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	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 retiredPayerPolicy · 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)PayerPolicy · BCBSM-2091529	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	FOSNETUPITANT PALONOSETRON INJECTION: AKYNZEO (C9033)PayerPolicy · 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
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	MEASUREMENT OF SERUM AND ANTI-DRUG ANTIBODY LEVELS FOR SELECTED BIOLOGIC AGENTSPayerPolicy · BCBSM-2033118	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	INTRAVENOUS ANESTHETICS FOR THE TREATMENT OF CHRONIC PAIN AND PSYCHIATRIC DISORDERS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2195792	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	PERORAL ENDOSCOPIC MYOTOMY FOR ACHALASIA AND GASTRIC PERORAL ENDOSCOPIC MYOTOMY FOR GASTROPARESISPayerPolicy · BCBSM-2201180	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	AIM MEDICAL POLICY - SIPULEUCEL-T: PROVENGE (Q2043)PayerPolicy · BCBSM-2070041	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	CRYOABLATION OR CRYONEUROLYSIS (E.G., IOVERA° SYSTEM) OF PERIPHERAL NERVES - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2193020-591A67CA8A	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY (PTA) FOR THE TREATMENT OF CEREBRAL VASOSPASM - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2197883	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	POLYMERASE CHAIN REACTION (PCR) TESTING IN THE DIAGNOSIS OF ONYCHOMYCOSIS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2196227	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	AIM MEDICAL POLICY - ZIV-AFLIBERCEPT: ZALTRAP (J9400)PayerPolicy · BCBSM-2070037	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	PCR PANEL TESTING FOR GRAM-NEGATIVE BACILLUS ANTIMICROBIAL RESISTANCE GENESPayerPolicy · BCBSM-2081564	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)PayerPolicy · BCBSM-2143173	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	FISH OIL TRIGLYCERIDES: OMEGAVEN (no code)PayerPolicy · BCBSM-2102115	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	VESTRONIDASE ALFA-VJBK: MEPSEVII (J3397)PayerPolicy · BCBSM-2087168	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	ABSORBABLE NASAL IMPLANT FOR THE TREATMENT OF NASAL VALVE COLLAPSE - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2201426	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	PERORAL ENDOSCOPIC MYOTOMY FOR TREATMENT OF ESOPHAGEAL ACHALASIA OR GASTROPARESIS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2194115-D31D2593C2	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 SEGMENTSPayerPolicy · BCBSM-77458	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	PATIENT-SPECIFIC CUTTING GUIDES AND CUSTOM KNEE IMPLANTS - MEDICARE ADVANTAGEPayerPolicy · BCBSM-2194066	New policy
Aug 2, 2026	Blue Cross Blue Shield of Michigan and Blue Care Network	BONE GROWTH STIMULATION ELECTRICAL BONE GROWTH STIMULATION OF THE APPENDICULAR SKELETONPayerPolicy · BCBSM-2030583	New policy