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	ENZYME REPLACEMENT THERAPY - GALSULFASE: NAGLAZYME (J1458) RETIRED AS OF 10/8/2020PayerPolicy · BCBSM-2050195	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	HYPERTHERMIC INTRAPERITONEAL CHEMOTHERAPY FOR SELECT INTRA-ABDOMINAL AND PELVIC MALIGNANCIES - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2195777	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	RECONSTRUCTIVE BREAST SURGERY AND MANAGEMENT OF BREAST IMPLANTS (EFFECTIVE 09/01/2026)PayerPolicy · BCBSM-2210510-0124AB3C06	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	PERCUTANEOUS LEFT ATRIAL APPENDAGE CLOSURE DEVICES FOR STROKE PREVENTION IN ATRIAL FIBRILLATIONPayerPolicy · BCBSM-2031298	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	INGESTIBLE CAPSULE (E.G., SMARTPILL) FOR ASSESSMENT OF GI (MOTILITY) DISORDERS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2193215	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	ENZYME REPLACEMENT THERAPY - AGALSIDASE: FABRAZYME (J0180) RETIRED AS OF 10/8/2020PayerPolicy · BCBSM-2046920	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	CARDIAC HEMODYNAMIC MONITORING FOR THE MANAGEMENT OF HEART FAILURE IN THE OUTPATIENT SETTING- MEDICARE ADVANTAGEPayerPolicy · BCBSM-2192862	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING - HUMAN LEUKOCYTE ANTIGEN TESTING FOR CELIAC DISEASE - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2198597	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	SPINAL SURGERY- MINIMALLY INVASIVE LUMBAR INTERBODY FUSION (LIF) - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2198289	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GAIT MODULATION AND RHYTHMIC AUDITORY STIMULATION SYSTEM (I.E., INTANDEM) - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2199979	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	ENDOVENOUS ABLATION FOR THE TREATMENT OF VARICOSE VEINS (E.G., CLARIVEIN, VENASEAL CLOSURE SYSTEM)PayerPolicy · BCBSM-2074456	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)PayerPolicy · BCBSM-2090738	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	COMPRESSION PUMPS AND APPLIANCES (E.G., FLECITOUCH? SYSTEM, KOYA DAYSPRING SYSTEM) FOR LYMPHEDEMAPayerPolicy · BCBSM-2097718	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	ELECTRORETINOGRAPHY (ERG), MULTIFOCAL ELECTRORETINOGRAPHY (MFERG) AND PATTERN ELECTRORETINOGRAPHY (PERG) - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2193210	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	ORTHOPTIC TRAINING/VISION THERAPY FOR THE TREATMENT OF VISION OR LEARNING DISABILITIES - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2194065	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 CONDITIONSPayerPolicy · BCBSM-2191960	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	MYOLYSIS OF UTERINE FIBROIDS USING LAPAROSCOPIC, PERCUTANEOUS, OR TRANSCERVICAL TECHNIQUES - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2193869	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 METHODSPayerPolicy · BCBSM-2200878	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	SACROILIAC JOINT FUSION (PERCUTANEOUS OR MINIMALLY INVASIVE) FOR THE TREATMENT OF LOW BACK PAINPayerPolicy · BCBSM-2039209	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	DRUG TESTING IN PAIN MANAGEMENT AND SUBSTANCE USE DISORDER TREATMENT - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2195978	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	RADIOFREQUENCY ABLATION OF MISCELLANEOUS SOLID TUMORS, EXCLUDING LIVER TUMORS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2194667	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 ALLOGRAFTSPayerPolicy · BCBSM-2199535	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BONE MARROW/HEMATOPOIETIC STEM CELL TRANSPLANTATION FOR MISCELLANEOUS SOLID TUMORS IN ADULTSPayerPolicy · BCBSM-2019829-5ED265FE92	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	ENZYME REPLACEMENT THERAPY - LARONIDASE: ALDURAZYME (J1931) retired as of 10/8/2020PayerPolicy · BCBSM-2050193	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	PERIRECTAL SPACER FOR RADIATION THERAPY TREATMENT OF PROSTATE CANCER (SPACEOAR) - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2194112	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	COMPUTERIZED 2-LEAD RESTING ELECTROCARDIOGRAM ANALYSIS FOR THE DIAGNOSIS OF CORONARY ARTERY DISEASEPayerPolicy · BCBSM-2008343	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 DISORDERSPayerPolicy · BCBSM-76817	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	CEREZYME (IMIGLUCERASE) ENZYME REPLACEMENT THERAPY (J1786) retired as of 10/8/2020PayerPolicy · BCBSM-2131764	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING - ANALYSIS OF MGMT PROMOTER METHYLATION IN MALIGNANT GLIOMAS- MEDICARE ADVANTAGEPayerPolicy · BCBSM-2198885-004E9F086D	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., VERISTRATPayerPolicy · BCBSM-2037144	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)PayerPolicy · BCBSM-2020489	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	PROSTATIC ARTERY EMBOLIZATION (PAE) FOR BENIGN PROSTATIC HYPERTROPHY (BPH) - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2198279	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	PULMONARY ARTERIAL HYPERTENSION PRODUCTS (policy retired as of 10/7/2021 - mlackley)PayerPolicy · BCBSM-2077747	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	90587 DENGUE VACCINE, QUADRIVALENT, LIVE, 3 DOSE SCHEDULE, FOR SUBCUTANEOUS USE.PayerPolicy · BCBSM-2076393	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	EXTERNAL UPPER LIMB TREMOR STIMULATOR (E.G., CALA ONE, CALA TRIO)PayerPolicy · BCBSM-2163421	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING - JAK2, MPL AND CALR TESTING FOR MYELOPROLIFERATIVE NEOPLASMS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2197262	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	ANDEXANET ALFA: ANDEXXA (J3490, J3590, C9041) retired as of 10/8/2020PayerPolicy · BCBSM-2099265	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	ENDOSCOPIC TREATMENTS FOR CHRONIC RHINITIS (E.G., CLRIFIX, RHINEAER, NEUROMARK) - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2205280	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING MULTICANCER EARLY DETECTION TESTING (E.G., GALLERI) - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2198599	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BARIATRIC SURGERY (GASTRIC SURGERY FOR MORBID OBESITY) (EFFECTIVE 07/01/2026)PayerPolicy · BCBSM-2209360-F7A33774D8	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	REMOTE ELECTRICAL NEUROMODULATION FOR MIGRAINES (I.E., NERIVIO) (EFFECTIVE 07/01/2026)PayerPolicy · BCBSM-2209358	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	LOW-LEVEL LASER THERAPY AND HIGH-POWER LASER THERAPY - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2197059	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	ENZYME REPLACEMENT THERAPY - IDURSULFASE: ELAPRASE (J1743) retired as of 10/8/2020PayerPolicy · BCBSM-2050194	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	CLOSURE DEVICES FOR PATENT FORAMEN OVALE AND ATRIAL SEPTAL DEFECTS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2192498	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY (PTA) FOR THE TREATMENT OF CEREBRAL VASOPASM FOLLOWING SUBARACHNOID HEMORRHAGEPayerPolicy · BCBSM-2022532	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	OPTICAL COHERENCE TOMOGRAPHY (OCT) OF THE BREAST AND/OR AXILLARY LYMPH NODES - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2197632-B364799DE9	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)PayerPolicy · BCBSM-2104017	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	CRYOABLATION OF TUMORS LOCATED IN THE KIDNEY, LUNG, BREAST, PANCREAS, OR BONE - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2192626	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	NONINVASIVE TECHNIQUES FOR THE EVALUATION AND MONITORING OF PATIENTS WITH CHRONIC LIVER DISEASE - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2198911	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 IMPLANTSPayerPolicy · BCBSM-2031385	New policy