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 | 5.01.561 Repository Corticotropin InjectionPayerPolicy · PREMERA-5-01-561-REPOSITORY-CORTICOTROPIN-INJECTION-084AB09B6D | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 5.01.553 Myalept (metreleptin)PayerPolicy · PREMERA-5-01-553-MYALEPT-METRELEPTIN-0D3B4857CB | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 2.01.17 Sublingual Immunotherapy as a Technique of Allergen-SpecificPayerPolicy · PREMERA-2-01-17-SUBLINGUAL-IMMUNOTHERAPY-AS-A-TECHNIQUE-OF-ALLERGEN-DCF3787BF6 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 10.01.511 Medical Policy and Clinical Guidelines: DefinitionsPayerPolicy · PREMERA-10-01-511-MEDICAL-POLICY-AND-CLINICAL-GUIDELINES-DEFINITIONS-C89D566E2F | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 1.01.508 (effective September 4, 2026) Negative Pressure WoundPayerPolicy · PREMERA-1-01-508-EFFECTIVE-SEPTEMBER-4-2026-NEGATIVE-PRESSURE-WOUND-B6EB8982F5 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 9.02.500 Orthodontic Services for Treatment of Congenital CraniofacialPayerPolicy · PREMERA-9-02-500-ORTHODONTIC-SERVICES-FOR-TREATMENT-OF-CONGENITAL-CR-FA3A1EA7AF | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 8.01.543 Chimeric Antigen Receptor Therapy for Multiple MyelomaPayerPolicy · PREMERA-8-01-543-CHIMERIC-ANTIGEN-RECEPTOR-THERAPY-FOR-MULTIPLE-MYEL-CC003CB420 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 8.01.511 Hematopoietic Cell Transplantation for Solid TumorsPayerPolicy · PREMERA-8-01-511-HEMATOPOIETIC-CELL-TRANSPLANTATION-FOR-SOLID-TUMORS-6A0E1383BA | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 8.01.29 Hematopoietic Cell Transplantation for Hodgkin LymphomaPayerPolicy · PREMERA-8-01-29-HEMATOPOIETIC-CELL-TRANSPLANTATION-FOR-HODGKIN-LYMPH-F95CE19FAB | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 8.01.24 Hematopoietic Cell Transplantation for MiscellaneousPayerPolicy · PREMERA-8-01-24-HEMATOPOIETIC-CELL-TRANSPLANTATION-FOR-MISCELLANEOUS-D330077D8B | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.03.509 Liver Transplant and Combined Liver-Kidney TransplantPayerPolicy · PREMERA-7-03-509-LIVER-TRANSPLANT-AND-COMBINED-LIVER-KIDNEY-TRANSPLA-F87EEB038C | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.03.11 Total Artificial Hearts and Implantable Ventricular AssistPayerPolicy · PREMERA-7-03-11-TOTAL-ARTIFICIAL-HEARTS-AND-IMPLANTABLE-VENTRICULAR-0E9CA00E43 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 8.01.25 Hematopoietic Cell Transplantation for Autoimmune DiseasesPayerPolicy · PREMERA-8-01-25-HEMATOPOIETIC-CELL-TRANSPLANTATION-FOR-AUTOIMMUNE-DI-B8A86F893B | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.01.555 Facet Joint DenervationPayerPolicy · PREMERA-7-01-555-FACET-JOINT-DENERVATION-52C8C79AAF | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.01.15 Meniscal Allografts and Other Meniscal ImplantsPayerPolicy · PREMERA-7-01-15-MENISCAL-ALLOGRAFTS-AND-OTHER-MENISCAL-IMPLANTS-4D6C1F09FE | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 5.01.534 Multiple Receptor Tyrosine Kinase InhibitorsPayerPolicy · PREMERA-5-01-534-MULTIPLE-RECEPTOR-TYROSINE-KINASE-INHIBITORS-E9C4FA2D3E | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 2.01.73 ActigraphyPayerPolicy · PREMERA-2-01-73-ACTIGRAPHY-062439A21A | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 2.01.38 Transesophageal Endoscopic Therapies for GastroesophagealPayerPolicy · PREMERA-2-01-38-TRANSESOPHAGEAL-ENDOSCOPIC-THERAPIES-FOR-GASTROESOPH-4B54A4DA3C | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 1.01.508 Negative Pressure Wound Therapy (NPWT) Devices in AdultsPayerPolicy · PREMERA-1-01-508-NEGATIVE-PRESSURE-WOUND-THERAPY-NPWT-DEVICES-IN-ADU-C14C01C0BC | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 8.01.30 Hematopoietic Cell Transplantation for Chronic MyeloidPayerPolicy · PREMERA-8-01-30-HEMATOPOIETIC-CELL-TRANSPLANTATION-FOR-CHRONIC-MYELO-33294B3635 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 8.01.23 Hematopoietic Cell Transplantation for Epithelial OvarianPayerPolicy · PREMERA-8-01-23-HEMATOPOIETIC-CELL-TRANSPLANTATION-FOR-EPITHELIAL-OV-D881F7DF43 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.01.519 Treatment of Varicose Veins/Venous InsufficiencyPayerPolicy · PREMERA-7-01-519-TREATMENT-OF-VARICOSE-VEINS-VENOUS-INSUFFICIENCY-DDB1420527 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.01.18 Automated Percutaneous and Percutaneous Endoscopic DiscectomyPayerPolicy · PREMERA-7-01-18-AUTOMATED-PERCUTANEOUS-AND-PERCUTANEOUS-ENDOSCOPIC-D-0055A507B8 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.01.120 Facet ArthroplastyPayerPolicy · PREMERA-7-01-120-FACET-ARTHROPLASTY-24C8FDF8C9 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.01.109 Magnetic Resonance Imaging-Guided Focused UltrasoundPayerPolicy · PREMERA-7-01-109-MAGNETIC-RESONANCE-IMAGING-GUIDED-FOCUSED-ULTRASOUN-A1C33EB7CE | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 5.01.606 Hepatitis C Antiviral TherapyPayerPolicy · PREMERA-5-01-606-HEPATITIS-C-ANTIVIRAL-THERAPY-A6CE139F52 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 2.01.533 Upper Gastrointestinal (UGI) Endoscopy for AdultsPayerPolicy · PREMERA-2-01-533-UPPER-GASTROINTESTINAL-UGI-ENDOSCOPY-FOR-ADULTS-3BC08A5F76 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 1.01.501 Wheelchairs (Manual or Motorized)PayerPolicy · PREMERA-1-01-501-WHEELCHAIRS-MANUAL-OR-MOTORIZED-C75487F204 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 8.01.503 (effective November 6, 2026) Immune Globulin TherapyPayerPolicy · PREMERA-8-01-503-EFFECTIVE-NOVEMBER-6-2026-IMMUNE-GLOBULIN-THERAPY-7CA604B1C7 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 8.03.505 Speech TherapyPayerPolicy · PREMERA-8-03-505-SPEECH-THERAPY-3CF3C3BA27 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.01.558 RhinoplastyPayerPolicy · PREMERA-7-01-558-RHINOPLASTY-FF43884B72 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.01.542 Lumbar Spinal Fusion in AdultsPayerPolicy · PREMERA-7-01-542-LUMBAR-SPINAL-FUSION-IN-ADULTS-B33F2C36F5 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.01.508 Blepharoplasty, Blepharoptosis and Brow Ptosis SurgeryPayerPolicy · PREMERA-7-01-508-BLEPHAROPLASTY-BLEPHAROPTOSIS-AND-BROW-PTOSIS-SURGE-56809FC5A6 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 2.03.502 Monoclonal Antibodies for the Treatment of LymphomaPayerPolicy · PREMERA-2-03-502-MONOCLONAL-ANTIBODIES-FOR-THE-TREATMENT-OF-LYMPHOMA-C12BDFDCCA | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 2.01.57 Electrostimulation and Electromagnetic Therapy for TreatingPayerPolicy · PREMERA-2-01-57-ELECTROSTIMULATION-AND-ELECTROMAGNETIC-THERAPY-FOR-T-A0FA937F07 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 8.03.503 Occupational TherapyPayerPolicy · PREMERA-8-03-503-OCCUPATIONAL-THERAPY-8A96759766 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 8.03.09 Vertebral Axial DecompressionPayerPolicy · PREMERA-8-03-09-VERTEBRAL-AXIAL-DECOMPRESSION-A68DDF634D | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.01.69 Sacral Nerve Neuromodulation/StimulationPayerPolicy · PREMERA-7-01-69-SACRAL-NERVE-NEUROMODULATION-STIMULATION-6F99485CA9 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.01.63 Deep Brain StimulationPayerPolicy · PREMERA-7-01-63-DEEP-BRAIN-STIMULATION-8AE9EEF9DC | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 5.01.500 Growth Hormone TherapyPayerPolicy · PREMERA-5-01-500-GROWTH-HORMONE-THERAPY-70A8626377 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 10.01.504 Technology ReviewPayerPolicy · PREMERA-10-01-504-TECHNOLOGY-REVIEW-D85C8BC83C | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 5.01.513 Omalizumab ProductsPayerPolicy · PREMERA-5-01-513-OMALIZUMAB-PRODUCTS-62E1A19FB9 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 8.01.519 Nonpharmacologic Treatment of HyperhidrosisPayerPolicy · PREMERA-8-01-519-NONPHARMACOLOGIC-TREATMENT-OF-HYPERHIDROSIS-68223CDC60 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 8.01.01 Adoptive ImmunotherapyPayerPolicy · PREMERA-8-01-01-ADOPTIVE-IMMUNOTHERAPY-0D1DA2E9D1 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.01.593 Vagus Nerve StimulationPayerPolicy · PREMERA-7-01-593-VAGUS-NERVE-STIMULATION-8DA1F05D2F | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.01.522 Gastric Electrical StimulationPayerPolicy · PREMERA-7-01-522-GASTRIC-ELECTRICAL-STIMULATION-40B65BB457 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.01.521 Mastectomy for GynecomastiaPayerPolicy · PREMERA-7-01-521-MASTECTOMY-FOR-GYNECOMASTIA-B9EACBA85C | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 7.01.104 Subtalar ArthroereisisPayerPolicy · PREMERA-7-01-104-SUBTALAR-ARTHROEREISIS-07E7E9B1D9 | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 5.01.550 Pharmacotherapy of ArthropathiesPayerPolicy · PREMERA-5-01-550-PHARMACOTHERAPY-OF-ARTHROPATHIES-16C0EABC5D | New policy |
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| Aug 2, 2026 | Premera Blue Cross | 8.01.542 Hematopoietic Cell Transplantation for Acute MyeloidPayerPolicy · PREMERA-8-01-542-HEMATOPOIETIC-CELL-TRANSPLANTATION-FOR-ACUTE-MYELOI-C9E015D0A1 | New policy |
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