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	Blue Cross of Idaho	Vestronidase alfa-vjbk (Mepsevii) for MucopolysaccharidosisPayerPolicy · BCIDAHO-05-01-651	New policy
Aug 2, 2026	Blue Cross of Idaho	Etelcalcetide (Parsabiv) for Secondary HyperparathyroidismPayerPolicy · BCIDAHO-05-01-652	New policy
Aug 2, 2026	Blue Cross of Idaho	Orthognathic SurgeryPayerPolicy · BCIDAHO-07-01-501	New policy
Aug 2, 2026	Blue Cross of Idaho	Identification of Microorganisms Using Nucleic Acid Probes. viral, hepatitis, other and unspecified viral diseases) U07.1 COVID-19 Z03.818 Encounter for observation for suspected exposurPayerPolicy · BCIDAHO-02-04-010-19ADAD4D86	New policy
Aug 2, 2026	Blue Cross of Idaho	Musculoskeletal Services CriteriaPayerPolicy · BCIDAHO-09-01-504	New policy
Aug 2, 2026	Blue Cross of Idaho	Hematopoietic Cell Transplantation for Acute Myeloid LeukemiaPayerPolicy · BCIDAHO-08-01-026	New policy
Aug 2, 2026	Blue Cross of Idaho	Gene Therapies for Thalassemia. Approach, New Technology Group 8 Type of Service Drugs/Biologics Place of Service Inpatient/Outpatient POLICY HISTORY Date Action Description 12/29/22 New polPayerPolicy · BCIDAHO-05-01-042-FUTURE	New policy
Aug 2, 2026	Blue Cross of Idaho	Durable Medical Equipment GuidelinesPayerPolicy · BCIDAHO-01-01-501	New policy
Aug 2, 2026	Blue Cross of Idaho	Automated Ambulatory Blood Pressure Monitoring for Diagnosis of Hypertension in Patients With Elevated Office Blood Pressure. Type of service DME Place of service Inpatient/OutpatientPayerPolicy · BCIDAHO-01-01-002-B76861AEF7	New policy
Aug 2, 2026	Blue Cross of Idaho	Radiofrequency Ablation of Primary or Metastatic Liver Tumors. ICD-10-PCS ICD-10-PCS would only be used if the procedure is done inpatient. 0F500ZZ, 0F510ZZ, 0F520ZZ, 0F503ZZ, 0F513ZZ, 0F523ZZ,PayerPolicy · BCIDAHO-07-01-091-616ED5FC6A	New policy
Aug 2, 2026	Blue Cross of Idaho	Magnetic Resonance‒Guided Focused Ultrasound. total leiomyomata volume of less than 200 cc of tissue 0072T Focused ultrasound ablation of uterine leiomyomata, including MR guidance; totalPayerPolicy · BCIDAHO-07-01-109-22873783C3	New policy
Aug 2, 2026	Blue Cross of Idaho	Reproductive Techniques. Date Action Description 08/20/20 Replace policy Blue Cross of Idaho adopted changes as noted, effective 08/20/2020PayerPolicy · BCIDAHO-04-02-004-5CDE828657	New policy
Aug 2, 2026	Blue Cross of Idaho	Cognitive RehabilitationPayerPolicy · BCIDAHO-08-03-510	New policy
Aug 2, 2026	Blue Cross of Idaho	Lung and Lobar Lung Transplant. MP 7.03.07 Lung and Lobar Lung Transplant POLICY HISTORY Date Action Description 08/20/20 Replace policy Blue Cross of Idaho adopted changes as noted, effectivePayerPolicy · BCIDAHO-07-03-007-E443036643	New policy
Aug 2, 2026	Blue Cross of Idaho	Adoptive Immunotherapy. MP 8.01.01 Adoptive Immunotherapy service ESSENTIAL HEALTH BENEFITS The Affordable Care Act (ACA) requires fully insured non-grandfathered individual and small groupPayerPolicy · BCIDAHO-08-01-001-517A38AA16	New policy
Aug 2, 2026	Blue Cross of Idaho	Targeted Phototherapy and Psoralen with Ultraviolet A for VitiligoPayerPolicy · BCIDAHO-02-01-586	New policy
Aug 2, 2026	Blue Cross of Idaho	Human Leukocyte Antigen Testing for Celiac DiseasePayerPolicy · BCIDAHO-02-04-095	New policy
Aug 2, 2026	Blue Cross of Idaho	Electronic Brachytherapy for Nonmelanoma Skin Cancer. C44.320-C44.329 Squamous cell carcinoma of skin of other and unspecified parts of face code range (includes nose). C44.41 Basal cellPayerPolicy · BCIDAHO-08-01-062-0136C4C605	New policy
Aug 2, 2026	Blue Cross of Idaho	Nonpharmacologic Treatment of RosaceaPayerPolicy · BCIDAHO-02-01-071	New policy
Aug 2, 2026	Blue Cross of Idaho	Hematopoietic cell Transplantation for Chronic Myelogenous Leukemia. 30253G0, 30253X0,30253Y0 Administration, circulatory, transfusion, peripheral artery, percutaneous, autologous, code byPayerPolicy · BCIDAHO-08-01-030-387FD18AB4	New policy
Aug 2, 2026	Blue Cross of Idaho	Hematopoietic Stem-Cell Transplantation in the Treatment of Germ-Cell TumorsPayerPolicy · BCIDAHO-08-01-035	New policy
Aug 2, 2026	Blue Cross of Idaho	Stem Cell Therapy for Peripheral Arterial Disease. cells, multiple injections, one leg, including ultrasound guidance, if performed; complete procedure excluding bone marrow harvest 0265TPayerPolicy · BCIDAHO-08-01-055-BD7CC27517	New policy
Aug 2, 2026	Blue Cross of Idaho	Adjunctive Techniques for Screening, Surveillance, and Risk Classification of Barrett Esophagus and Esophageal DysplasiaPayerPolicy · BCIDAHO-07-01-167	New policy
Aug 2, 2026	Blue Cross of Idaho	Negative Pressure Wound Therapy in the Outpatient SettingPayerPolicy · BCIDAHO-01-01-516	New policy
Aug 2, 2026	Blue Cross of Idaho	Hematopoietic Cell Transplantation for Epithelial Ovarian CancerPayerPolicy · BCIDAHO-08-01-023	New policy
Aug 2, 2026	Blue Cross of Idaho	Extracorporeal PhotopheresisPayerPolicy · BCIDAHO-08-01-036	New policy
Aug 2, 2026	Blue Cross of Idaho	Surgical Deactivation of Headache Trigger SitesPayerPolicy · BCIDAHO-07-01-135	New policy
Aug 2, 2026	Blue Cross of Idaho	Handheld Radiofrequency Spectroscopy for Intraoperative Assessment of Surgical Margins During Breast-Conserving SurgeryPayerPolicy · BCIDAHO-07-01-140	New policy
Aug 2, 2026	Blue Cross of Idaho	Postsurgical Home Use of Limb Compression Devices for Venous Thromboembolism ProphylaxisPayerPolicy · BCIDAHO-01-01-528	New policy
Aug 2, 2026	Blue Cross of Idaho	Outpatient Pulmonary RehabilitationPayerPolicy · BCIDAHO-08-03-005	New policy
Aug 2, 2026	Blue Cross of Idaho	Sensory Integration Therapy and Auditory Integration TherapyPayerPolicy · BCIDAHO-08-03-013	New policy
Aug 2, 2026	Blue Cross of Idaho	Electrical Bone Growth Stimulation of the Appendicular SkeletonPayerPolicy · BCIDAHO-07-01-007	New policy
Aug 2, 2026	Blue Cross of Idaho	Meniscal Allografts and Other Meniscal ImplantsPayerPolicy · BCIDAHO-07-01-015	New policy
Aug 2, 2026	Blue Cross of Idaho	Autologous Chondrocyte Implantation for Focal Articular Cartilage Lesions. MP 7.01.48 Autologous Chondrocyte Implantation for Focal Articular Cartilage Lesions code by side (right or left)PayerPolicy · BCIDAHO-07-01-048-D8CCA95435	New policy
Aug 2, 2026	Blue Cross of Idaho	Ambulatory Event Monitors and Mobile Cardiac Outpatient TelemetryPayerPolicy · BCIDAHO-02-02-008	New policy
Aug 2, 2026	Blue Cross of Idaho	Deep Brain StimulationPayerPolicy · BCIDAHO-07-01-063	New policy
Aug 2, 2026	Blue Cross of Idaho	Artificial Intervertebral Disc: Cervical SpinePayerPolicy · BCIDAHO-07-01-108	New policy
Aug 2, 2026	Blue Cross of Idaho	Facets ArthroplastyPayerPolicy · BCIDAHO-07-01-120	New policy
Aug 2, 2026	Blue Cross of Idaho	Axial Lumbosacral Interbody FusionPayerPolicy · BCIDAHO-07-01-130	New policy
Aug 2, 2026	Blue Cross of Idaho	Interspinous Fixation (Fusion) DevicesPayerPolicy · BCIDAHO-07-01-138	New policy
Aug 2, 2026	Blue Cross of Idaho	Computer-Assisted Navigation for Orthopedic Procedure. Codes Number Description CPT 20985 Computer-assisted surgical navigational procedure for musculoskeletal procedures; image-less (ListPayerPolicy · BCIDAHO-07-01-096-EBD6FB775C	New policy
Aug 2, 2026	Blue Cross of Idaho	Paraspinal Surface Electromyography to Evaluate and Monitor Back PainPayerPolicy · BCIDAHO-02-01-035	New policy
Aug 2, 2026	Blue Cross of Idaho	Quantitative Sensory TestingPayerPolicy · BCIDAHO-02-01-039	New policy
Aug 2, 2026	Blue Cross of Idaho	Injectable Clostridial Collagenase For Fibroproliferative DisordersPayerPolicy · BCIDAHO-05-01-019	New policy
Aug 2, 2026	Blue Cross of Idaho	Closure Devices for Patent Foramen Ovale and Atrial Septal DefectsPayerPolicy · BCIDAHO-02-02-009	New policy
Aug 2, 2026	Blue Cross of Idaho	Endovascular Stent Grafts for Abdominal Aortic AneurysmsPayerPolicy · BCIDAHO-07-01-067	New policy
Aug 2, 2026	Blue Cross of Idaho	Dental Procedures - Endodontic and Periodontic ServicesPayerPolicy · BCIDAHO-09-02-525	New policy
Aug 2, 2026	Blue Cross of Idaho	Bronchial ThermoplastyPayerPolicy · BCIDAHO-07-01-127	New policy
Aug 2, 2026	Blue Cross of Idaho	Bronchial ValvesPayerPolicy · BCIDAHO-07-01-128	New policy
Aug 2, 2026	Blue Cross of Idaho	ActigraphyPayerPolicy · BCIDAHO-02-01-073	New policy