Aug 30, 2025
BlueCross BlueShield of Tennessee
- Revakinagene Taroretcel-lwey (Encelto)Payer policy · BCBSTN-a6dfd9f71a
- Telisotuzumab vedotin-tllv (Emrelis)Payer policy · BCBSTN-12a92cb79e
Aug 28, 2025
CMS / Medicare
- UpdatedBilling and Coding: Electrocardiographic (EKG or ECG) Monitoring (Holter or Real-Time Monitoring)Billing article · Jurisdiction J5 · A57476
Aug 21, 2025
CMS / Medicare
Aug 19, 2025
CMS / Medicare
- UpdatedBilling and Coding: Aortography and Peripheral AngiographyBilling article · Jurisdiction J9 · A57056
- UpdatedBilling and Coding: Diagnostic Abdominal Aortography and Renal AngiographyBilling article · Jurisdiction JL · A56682
Aug 17, 2025
CGS Administrators
- MolDX: Genetic Testing for Heritable Thoracic Aortic DiseaseLocal coverage determination · Jurisdiction J15 · CGS-J15-L39938
- MolDX: Genetic Testing for Heritable Thoracic Aortic DiseaseLocal coverage determination · Jurisdiction J18 · CGS-J18-L39938
- MolDX: Molecular Testing for Identification and Management of Hereditary Transthyretin AmyloidosisLocal coverage determination · Jurisdiction J15 · CGS-J15-L39940
Aug 15, 2025
BCBS Illinois
- Evinacumab-dgnbPayer policy · BCBSIL-RX501.136
- Gonadotropin-Releasing Hormone (GnRH) Agonists and AntagonistsPayer policy · BCBSIL-RX501.041
- Plugs for Anal Fistula RepairPayer policy · BCBSIL-SUR709.032
Aug 14, 2025
BlueCross BlueShield of Tennessee
- Prostate Specific Antigen (PSA)Payer policy · BCBSTN-27614497ff
- Radiotherapy for Prostate CancerPayer policy · BCBSTN-d126cca1c5
- Rhinomanometry and Acoustic RhinometryPayer policy · BCBSTN-b7aa301b68
Aug 8, 2025
Cigna
- AbortionPayer policy · CIGNA-A006
- Emergency Room ServicesPayer policy · CIGNA-A005
- Midwife, Home Birth and Non-Clinical Maternal ServicesPayer policy · CIGNA-A002
Aug 7, 2025
CMS / Medicare
- UpdatedBilling and Coding: Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid DiseasesBilling article · Jurisdiction J6 · A56793
Aug 3, 2025
CMS / Medicare
- UpdatedNon-Invasive Fractional Flow Reserve (FFR) for Ischemic Heart DiseaseLocal coverage determination · L38278
Aug 1, 2025
Ambetter
- Allogeneic Hematopoietic Cell Transplants for Sickle Cell Anemia and β-ThalassemiaPayer policy · AMBETTER-CP.MP.108
- Cosmetic and Reconstructive ProceduresPayer policy · AMBETTER-CP.MP.31
- Durable Medical Equipment and Orthotics and Prosthetics GuidelinesPayer policy · AMBETTER-CP.MP.107
