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	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)PayerPolicy · BCBSM-2050196	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	VPRIV (VELAGLUCERASE ALFA) ENZYME REPLACEMENT THERAPY (J3385)PayerPolicy · 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)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
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	ENZYME REPLACEMENT THERAPY - GALSULFASE: NAGLAZYME (J1458)PayerPolicy · 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)PayerPolicy · 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	LAPAROSCOPIC, PERCUTANEOUS, AND TRANSCERVICAL TECHNIQUES FOR UTERINE FIBROID MYOLYSIS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2193869	New policy