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 |
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| Aug 2, 2026 | Premera Blue Cross | 5.01.629 Pharmacologic Treatment of PsoriasisPayerPolicy · PREMERA-5-01-629-PHARMACOLOGIC-TREATMENT-OF-PSORIASIS-12D2AFA0A4 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 5.01.558 Pharmacologic Treatment of High CholesterolPayerPolicy · PREMERA-5-01-558-PHARMACOLOGIC-TREATMENT-OF-HIGH-CHOLESTEROL-C96908BB6C | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 5.01.530 Egrifta WR (tesamorelin)PayerPolicy · PREMERA-5-01-530-EGRIFTA-WR-TESAMORELIN-0A8BF8867B | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 5.01.529 Management of Opioid TherapyPayerPolicy · PREMERA-5-01-529-MANAGEMENT-OF-OPIOID-THERAPY-D7A299ECAA | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 2.04.62 Multimarker Serum Testing Related to Ovarian CancerPayerPolicy · PREMERA-2-04-62-MULTIMARKER-SERUM-TESTING-RELATED-TO-OVARIAN-CANCER-6044956572 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 2.02.510 Mobile Cardiac Outpatient Telemetry and ImplantablePayerPolicy · PREMERA-2-02-510-MOBILE-CARDIAC-OUTPATIENT-TELEMETRY-AND-IMPLANTABLE-760E4B42C1 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 5.01.522 Advanced Therapies for Pharmacological Treatment ofPayerPolicy · PREMERA-5-01-522-ADVANCED-THERAPIES-FOR-PHARMACOLOGICAL-TREATMENT-OF-06C8042B4A | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 1.03.501 Custom-made Knee Orthoses (Braces), Ankle-Foot-OrthosesPayerPolicy · PREMERA-1-03-501-CUSTOM-MADE-KNEE-ORTHOSES-BRACES-ANKLE-FOOT-ORTHOSE-ECF7490393 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 1.01.540 Continuous Passive Motion in the Home SettingPayerPolicy · PREMERA-1-01-540-CONTINUOUS-PASSIVE-MOTION-IN-THE-HOME-SETTING-706E6BE1CF | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.01.591 Interspinous Fixation (Fusion) DevicesPayerPolicy · PREMERA-7-01-591-INTERSPINOUS-FIXATION-FUSION-DEVICES-D827FF2664 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.01.562 Intraoperative Neurophysiologic MonitoringPayerPolicy · PREMERA-7-01-562-INTRAOPERATIVE-NEUROPHYSIOLOGIC-MONITORING-8EE4FD62A9 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.01.551 Lumbar Spine Decompression Surgery: Discectomy, ForaminotomyPayerPolicy · PREMERA-7-01-551-LUMBAR-SPINE-DECOMPRESSION-SURGERY-DISCECTOMY-FORAM-B754BEAF8F | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.01.132 Transcatheter Aortic-Valve Implantation for Aortic StenosisPayerPolicy · PREMERA-7-01-132-TRANSCATHETER-AORTIC-VALVE-IMPLANTATION-FOR-AORTIC-E32E36C87F | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.01.128 Bronchial ValvesPayerPolicy · PREMERA-7-01-128-BRONCHIAL-VALVES-FE3AF6F42B | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.01.107 Interspinous and Interlaminar Stabilization/DistractionPayerPolicy · PREMERA-7-01-107-INTERSPINOUS-AND-INTERLAMINAR-STABILIZATION-DISTRAC-EA86F91AE0 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.01.582 Bioengineered Skin and Soft Tissue SubstitutesPayerPolicy · PREMERA-7-01-582-BIOENGINEERED-SKIN-AND-SOFT-TISSUE-SUBSTITUTES-C90AD51784 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 5.01.645 Pharmacologic Treatment of Psoriatic ArthritisPayerPolicy · PREMERA-5-01-645-PHARMACOLOGIC-TREATMENT-OF-PSORIATIC-ARTHRITIS-4A81093BE1 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 5.01.535 Erythropoiesis-Stimulating AgentsPayerPolicy · PREMERA-5-01-535-ERYTHROPOIESIS-STIMULATING-AGENTS-595B12E135 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 5.01.518 BCR-ABL Kinase InhibitorsPayerPolicy · PREMERA-5-01-518-BCR-ABL-KINASE-INHIBITORS-AE163CF511 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 2.04.507 Testing Serum Vitamin D LevelsPayerPolicy · PREMERA-2-04-507-TESTING-SERUM-VITAMIN-D-LEVELS-0D216570E2 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 2.02.09 Closure Devices for Patent Foramen Ovale and Atrial SeptalPayerPolicy · PREMERA-2-02-09-CLOSURE-DEVICES-FOR-PATENT-FORAMEN-OVALE-AND-ATRIAL-58152BDE17 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 10.01.520 Review for Coverage in the Absence of a Medical PolicyPayerPolicy · PREMERA-10-01-520-REVIEW-FOR-COVERAGE-IN-THE-ABSENCE-OF-A-MEDICAL-PO-E1172689DC | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 1.01.525 Postsurgical Home Use of Limb Compression Devices forPayerPolicy · PREMERA-1-01-525-POSTSURGICAL-HOME-USE-OF-LIMB-COMPRESSION-DEVICES-F-CDF1194BCC | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 2.02.515 Leadless Cardiac PacemakersPayerPolicy · PREMERA-2-02-515-LEADLESS-CARDIAC-PACEMAKERS-0FE0573A61 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 8.03.502 Physical Medicine and Rehabilitation - Physical TherapyPayerPolicy · PREMERA-8-03-502-PHYSICAL-MEDICINE-AND-REHABILITATION-PHYSICAL-THERA-FFBB8C78C7 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 8.03.501 Chiropractic and Other Manipulation ServicesPayerPolicy · PREMERA-8-03-501-CHIROPRACTIC-AND-OTHER-MANIPULATION-SERVICES-A904632702 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.01.83 Auditory Brainstem ImplantPayerPolicy · PREMERA-7-01-83-AUDITORY-BRAINSTEM-IMPLANT-3708F1861A | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.01.559 Sinus Surgery in AdultsPayerPolicy · PREMERA-7-01-559-SINUS-SURGERY-IN-ADULTS-B3D1B81E19 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.01.133 Microwave Tumor AblationPayerPolicy · PREMERA-7-01-133-MICROWAVE-TUMOR-ABLATION-2EBE51C963 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.01.125 Occipital Nerve StimulationPayerPolicy · PREMERA-7-01-125-OCCIPITAL-NERVE-STIMULATION-FC51CA0667 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.01.44 Implantable Cardioverter-Defibrillator (ICD)PayerPolicy · PREMERA-7-01-44-IMPLANTABLE-CARDIOVERTER-DEFIBRILLATOR-ICD-4F1C099D9A | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 5.01.605 Medical Necessity Criteria for Pharmacy EditsPayerPolicy · PREMERA-5-01-605-MEDICAL-NECESSITY-CRITERIA-FOR-PHARMACY-EDITS-98EC3240B3 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 5.01.603 Epidermal Growth Factor Receptor (EGFR) InhibitorsPayerPolicy · PREMERA-5-01-603-EPIDERMAL-GROWTH-FACTOR-RECEPTOR-EGFR-INHIBITORS-97CC9478F0 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 2.04.509 Cardiovascular Risk PanelsPayerPolicy · PREMERA-2-04-509-CARDIOVASCULAR-RISK-PANELS-8A82D6AC90 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 2.03.07 Hyperthermic Intraperitoneal Chemotherapy (HIPEC) forPayerPolicy · PREMERA-2-03-07-HYPERTHERMIC-INTRAPERITONEAL-CHEMOTHERAPY-HIPEC-FOR-31ACB68893 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 2.01.543 Recombinant and Autologous Platelet-Derived Growth FactorsPayerPolicy · PREMERA-2-01-543-RECOMBINANT-AND-AUTOLOGOUS-PLATELET-DERIVED-GROWTH-AC35E667E6 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 2.01.534 Intra-Articular Hyaluronan Injections for OsteoarthritisPayerPolicy · PREMERA-2-01-534-INTRA-ARTICULAR-HYALURONAN-INJECTIONS-FOR-OSTEOARTH-FC69DB92A9 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 10.01.514 Cosmetic and Reconstructive ServicesPayerPolicy · PREMERA-10-01-514-COSMETIC-AND-RECONSTRUCTIVE-SERVICES-53772ABFCF | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 1.04.503 Microprocessor-Controlled and Powered Prostheses andPayerPolicy · PREMERA-1-04-503-MICROPROCESSOR-CONTROLLED-AND-POWERED-PROSTHESES-AN-1A8CC23B2E | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 5.01.514 HER2 InhibitorsPayerPolicy · PREMERA-5-01-514-HER2-INHIBITORS-2C1B0984C6 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 9.02.501 Orthognathic SurgeryPayerPolicy · PREMERA-9-02-501-ORTHOGNATHIC-SURGERY-5643825A5B | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 8.03.01 Functional Neuromuscular Electrical StimulationPayerPolicy · PREMERA-8-03-01-FUNCTIONAL-NEUROMUSCULAR-ELECTRICAL-STIMULATION-B12E4BA5E7 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 8.01.521 Radioembolization for Primary and Metastatic TumorsPayerPolicy · PREMERA-8-01-521-RADIOEMBOLIZATION-FOR-PRIMARY-AND-METASTATIC-TUMORS-4A5E2C54A3 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 8.01.520 Hematopoietic Cell Transplantation for Acute LymphoblasticPayerPolicy · PREMERA-8-01-520-HEMATOPOIETIC-CELL-TRANSPLANTATION-FOR-ACUTE-LYMPHO-203A8D2D44 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.01.84 Semi-Implantable and Fully Implantable Middle Ear HearingPayerPolicy · PREMERA-7-01-84-SEMI-IMPLANTABLE-AND-FULLY-IMPLANTABLE-MIDDLE-EAR-HE-3E562EC3C6 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.01.589 Artificial Intervertebral Disc: Lumbar SpinePayerPolicy · PREMERA-7-01-589-ARTIFICIAL-INTERVERTEBRAL-DISC-LUMBAR-SPINE-7D4A580D35 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.01.554 Surgical Treatment of Snoring and Obstructive SleepPayerPolicy · PREMERA-7-01-554-SURGICAL-TREATMENT-OF-SNORING-AND-OBSTRUCTIVE-SLEEP-27C55201A3 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.01.549 Knee Arthroscopy in AdultsPayerPolicy · PREMERA-7-01-549-KNEE-ARTHROSCOPY-IN-ADULTS-DE1B3C3303 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.01.523 Panniculectomy and Excision of Redundant SkinPayerPolicy · PREMERA-7-01-523-PANNICULECTOMY-AND-EXCISION-OF-REDUNDANT-SKIN-56BEB558B7 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 5.01.563 Pharmacotherapy of Inflammatory Bowel DisorderPayerPolicy · PREMERA-5-01-563-PHARMACOTHERAPY-OF-INFLAMMATORY-BOWEL-DISORDER-366CB29879 | New policy |
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