Coverage policy updates

Policy changes Backwork has recorded, newest first. The most recent change on record is from October 24, 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

86,510 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) 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)PayerPolicy · 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)PayerPolicy · 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
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)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 AND 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)PayerPolicy · 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)PayerPolicy · BCBSM-2059568	New policy