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	INFUSION OF THERAPEUTIC AGENTS TO THE BRAIN (CONVECTION-ENHANCED INTRAPARENCHYMAL DELIVERY) - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2193214	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	METHODS TO MEASURE BODY COMPOSITION (E.G., DXA, BIA AND ADP) - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2208621	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	CAR-T CLASS POLICY (policy retired as of 8/12/2021 ML)PayerPolicy · BCBSM-2065125	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING-NON-INVASIVE PRENATAL TESTING FOR FETAL RBC ANTIGEN STATUSPayerPolicy · BCBSM-2062781	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 DISORDERSPayerPolicy · BCBSM-2034822	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	AUTOMATED VISUAL EVOKED POTENTIALS FOR ROUTINE VISION SCREENING IN PEDIATRICS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2191156	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	90584 DENGUE VACCINE, QUADRIVALENT, LIVE, 2 DOSE SCHEDULE, FOR SUBCUTANEOUS USEPayerPolicy · BCBSM-2166072	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	LABORATORY TESTS POST TRANSPLANT (KIDNEY AND HEART) AND FOR HEART FAILURE - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2198915	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GALECTIN-3 TESTING IN THE ASSESSMENT AND MANAGEMENT OF CHRONIC HEART FAILURE - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2201428	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING - MOLECULAR GENOMIC PROFILING FOR CANCERS OF UNKNOWN PRIMARY (CUP) ORIGINPayerPolicy · BCBSM-2007398	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	ELELYSO (TALIGLUCERASE) ENZYME REPLACEMENT THERAPY (J3060) retired as of 10/8/2020PayerPolicy · BCBSM-2132014	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	METHOTREXATE (MTX) POLYGLUTAMATE TESTING TO MEASURE RESPONSE TO METHOTREXATE THERAPY - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2193867	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 CANCERPayerPolicy · BCBSM-2106372	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	CHARGED-PARTICLE (PROTON OR HELIUM ION) RADIOTHERAPY FOR NEOPLASTIC CONDITIONS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2196069	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	SEMI-IMPLANTABLE AND FULLY IMPLANTABLE MIDDLE EAR HEARING AIDS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2194712	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BONE GROWTH STIMULATION: ELECTRICAL STIMULATION OF THE SPINE AS AN ADJUNCT TO SPINAL FUSION PROCEDURESPayerPolicy · BCBSM-2029504	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	INTENSITY-MODULATED RADIATION THERAPY (IMRT): ABDOMEN, PELVIS, AND CHEST - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2193858-4C26481994	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	THERAPEUTIC LIGHT BOX FOR THE TREATMENT OF MAJOR DEPRESSION WITH SEASONAL PATTERN - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2195979	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	CARDIAC CONTRACTILITY MODULATION (I.E., OPTIMIZER SMART) FOR THE TREATMENT OF HEART FAILUREPayerPolicy · BCBSM-2197466	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	ENDOTHELIAL FUNCTION ASSESSMENT( policy retired effective 09/01/2019)PayerPolicy · BCBSM-2041205	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING FOR ARRHYTHMOGENIC RIGHT VENTRICULAR CARDIOMYOPATHY/DYSPLASIA (ARVC/D)PayerPolicy · BCBSM-2007395	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	HOME MONITORING DEVICE FOR AGE-RELATED MACULAR DEGENERATION - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2193213	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BCN ONLY - SPEECH AND SWALLOWING THERAPY (replaced by Doc ID 2175952)PayerPolicy · BCBSM-2008113	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 DISORDERSPayerPolicy · BCBSM-77020	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	INTRAOCULAR RADIATION THERAPY FOR AGE-RELATED MACULAR DEGENERATION - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2193860	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	SERUM BIOMARKER HUMAN EPIDIDYMIS PROTEIN 4 (HE4) - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2198899	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	NONTRADITIONAL BIOMARKERS IN RISK ASSESSMENT AND MANAGEMENT OF CARDIOVASCULAR DISEASE- MEDICARE ADVANTAGEPayerPolicy · BCBSM-2205378	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	AIM MEDICAL POLICY - INOTUZUMAB OZOGAMICIN: BESPONSA (J9229) (RETIRED AS OF 02/02/2023)PayerPolicy · BCBSM-2091529	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	FOSNETUPITANT PALONOSETRON INJECTION: AKYNZEO (C9033) RETIRED AS OF 10/8/2020PayerPolicy · BCBSM-2099264	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING FOR TAY-SACHS DISEASE (EFFECTIVE 07/01/2026)PayerPolicy · BCBSM-2209357-AB8E3155A0	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	AIM MEDICAL POLICY - LUMOXITI (MOXETUMOMAB PASUDOTOX-TDFK) (retired as 10/12/2023)PayerPolicy · BCBSM-2103567	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	PROSTATE CANCER EARLY DETECTION: BIOMARKERS PRIOR TO BIOPSY - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2198893	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 MANAGEMENTPayerPolicy · BCBSM-2065123	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)PayerPolicy · BCBSM-2108870	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 CANCERPayerPolicy · BCBSM-2187369	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	IMPLANTABLE BONE-CONDUCTION AND BONE-ANCHORED HEARING DEVICES - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2193812	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BMT- HEMATOPOIETIC CELL TRANSPLANTATION (HCT) FOR CNS EMBRYONAL TUMORS AND EPENDYMOMAPayerPolicy · BCBSM-2022264	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)PayerPolicy · BCBSM-2032188	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	SERUM MARKERS FOR THE DIAGNOSIS AND CARE OF INFLAMMATORY BOWEL DISEASE - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2198900	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	LABORATORY TESTS POST TRANSPLANT (KIDNEY, HEART AND LUNG) AND FOR HEART FAILUREPayerPolicy · BCBSM-104426	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)PayerPolicy · BCBSM-2017931	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BMT - HEMATOPOIETIC CELL TRANSPLANTATION FOR GERM-CELL TUMORS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2195788	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 PROPHYLAXISPayerPolicy · BCBSM-2030257	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	MENISCAL ALLOGRAFTS AND OTHER MENISCAL IMPLANTS (EFFECTIVE 07/01/2026)PayerPolicy · BCBSM-2209359-8FFEFCF3B6	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	SPEECH AND LANGUAGE PATHOLOGY/SWALLOWING REHABILITATION (EFFECTIVE 09/01/2026)PayerPolicy · BCBSM-2210511-6C589835B7	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	TRANSCUTANEOUS ELECTRICAL MODULATION PAIN REPROCESSING (SCRAMBLER THERAPY) - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2195920	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (ICD), INCLUDING SUBCUTANEOUS ICDS AND SUBSTERNAL ICDSPayerPolicy · BCBSM-2197929	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	GENETIC TESTING-GENE EXPRESSION PROFILING FOR UVEAL MELANOMA - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2198881	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BONE MARROW TRANSPLANT HEMATOPOIETIC CELL TRANSPLANTATION FOR EPITHELIAL OVARIAN CANCERPayerPolicy · BCBSM-2026842-9FD3019F20	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BRACHYTHERAPY FOR CLINICALLY LOCALIZED PROSTATE CANCER USING PERMANENTLY IMPLANTED SEEDSPayerPolicy · BCBSM-77460	New policy