cross	8.01.532 Hematopoietic Cell Transplantation in the TreatmentPayerPolicy · PREMERA-8-01-532-HEMATOPOIETIC-CELL-TRANSPLANTATION-IN-THE-TREATMENT-C7CA318188	New policy
Aug 2, 2026	Premera Blue Cross	8.01.529 Hematopoietic Cell Transplantation for Non-Hodgkin LymphomasPayerPolicy · PREMERA-8-01-529-HEMATOPOIETIC-CELL-TRANSPLANTATION-FOR-NON-HODGKIN-A85A15775A	New policy
Aug 2, 2026	Premera Blue Cross	8.01.52 Orthopedic Applications of Stem Cell Therapy (IncludingPayerPolicy · PREMERA-8-01-52-ORTHOPEDIC-APPLICATIONS-OF-STEM-CELL-THERAPY-INCLUDI-A29C27C0BF	New policy
Aug 2, 2026	Premera Blue Cross	7.03.09 Heart TransplantPayerPolicy · PREMERA-7-03-09-HEART-TRANSPLANT-CCACB904FD	New policy
Aug 2, 2026	Premera Blue Cross	7.03.01 Kidney TransplantPayerPolicy · PREMERA-7-03-01-KIDNEY-TRANSPLANT-73E7DBAC82	New policy
Aug 2, 2026	Premera Blue Cross	7.01.588 Percutaneous Electrical Nerve Stimulation and PercutaneousPayerPolicy · PREMERA-7-01-588-PERCUTANEOUS-ELECTRICAL-NERVE-STIMULATION-AND-PERCU-0CA77267BC	New policy
Aug 2, 2026	Premera Blue Cross	7.01.573 Hip Arthroplasty in AdultsPayerPolicy · PREMERA-7-01-573-HIP-ARTHROPLASTY-IN-ADULTS-33ED93AC48	New policy
Aug 2, 2026	Premera Blue Cross	7.01.560 Cervical Spine Surgeries: Discectomy, Laminectomy, andPayerPolicy · PREMERA-7-01-560-CERVICAL-SPINE-SURGERIES-DISCECTOMY-LAMINECTOMY-AND-D524CDBA4E	New policy
Aug 2, 2026	Premera Blue Cross	7.01.547 Implantable Bone-Conduction and Bone-Anchored HearingPayerPolicy · PREMERA-7-01-547-IMPLANTABLE-BONE-CONDUCTION-AND-BONE-ANCHORED-HEARI-38767C3724	New policy
Aug 2, 2026	Premera Blue Cross	7.01.48 Autologous Chondrocyte Implantation for Focal ArticularPayerPolicy · PREMERA-7-01-48-AUTOLOGOUS-CHONDROCYTE-IMPLANTATION-FOR-FOCAL-ARTICU-0AD5BD1613	New policy
Aug 2, 2026	Premera Blue Cross	7.01.143 Responsive Neurostimulation for the Treatment of RefractoryPayerPolicy · PREMERA-7-01-143-RESPONSIVE-NEUROSTIMULATION-FOR-THE-TREATMENT-OF-RE-92141F99A4	New policy
Aug 2, 2026	Premera Blue Cross	7.01.131 Transcatheter Pulmonary Valve ImplantationPayerPolicy · PREMERA-7-01-131-TRANSCATHETER-PULMONARY-VALVE-IMPLANTATION-E53418A88F	New policy
Aug 2, 2026	Premera Blue Cross	7.01.126 Image-Guided Minimally Invasive Decompression for SpinalPayerPolicy · PREMERA-7-01-126-IMAGE-GUIDED-MINIMALLY-INVASIVE-DECOMPRESSION-FOR-S-6A357FC84D	New policy
Aug 2, 2026	Premera Blue Cross	6.01.521 Bone Mineral Density StudiesPayerPolicy · PREMERA-6-01-521-BONE-MINERAL-DENSITY-STUDIES-877ECE05CF	New policy
Aug 2, 2026	Premera Blue Cross	6.01.25 Minimally Invasive Approaches to Vertebral FracturesPayerPolicy · PREMERA-6-01-25-MINIMALLY-INVASIVE-APPROACHES-TO-VERTEBRAL-FRACTURES-F3AD47D565	New policy
Aug 2, 2026	Premera Blue Cross	5.01.538 ALK Tyrosine Kinase InhibitorsPayerPolicy · PREMERA-5-01-538-ALK-TYROSINE-KINASE-INHIBITORS-E7BBF1E326	New policy
Aug 2, 2026	Premera Blue Cross	2.02.516 Catheter Ablation as Treatment for Atrial FibrillationPayerPolicy · PREMERA-2-02-516-CATHETER-ABLATION-AS-TREATMENT-FOR-ATRIAL-FIBRILLAT-24E3AF18A6	New policy
Aug 2, 2026	Premera Blue Cross	2.02.510 (effective August 7, 2026) Mobile Cardiac OutpatientPayerPolicy · PREMERA-2-02-510-EFFECTIVE-AUGUST-7-2026-MOBILE-CARDIAC-OUTPATIENT-E8C399FC58	New policy
Aug 2, 2026	Premera Blue Cross	2.01.91 Peroral Endoscopic Myotomy for Treatment of EsophagealPayerPolicy · PREMERA-2-01-91-PERORAL-ENDOSCOPIC-MYOTOMY-FOR-TREATMENT-OF-ESOPHAGE-71BFFFF9E8	New policy
Aug 2, 2026	Premera Blue Cross	2.01.533 (effective September 1, 2026) Upper GastrointestinalPayerPolicy · PREMERA-2-01-533-EFFECTIVE-SEPTEMBER-1-2026-UPPER-GASTROINTESTINAL-C87383028F	New policy
Aug 2, 2026	Premera Blue Cross	2.01.40 Extracorporeal Shock Wave Treatment for Plantar FasciitisPayerPolicy · PREMERA-2-01-40-EXTRACORPOREAL-SHOCK-WAVE-TREATMENT-FOR-PLANTAR-FASC-F7ED76E31E	New policy
Aug 2, 2026	Premera Blue Cross	1.01.506 Adjustable Cranial Orthoses for Positional PlagiocephalyPayerPolicy · PREMERA-1-01-506-ADJUSTABLE-CRANIAL-ORTHOSES-FOR-POSITIONAL-PLAGIOCE-2986926513	New policy
Aug 2, 2026	Premera Blue Cross	1.01.18 Compression Pumps for Treatment of Lymphedema and VenousPayerPolicy · PREMERA-1-01-18-COMPRESSION-PUMPS-FOR-TREATMENT-OF-LYMPHEDEMA-AND-VE-BA7DAB71FA	New policy
Aug 2, 2026	Premera Blue Cross	2.02.506 Wearable Cardioverter-Defibrillators as a Bridge toPayerPolicy · PREMERA-2-02-506-WEARABLE-CARDIOVERTER-DEFIBRILLATORS-AS-A-BRIDGE-TO-7BA417DE7C	New policy
Aug 2, 2026	Premera Blue Cross	1.01.538 Cooling Devices Used in the Outpatient SettingPayerPolicy · PREMERA-1-01-538-COOLING-DEVICES-USED-IN-THE-OUTPATIENT-SETTING-BB571A6B07	New policy
Aug 2, 2026	Premera Blue Cross	8.01.541 Focal Treatments for Prostate CancerPayerPolicy · PREMERA-8-01-541-FOCAL-TREATMENTS-FOR-PROSTATE-CANCER-0072312DF5	New policy
Aug 2, 2026	Premera Blue Cross	8.01.53 Cellular Immunotherapy for Prostate CancerPayerPolicy · PREMERA-8-01-53-CELLULAR-IMMUNOTHERAPY-FOR-PROSTATE-CANCER-8274C070E4	New policy
Aug 2, 2026	Premera Blue Cross	8.01.28 Hematopoietic Cell Transplantation for Central NervousPayerPolicy · PREMERA-8-01-28-HEMATOPOIETIC-CELL-TRANSPLANTATION-FOR-CENTRAL-NERVO-228C1CFB31	New policy
Aug 2, 2026	Premera Blue Cross	8.01.17 Hematopoietic Cell Transplantation for Plasma Cell DyscrasiasPayerPolicy · PREMERA-8-01-17-HEMATOPOIETIC-CELL-TRANSPLANTATION-FOR-PLASMA-CELL-D-6865A76F91	New policy
Aug 2, 2026	Premera Blue Cross	7.01.550 Knee Arthroplasty in AdultsPayerPolicy · PREMERA-7-01-550-KNEE-ARTHROPLASTY-IN-ADULTS-5039903564	New policy
Aug 2, 2026	Premera Blue Cross	7.01.548 Hysterectomy for Non-Malignant ConditionsPayerPolicy · PREMERA-7-01-548-HYSTERECTOMY-FOR-NON-MALIGNANT-CONDITIONS-F3A8BD8EE7	New policy
Aug 2, 2026	Premera Blue Cross	7.01.546 Spinal Cord and Dorsal Root Ganglion StimulationPayerPolicy · PREMERA-7-01-546-SPINAL-CORD-AND-DORSAL-ROOT-GANGLION-STIMULATION-812EEE0480	New policy
Aug 2, 2026	Premera Blue Cross	7.01.139 Peripheral Subcutaneous Field StimulationPayerPolicy · PREMERA-7-01-139-PERIPHERAL-SUBCUTANEOUS-FIELD-STIMULATION-A81A8F07AC	New policy
Aug 2, 2026	Premera Blue Cross	7.01.130 Axial Lumbosacral Interbody FusionPayerPolicy · PREMERA-7-01-130-AXIAL-LUMBOSACRAL-INTERBODY-FUSION-E026A9FCA4	New policy
Aug 2, 2026	Premera Blue Cross	7.01.108 Artificial Intervertebral Disc: Cervical SpinePayerPolicy · PREMERA-7-01-108-ARTIFICIAL-INTERVERTEBRAL-DISC-CERVICAL-SPINE-D135D517EC	New policy
Aug 2, 2026	Premera Blue Cross	6.01.527 Diagnosis and Treatment of Sacroiliac Joint PainPayerPolicy · PREMERA-6-01-527-DIAGNOSIS-AND-TREATMENT-OF-SACROILIAC-JOINT-PAIN-4067497C21	New policy
Aug 2, 2026	Premera Blue Cross	6.01.46 Dynamic Spinal Visualization and Vertebral Motion AnalysisPayerPolicy · PREMERA-6-01-46-DYNAMIC-SPINAL-VISUALIZATION-AND-VERTEBRAL-MOTION-AN-56AE2A8619	New policy