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 Blue Shield of Michigan and Blue Care Network	INTENSITY-MODULATED RADIATION THERAPY (IMRT) AND IMAGE GUIDED RADIATION THERAPY (IGRT): ABDOMEN, PELVIS, AND CHESTPayerPolicy · BCBSM-2047279	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	PERCUTANEOUS ELECTRICAL NERVE FIELD STIMULATION (E.G., IB-STIM) FOR FUNCTIONAL GASTROINTESTINAL DISORDERS INCLUDING IBSPayerPolicy · BCBSM-2196616	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	ABLATION OF PERIPHERAL NERVES TO TREAT PAIN INCLUDING COOLIEF COOLED RF AND IOVERA° SYSTEM - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2199976	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BONE MARROW TRANSPLANT - HEMATOPOIETIC CELL TRANSPLANT FOR GENETIC DISEASES AND ACQUIRED ANEMIAS, ALLOGENEIC - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2195787	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	ACCELERATED BREAST IRRADIATION AND BRACHYTHERAPY BOOST AFTE BREAST-CONSERVING SURGERY FOR EARLY-STAGE BREAST CANCER.PayerPolicy · BCBSM-77496	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BMT- HEMATOPOIETIC CELL TRANSPLANTATION (HCT) FOR CNS TUMORS, EMBRYONAL TUMORS, AND EPENDYMOMA - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2195785	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	NONINVASIVE MEASUREMENT OF CENTRAL BLOOD PRESSURE (SPHYGMOCOR SYSTEM, VICORDER, PULSE WAVE VELOCITY, PHYSIOWAVE)PayerPolicy · BCBSM-2069439	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BMT-HCT GENE THERAPIES FOR SICKLE CELL DISEASE (AUTOLOGOUS) (EFFECTIVE 09/01/2026)PayerPolicy · BCBSM-2210518-B6A69F782D	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING - MALIGNANT GLIOMAS INCLUDING MGMT PROMOTER METHYLATION (EFFECTIVE 07/01/2026)PayerPolicy · BCBSM-2209375-0A9FD2B928	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING (SINGLE NUCLEOTIDE VARIANTS) TO PREDICT RISK OF NONFAMILIAL BREAST CANCER - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2198901	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	JYNNEOS (SMALLPOX AND MONKEYPOX, LIVE, NON-REPLICATING VACCINE) policy retired as of 12/3/2020.PayerPolicy · BCBSM-2117667	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	TEMPORARILY IMPLANTED PROSTATIC DEVICES FOR BENIGN PROSTATIC HYPERPLASIA (E.G., NITINOL DEVICE [ITIND], SPANNERTM)PayerPolicy · BCBSM-2181057	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	EXTRACORPOREAL SHOCK WAVE THERAPY FOR TREATMENT OF PLANTAR FASCIITIS AND OTHER MUSCULOSKELETAL DISORDERS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2193212	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	CORONARY COMPUTED TOMOGRAPHY ANGIOGRAPHY WITH SELECTIVE NONINVASIVE FRACTIONAL FLOW RESERVE (FFRCT) - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2201629	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING - WHOLE EXOME AND WHOLE GENOME SEQUENCING FOR DIAGNOSIS OF GENETIC DISORDERS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2198600	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING - NGS OF MULTIPLE GENES (PANEL) FOR SOLID AND HEMATOLYMPHOID MALIGNANT CONDITIONS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2198890	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	RADIOFREQUENCY ABLATION OF PERIPHERAL NERVES TO TREAT PAIN INCLUDING COOLIEF COOLED RF - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2194668-923B2A3344	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	INTENSITY MODULATED RADIATION THERAPY (IMRT) AND IMAGE GUIDED RADIATION THERAPY (IGRT) OF THE BREAST AND LUNGPayerPolicy · BCBSM-2047386	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	AUTOLOGOUS PLATELET-DERIVED GROWTH FACTORS AS A TREATMENT OF WOUND HEALING AND OTHER NON ORTHOPEDIC CONDITIONSPayerPolicy · BCBSM-76948	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	COMPRESSION PUMPS AND APPLIANCES (E.G., FLEXITOUCH SYSTEM, KOYA DAYSPRING SYSTEM) FOR LYMPHEDEMA - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2205279	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	PROTEOMIC TESTING FOR NON-SMALL-CELL LUNG CANCER (NSCLC), E.G., VERISTRAT - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2198894	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	CONTRAST-ENHANCED COMPUTED TOMOGRAPHY ANGIOGRAPHY (CTA, CCTA, MDCT, MSCT) OF THE HEART AND/OR CORONARY ARTERIESPayerPolicy · BCBSM-83275	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	POSITRON EMISSION TOMOGRAPHY (PET) FOR MISCELLANEOUS APPLICATIONS (NON-CARDIAC, NON-ONCOLOGIC) - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2198281	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	EXHALED NITRIC OXIDE AND EXHALED BREATH CONDENSATE IN THE DIAGNOSIS AND MANAGEMENT OF RESPIRATORY DISORDERS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2194859	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	SPINAL SURGERY PERCUTANEOUS INTRADISCAL ELECTROTHERMAL (IDET) ANNULOPLASTY AND PERCUTANEOUS INTRADISCAL RADIOFREQUENCY ANNULOPLASTY, AND BIACUPLASTYPayerPolicy · BCBSM-2034467	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	PERIPHERAL NERVE INJURY REPAIR USING SYNTHETIC CONDUITS OR PROCESSED NERVE ALLOGRAFTS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2202081	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	STRENSIQ (ASFOTASE ALFA) ENZYME REPLACEMENT THERAPY (J3490) (J3590) retired as of 10/8/2020PayerPolicy · BCBSM-2131814	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	MAGNETIC PELVIC FLOOR STIMULATION (I.E., NEOTONUS AND MECHANOTHERAPY (I.E., FLYTE) FOR UNRINARY AND/OR FECAL INCONTINENCEPayerPolicy · BCBSM-77274	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	OPTICAL COHERENCE TOMOGRAPHY (OCT) OF THE MIDDLE EAR (E.G., PHOTONICARE CLEARVIEW SYSTEM) - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2197629	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	EXTRA-AORTIC COUNTER-PULSATION VENTRICULAR ASSIST SYSTEM (E.G., C-PULSE HEART ASSIST)PayerPolicy · BCBSM-2074445	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	90695 INFLUENZA VIRUS VACCINE, H5N8, DERIVED FROM CELL CULTURES, ADJUVANTED, FOR INTRAMUSCULAR USEPayerPolicy · BCBSM-2197356	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	90635 INFLUENZA VIRUS VACCINE, H5N1, DERIVED FROM CELL CULTURES, ADJUVANTED, FOR INTRAMUSCULAR USEPayerPolicy · BCBSM-2200881	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	TREATMENT OF PERIPHERAL NERVE ENTRAPMENT AND CARPAL TUNNEL SYNDROME USING NOVEL METHODS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2207710	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	IMPLANTABLE PERIPHERAL NERVE STIMULATION AND PERIPHERAL SUBCUTANEOUS FIELD STIMULATION DEVICES FOR THE TREATMENT OF CHRONIC PAINPayerPolicy · BCBSM-2034793	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING-CHROMOSOMAL MICROARRAY TESTING FOR THE EVALUATION OF EARLY PREGNANCY LOSS AND INTRAUTERINE FETAL DEMISEPayerPolicy · BCBSM-2056247	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	MAGNETIC RESONANCE IMAGING TO MONITOR INTEGRITY OF SILICONE-GEL-FILLED BREAST IMPLANTS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2196222	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	PERCUTANEOUS ULTRASONIC ABLATION AS TREATMENT OF CHRONIC PAIN DUE TO TENDONITIS AND FASCIITIS (TENEX HEALTH TX)PayerPolicy · BCBSM-2181145	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	CORONARY COMPUTED TOMOGRAPHY ANGIOGRAPHY WITH SELECTIVE NONINVASIVE FRACTIONAL FLOW RESERVE (FFRCT) - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2195974-3B6794D6A4	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	DIGITAL HEALTH TECHNOLOGIES: DIAGNOSTIC APPLICATIONS (BEHAVIORAL HEALTH DISORDERS, INCLUDING AUTISM SPECTRUM DISORDER)PayerPolicy · BCBSM-2174741	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	INTENSITY MODULATED RADIATION THERAPY (IMRT): CENTRAL NERVOUS SYSTEM TUMORS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2197010-34B65DA202	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	ABLATION OF PERIPHERAL NERVES TO TREAT PAIN INCLUDING COOLIEF COOLED RF AND IOVERA SYSTEMPayerPolicy · BCBSM-2092922	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	ENZYME REPLACEMENT THERAPY - PEGADEMASE BOVINE: ADAGEN (J2504) retired as of 10/8/2020PayerPolicy · BCBSM-2046919	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	IMPLANTABLE MINIATURE TELESCOPE FOR THE TREATMENT OF END-STAGE AGE-RELATED WET MACULAR DEGENERATIONPayerPolicy · BCBSM-2026742	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	PHRENIC NERVE STIMULATION AND DIAPHRAGM PACING (E.G., MARKIV, NEURX, DPSTM, AND RA/4)PayerPolicy · BCBSM-2018918	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	DOPAMINE TRANSPORTER IMAGING WITH SINGLE PHOTON EMISSION COMPUTED TOMOGRAPHY (DATSCAN) - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2192629	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GROWING RODS FOR SCOLIOSIS (E.G., MAGEC SPINAL BRACING AND DISTRACTION SYSTEM) - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2193629	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING FOR FMR1 AND FMR2 VARIANTS (INCLUDING FRAGILE X AND FRAGILE XE SYNDROMES)PayerPolicy · BCBSM-2034253-4AC8FC5445	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BONE TURNOVER MARKERS FOR DIAGNOSIS AND MANAGEMENT OF OSTEOPOROSIS AND DISEASES ASSOCIATED WITH HIGH BONE TURNOVERPayerPolicy · BCBSM-2040704	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	CIRCULATING TUMOR DNA FOR MANAGEMENT OF NON-SMALL-CELL LUNG CANCER (LIQUID BIOPSY)PayerPolicy · BCBSM-2132866	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	NONINVASIVE EAR OR PULSE OXIMETRY FOR OXYGEN SATURATION BY CONTINUOUS OVERNIGHT MONITORING FOR SLEEP DISORDERSPayerPolicy · BCBSM-76969	New policy