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 |
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| Oct 1, 2026 | CMS / Medicare | Billing and Coding: Home Health Physical TherapyArticle · A53058 | Codes changed |
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| Oct 1, 2026 | CMS / Medicare | Billing and Coding: Home Health Occupational TherapyArticle · A53057 | Codes changed |
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| Oct 1, 2026 | CMS / Medicare | Billing and Coding: Endometrial Hyperplasia TreatmentArticle · A53043 | Codes changed |
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| Oct 1, 2026 | CMS / Medicare | Billing and Coding: Transesophageal Echocardiography (TEE)Article · A52868 | Codes changed |
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| Oct 1, 2026 | CMS / Medicare | Billing and Coding: Pain Management - injection of tendon sheaths, ligaments, bursa, and ganglion cystsArticle · A52863 | Codes changed |
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| Oct 1, 2026 | CMS / Medicare | Billing and Coding: Cardiac Catheterization and Coronary AngiographyArticle · A52850 | Codes changed |
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| Oct 1, 2026 | CMS / Medicare | Tracheostomy Care Supplies - Policy ArticleArticle · A52492 | Codes changed |
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| Oct 1, 2026 | CMS / Medicare | Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy ArticleArticle · A52480 | Codes changed |
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| Oct 1, 2026 | CMS / Medicare | Oral Anticancer Drugs - Policy ArticleArticle · A52479 | Codes changed |
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| Oct 1, 2026 | CMS / Medicare | Nebulizers - Policy ArticleArticle · A52466 | Codes changed |
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| Oct 1, 2026 | CMS / Medicare | Automatic External Defibrillators - Policy ArticleArticle · A52458 | Codes changed |
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| Oct 1, 2026 | CMS / Medicare | Ankle-Foot/Knee-Ankle-Foot Orthoses - Policy ArticleArticle · A52457 | Codes changed |
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| Oct 1, 2026 | CMS / Medicare | Billing and Coding: Ranibizumab, Aflibercept and biosimilarsArticle · A52451 | Codes changed |
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| Oct 1, 2026 | CMS / Medicare | Billing and Coding: Paclitaxel (e.g., Taxol®/Abraxane â¢)Article · A52450 | Codes changed |
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| Oct 1, 2026 | CMS / Medicare | Health and Behavior Assessment/Intervention â Medical Policy ArticleArticle · A52434 | Codes changed |
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| Oct 1, 2026 | CMS / Medicare | Billing and Coding: Denosumab (Prolia®, Xgeva®, Jubbonti®) and biosimilarsArticle · A52399 | Codes changed |
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| Oct 1, 2026 | CMS / Medicare | Billing and Coding: Bevacizumab and biosimilarsArticle · A52370 | Codes changed |
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| Oct 1, 2026 | Capital Blue Cross | Whole Body Dual X-Ray Absorptiometry to Determine Body CompositionPayerPolicy · CAPBLUE-MP-5.037 | Metadata changed |
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| Oct 1, 2026 | Capital Blue Cross | Vision TherapyPayerPolicy · CAPBLUE-MP-4.007 | Metadata changed |
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| Oct 1, 2026 | Capital Blue Cross | Vertebral Fracture Assessment and Biochemical Computed Tomography (Formerly Vertebral Fracture Assessment and Trabecular Bone Score)PayerPolicy · CAPBLUE-MP-5.046 | Metadata changed |
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| Oct 1, 2026 | Capital Blue Cross | Vertebral Axial DecompressionPayerPolicy · CAPBLUE-MP-2.065 | Metadata changed |
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| Oct 1, 2026 | Capital Blue Cross | Upper Limb ProsthesesPayerPolicy · CAPBLUE-MP-6.052 | Metadata changed |
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| Oct 1, 2026 | Capital Blue Cross | Tumor Treating Fields TherapyPayerPolicy · CAPBLUE-MP-6.054 | Metadata changed |
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| Oct 1, 2026 | Capital Blue Cross | Treatment of Varicose Veins - Venous InsufficiencyPayerPolicy · CAPBLUE-MP-1.061 | Metadata changed |
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| Oct 1, 2026 | Capital Blue Cross | Transurethral Water Vapor Thermal Therapy and Transurethral Water Jet Ablation (Aquablation) for Benign Prostatic HypertrophyPayerPolicy · CAPBLUE-MP-4.053 | New policy |
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| Oct 1, 2026 | Capital Blue Cross | Transcutaneous Electrical Nerve Stimulation and Transcutaneous Afferent Patterned StimulationPayerPolicy · CAPBLUE-MP-6.020 | Metadata changed |
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| Oct 1, 2026 | Capital Blue Cross | Threshold Electrical Stimulation as a Treatment of Motor DisordersPayerPolicy · CAPBLUE-MP-6.046 | Metadata changed |
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| Oct 1, 2026 | Capital Blue Cross | Temporarily Implanted Nitinol Device (iTind) for Benign Prostatic HyperplasiaPayerPolicy · CAPBLUE-MP-1.164 | Metadata changed |
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| Oct 1, 2026 | Capital Blue Cross | Surgical Ventricular RestorationPayerPolicy · CAPBLUE-MP-1.082 | Metadata changed |
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| Oct 1, 2026 | Capital Blue Cross | Surgical Treatments for Breast Cancer Related LymphedemaPayerPolicy · CAPBLUE-MP-1.161 | Metadata changed |
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| Oct 1, 2026 | Capital Blue Cross | Surgical Treatment of Sleep Apnea and SnoringPayerPolicy · CAPBLUE-MP-1.128 | Metadata changed |
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| Oct 1, 2026 | Capital Blue Cross | Surgical Treatment of GynecomastiaPayerPolicy · CAPBLUE-MP-1.129 | Metadata changed |
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| Oct 1, 2026 | Capital Blue Cross | Surgery for Groin Pain in AthletesPayerPolicy · CAPBLUE-MP-1.163 | Metadata changed |
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| Oct 1, 2026 | Capital Blue Cross | Substance Use Disorder Site of ServicePayerPolicy · CAPBLUE-MP-4.052 | Metadata changed |
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| Oct 1, 2026 | Capital Blue Cross | Subcutaneous Hormone Pellet ImplantsPayerPolicy · CAPBLUE-MP-2.345 | Metadata changed |
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| Oct 1, 2026 | Capital Blue Cross | Step Therapy Treatment of Stage Four, Advanced Metastatic Cancer and Severe Related Health Conditions (Retired 10/1/2026)PayerPolicy · CAPBLUE-MP-2.373 | Metadata changed |
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| Oct 1, 2026 | Capital Blue Cross | Stem Cell Therapy for Peripheral Arterial DiseasePayerPolicy · CAPBLUE-MP-2.089 | Metadata changed |
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| Oct 1, 2026 | Capital Blue Cross | Sacral Nerve Neuromodulation-StimulationPayerPolicy · CAPBLUE-MP-1.033 | Metadata changed |
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| Oct 1, 2026 | Capital Blue Cross | Rhinomanometry and Acoustic/Optical RhinometryPayerPolicy · CAPBLUE-MP-2.088 | Metadata changed |
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| Oct 1, 2026 | Capital Blue Cross | Renal Denervation for Uncontrolled HypertensionPayerPolicy · CAPBLUE-MP-1.166 | Metadata changed |
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| Oct 1, 2026 | Capital Blue Cross | Reconstructive Breast Surgery Including Management of Breast Implants, External Breast Prosthesis and Post Mastectomy BrasPayerPolicy · CAPBLUE-MP-1.103 | Metadata changed |
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| Oct 1, 2026 | Capital Blue Cross | Radiofrequency Ablation of Thyroid TumorsPayerPolicy · CAPBLUE-MP-1.165 | Metadata changed |
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| Oct 1, 2026 | Capital Blue Cross | Radiofrequency Ablation of Miscellaneous Solid Tumors Excluding Liver TumorsPayerPolicy · CAPBLUE-MP-1.084 | Metadata changed |
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| Oct 1, 2026 | Capital Blue Cross | Polysomnography for Non-Respiratory Sleep DisordersPayerPolicy · CAPBLUE-MP-2.335 | Metadata changed |
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| Oct 1, 2026 | Capital Blue Cross | Plasma Exchange (PE)PayerPolicy · CAPBLUE-MP-4.031 | Metadata changed |
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| Oct 1, 2026 | Capital Blue Cross | Placental/Umbilical Cord Blood as Source of Stem CellsPayerPolicy · CAPBLUE-MP-9.001 | Metadata changed |
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| Oct 1, 2026 | Capital Blue Cross | Percutaneous Electrical Nerve Stimulation (PENs) and Percutaneous Neuromodulation Therapy (PNT)PayerPolicy · CAPBLUE-MP-6.050 | Metadata changed |
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| Oct 1, 2026 | Capital Blue Cross | Paraspinal Surface Electromyography to Evaluate and Monitor Back PainPayerPolicy · CAPBLUE-MP-2.097 | Metadata changed |
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| Oct 1, 2026 | Capital Blue Cross | Other Therapies of HyperhidrosisPayerPolicy · CAPBLUE-MP-2.005 | Metadata changed |
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| Oct 1, 2026 | Capital Blue Cross | Orthopedic Applications of Stem Cell Therapy (Including Allograft and Bone Substitute Products Used with Autologous Bone Marrow)PayerPolicy · CAPBLUE-MP-2.080 | Metadata changed |
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