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	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)PayerPolicy · 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)PayerPolicy · 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)PayerPolicy · 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)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)PayerPolicy · 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
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)PayerPolicy · 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