| Hand Transplantation | TRANS.00040 · Commercial | 1 | Original policy ↗ |
| Health and Behavior Assessment and Intervention – Professional | C-11003 · Effective May 8, 2024 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 11 | Original policy ↗ |
| Health Insurance Exchange Quick Reference Guide | Commercial · MO | — | Original policy ↗ |
| HEDIS Benchmarks and Coding Guidelines for Quality Care | MULTI-BCBS-CM-048427-23-CPN48295 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI | 467 | Original policy ↗ |
| HEDIS ECDS Coding Booklet 2024 - Medicare | MULTI-BCBS-CR-048500-23-CPN48308 · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI | 466 | Original policy ↗ |
| HEDIS measurement year 2023–2024 | Commercial · MO | 451 | Original policy ↗ |
| HEDIS Prenatal and Postpartum Care Coding Bulletin Electronic Clinical Data Systems | Commercial · CO, CT, GA, IN, KY, ME, MO, NH, OH, VA, WI | 36 | Original policy ↗ |
| High-volume Colonic Irrigation | MED.00141 · Commercial | 1 | Original policy ↗ |
| Implanted Artificial Iris Devices | SURG.00156 · Commercial | 2 | Original policy ↗ |
| Implants - Facility | C-14001 · Effective Mar 12, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | — | Original policy ↗ |
| Incident to Services and Billing - Professional | C-11002 · Effective Dec 2, 2025 · Commercial · CO, CT, GA, IN, ME, MO, NH, NV, OH, WI | — | Original policy ↗ |
| Inpatient Readmissions - Facility | C-17003 · Effective Mar 25, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | — | Original policy ↗ |
| Intraoperative Neuromonitoring | C-24002 · Effective Nov 1, 2024 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | — | Original policy ↗ |
| LAB.00015 Detection of Circulating Tumor Cells | LAB.00015 · Commercial | 8 | Original policy ↗ |
| LAB.00016 Fecal Analysis Panels in the Diagnosis of Intestinal Disorders | LAB.00016 · Commercial | 3 | Original policy ↗ |
| LAB.00019 Algorithmic Tests for Liver Fibrosis | LAB.00019 · Commercial | 10 | Original policy ↗ |
| LAB.00024 Immune Cell Function Assay | LAB.00024 · Commercial | 4 | Original policy ↗ |
| LAB.00025 Topographic Genotyping | LAB.00025 · Commercial | 3 | Original policy ↗ |
| LAB.00027 Selected Blood, Serum and Cellular Allergy and Toxicity Tests | LAB.00027 · Commercial | 7 | Original policy ↗ |
| LAB.00028 Blood-based Biomarker Tests for Multiple Sclerosis | LAB.00028 · Commercial | 4 | Original policy ↗ |
| LAB.00029 Rupture of Membranes Testing in Pregnancy | LAB.00029 · Commercial | 1 | Original policy ↗ |
| LAB.00033 Protein Biomarkers for the Screening, Detection and Management of Prostate Cancer | LAB.00033 · Commercial | 7 | Original policy ↗ |
| LAB.00034 Serological Antibody Testing For Helicobacter Pylori | LAB.00034 · Commercial | 1 | Original policy ↗ |
| LAB.00035 Multi-biomarker Disease Activity Blood Tests for Rheumatoid Arthritis | LAB.00035 · Commercial | 2 | Original policy ↗ |
| LAB.00037 Serologic Testing for Biomarkers of Irritable Bowel Syndrome (IBS) | LAB.00037 · Commercial | 3 | Original policy ↗ |
| LAB.00041 Machine Learning Derived Probability Score for Rapid Kidney Function Decline | LAB.00041 · Commercial | 2 | Original policy ↗ |
| LAB.00044 Saliva-based Testing to Determine Drug-Metabolizer Status | LAB.00044 · Commercial | 1 | Original policy ↗ |
| LAB.00045 Selected Tests for the Evaluation and Management of Infertility | LAB.00045 · Commercial | 5 | Original policy ↗ |
| LAB.00046 Testing for Biochemical Markers for Alzheimer’s Disease | LAB.00046 · Commercial | 19 | Original policy ↗ |
| LAB.00048 Analysis of Urine Biomarkers for Chronic Pain Management | LAB.00048 · Commercial | 1 | Original policy ↗ |
| LAB.00049 Artificial Intelligence-Based Software for Prostate Cancer Detection | LAB.00049 · Commercial | 1 | Original policy ↗ |
| LAB.00050 Metagenomic Sequencing for Infectious Disease in the Outpatient Setting | LAB.00050 · Commercial | 8 | Original policy ↗ |
| LAB.00051 Per- and Polyfluoroalkyl Substances (PFAS) Testing | LAB.00051 · Commercial | 7 | Original policy ↗ |
| Laboratory and Venipuncture Services – Professional and Facility | C-21010 · Effective Aug 6, 2024 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 32 | Original policy ↗ |
| Liver Transplantation | TRANS.00008 · Commercial | 11 | Original policy ↗ |
| Local Self-Funded Groups Standard Precertification List 2019 | Commercial · IN, KY, MO, OH, WI | — | Original policy ↗ |
| Locum Tenens | CRHPAP - 005 · Effective Feb 14, 2019 · Commercial · IN, KY, MO, OH, WI | — | Original policy ↗ |
| Low-Frequency Ultrasound Therapy for Wound Management | MED.00096 · Commercial | 1 | Original policy ↗ |
| Lower Extremity Pressure Gradient Compression Stockings | CG-DME-57 · Commercial | 23 | Original policy ↗ |
| Maternity Services – Professional | C-19004 · Effective Jan 1, 2027 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 35 | Original policy ↗ |
| MED.00004 Noninvasive Imaging Technologies for the Evaluation of Skin Lesions | MED.00004 · Commercial | 12 | Original policy ↗ |
| MED.00011 Sensory Stimulation for Brain-Injured Individuals in Coma or Vegetative State | MED.00011 · Commercial | 3 | Original policy ↗ |
| MED.00053 Non-Invasive Measurement of Left Ventricular End Diastolic Pressure in the Outpatient Setting | MED.00053 · Commercial | 1 | Original policy ↗ |
| MED.00059 Idiopathic Environmental Illness (IEI) | MED.00059 · Commercial | 1 | Original policy ↗ |
| MED.00087 Optical Detection for Screening and Identification of Cervical Cancer | MED.00087 · Commercial | 1 | Original policy ↗ |
| MED.00090 Wireless Capsule for the Evaluation of Suspected Gastric and Intestinal Motility Disorders | MED.00090 · Commercial | 1 | Original policy ↗ |
| MED.00092 Automated Nerve Conduction Testing | MED.00092 · Commercial | 3 | Original policy ↗ |
| MED.00098 Hyperoxemic Reperfusion Therapy | MED.00098 · Commercial | 1 | Original policy ↗ |
| MED.00101 Physiologic Recording of Tremor using Accelerometer(s) and Gyroscope(s) | MED.00101 · Commercial | 2 | Original policy ↗ |
| MED.00102 Ultrafiltration in Decompensated Heart Failure | MED.00102 · Commercial | 1 | Original policy ↗ |
