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	BONE MARROW TRANSPLANT- HEMATOPOIETIC CELL TRANSPLANT FOR GENETIC DISEASES AND ACQUIRED ANEMIAS, ALLOGENEICPayerPolicy · BCBSM-2022265	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	(PEANUT IMMUNOTHERAPY TRANSDERMAL PATCH) VIASKIN PEANUT (J3490) (retired as of 10/06/2022)PayerPolicy · BCBSM-2138352	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING FOR LYNCH SYNDROME AND OTHER INHERITED COLON CANCER SYNDROMES - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2198825	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	REDUCTION MAMMAPLASTY (BREAST REDUCTION) FOR BREAST-RELATED SYMPTOMS (EFFECTIVE 09/01/2026)PayerPolicy · BCBSM-2210524-CBD8F74084	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	RADIOFREQUENCY ABLATION OF BASIVERTEBRAL NERVE FOR LOW BACK PAIN (I.E., INTRACEPT) - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2195912	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BCBSM ONLY: INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA) STREPTOCOCCUS GROUP APayerPolicy · BCBSM-2051906	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BRACHYTHERAPY FOR CLINICALLY LOCALIZED PROSTATE CANCER USING PERMANENTLY IMPLANTED SEEDS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2191558	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BONE MARROW TRANSPLANT - HEMATOPOIETIC CELL TRANSPLANTATION FOR EPITHELIAL OVARIAN CANCER - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2195786	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC AND LABORATORY TESTING FOR USE OF FLUOROPYRIMIDINES (E.G., 5-FLUOROURACIL AND CAPECITABINE) IN PATIENTS WITH CANCERPayerPolicy · BCBSM-2019297	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	TELEMONITORING - REMOTE PATIENT MONITORING AND REMOTE THERAPEUTIC MONITORING (EFFECTIVE 09/01/2026)PayerPolicy · BCBSM-2210526-847A14B74F	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	IRREVERSIBLE ELECTROPORATION OF TUMORS (E.G. NANOKNIFE) LOCATED IN THE LIVER, PANCREAS, KIDNEY, LUNG OR PROSTATEPayerPolicy · BCBSM-2208006	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	EYE MOVEMENT DESENSITIZATION AND REPROCESSING FOR POST-TRAUMATIC STRESS DISORDER (PTSD) - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2194860	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING FOR FLT3, NPM1, CEBPA, IDH1 AND IDH2 VARIANTS IN ACUTE MYELOID LEUKEMIAPayerPolicy · BCBSM-2111323	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	IRREVERSIBLE ELECTROPORATION OF TUMORS LOCATED IN THE LIVER, PANCREAS, KIDNEY, LUNG OR PROSTATE - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2210408	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	REVCOVI ( ELAPEGADEMASE-LVLR )ENZYME REPLACEMENT THERAPY (J3490) retired as of 10/8/2020PayerPolicy · BCBSM-2131964	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	SKIN ADVANCED GLYCATION END PRODUCTS (AGE) MEASUREMENT BY MULTI-WAVELENGTH FLUORESCENT SPECTROSCOPYPayerPolicy · BCBSM-2014342	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	ENZYME REPLACEMENT THERAPY - SEBELIPASE ALFA: KANUMA (J2840) retired as of 10/8/2020PayerPolicy · BCBSM-2059568	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	ULTRASONOGRAPHIC MEASUREMENT OF CAROTID INTIMA-MEDIA THICKNESS AS AN ASSESSMENT OF SUBCLINICAL ATHEROSCLEROSIS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2197016	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	MICROPROCESSOR-CONTROLLED & POWER PROSTHESES AND ORTHOSES FOR THE LOWER LIMB (EFFECTIVE 09/01/2026)PayerPolicy · BCBSM-2210514-FC0BFFFF36	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	CONTINUOUS SUBCUTANEOUS INSULIN INFUSION (CSII) (INSULIN PUMPS) AND TRANSDERMAL INSULIN DELIVERY SYSTEMSPayerPolicy · BCBSM-80190	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	SCREENING FOR LUNG CANCER USING COMPUTED TOMOGRAPHY SCANNING OR CHEST RADIOGRAPHS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2196228	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BONE MARROW TRANSPLANT - HEMATOPOIETIC CELL TRANSPLANTATION FOR MYELODYSPLASTIC SYNDROMES AND MYELOPROLIFERATIVE NEOPLASMS, ALLOGENEICPayerPolicy · BCBSM-2031570	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	POSTSURGICAL HOME USE OF LIMB COMPRESSION DEVICES FOR VENOUS THROMBOEMBOLISM PROPHYLAXIS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2198283	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	MAGNETIC ESOPHAGEAL SPHINCTER AUGMENTATION TO TREAT GASTROESOPHAGEAL REFLUX DISEASE (GERD) - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2193021	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	TRANSCRANIAL MAGNETIC STIMULATION AS A TREATMENT OF DEPRESSION AND OTHER PSYCHIATRIC/NEUROLOGIC DISORDERS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2197269	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	ENZYME REPLACEMENT THERAPY - VELAGLUCERASE ALFA: VIMIZIM (J1322) RETIRED AS OF 10/8/2020PayerPolicy · BCBSM-2050196	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	VPRIV (VELAGLUCERASE ALFA) ENZYME REPLACEMENT THERAPY (J3385) retired as of 10/8/2020PayerPolicy · BCBSM-2132064	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 PROSTATEPayerPolicy · BCBSM-2047383	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	CORNEAL LIQUID BANDAGE LENS FOR CORNEAL EPITHELIAL DEFECTS/SCLERAL LENSES - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2195973	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	SPINAL SURGERY: PERCUTANEOUS DISC DECOMPRESSION USING LASER ENERGY OR RADIOFREQUENCY COBLATION (NUCLEOPLASTY)PayerPolicy · BCBSM-82668	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING - BCR-ABL1 TESTING IN CHRONIC MYELOGENOUS LEUKEMIA AND ACUTE LYMPHOBLASTIC LEUKEMIAPayerPolicy · BCBSM-2067646	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	AIM MEDICAL POLICY - DINUTUXIMAB: UNITUXIN (J9999) (J3490) (J3590) (C9399) (RETIRED AS OF 02/02/2023)PayerPolicy · BCBSM-2087318	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BCN ONLY - AUGMENTATIVE AND ALTERNATIVE COMMUNICATION DEVICES: SPEECH GENERATING DEVICES AND COMMUNICATION BOARDSPayerPolicy · BCBSM-2022402	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	TELEMONITORING- REMOTE PATIENT MONITORING AND REMOTE THERAPEUTIC MONITORING (EFFECTIVE 07/01/2026)PayerPolicy · BCBSM-2209365-49658463AA	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING (SENSORY-EVOKED POTENTIALS, MOTOR-EVOKED POTENTIALS, EEG MONITORING)PayerPolicy · BCBSM-2026111-A8362DF418	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENE EXPRESSION PROFILE ANALYSIS FOR RISK STRATIFICATION FOR PROSTATE CANCER MANAGEMENT - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2198276	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING- MOLECULAR MARKERS IN FINE NEEDLE ASPIRATES (FNA) OF THE THYROID - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2198887	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	PERONEAL NERVE STIMULATION (I.E, TOMAC) FOR TREATMENT OF RESTLESS LEGS SYNDROME - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2210407	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	INTENSITY-MODULATED RADIATION THERAPY (IMRT): CANCER OF THE HEAD AND NECK OR THYROID - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2193814-F30E42890B	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	MEASUREMENT OF SERUM AND ANTI-DRUG ANTIBODY LEVELS FOR SELECTED BIOLOGIC AGENTS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2192864	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	LEFT ATRIAL PRESSURE MONITORING DEVICES FOR HEART FAILURE IN THE AMBULATORY CARE AND OUTPATIENT SETTINGPayerPolicy · BCBSM-2020358	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	COMPUTER-AIDED EVALUATION AS AN ADJUNCT TO MAGNETIC RESONANCE IMAGING FOR PROSTATE CANCER - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2201628	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	REFRACTIVE KERATOPLASTIES, PHOTOTHERAPEUTIC KERATECTOMY AND IMPLANTATION OF INTRASTROMAL CORNEAL RING SEGMENTS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2198286	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (ICD), INCLUDING SUBCUTANEOUS ICDS AND SUBSTERNAL ICDS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2196215	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	LAPAROSCOPIC, PERCUTANEOUS, AND TRANSCERVICAL TECHNIQUES FOR UTERINE FIBROID MYOLYSIS (EFFECTIVE 09/01/2026)PayerPolicy · BCBSM-2210521-DAAB072081	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	DRUG COATED BALLOON FOR URETHRAL STRICTURES (I.E., OPTILUME URETHRAL DRUG COATED BALLOON)PayerPolicy · BCBSM-2199534	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BCBSM ONLY: Continuing Coverage of CPAP Machines and Supplies for the Treatment of Obstructive Sleep ApneaPayerPolicy · BCBSM-2018273	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	HEMOGLOBIN A1C TESTING DEVICE FOR HOME USE OR FOR USE AS A POINT OF CARE DEVICEPayerPolicy · BCBSM-106023	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 DISORDERSPayerPolicy · BCBSM-87127	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC CANCER SUSCEPTIBILITY PANELS USING NEXT GENERATION SEQUENCING - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2198909	New policy