| Technology Assisted Surgical Procedures | G-10004 · Effective Sep 1, 2023 · Medicaid · IN | 3 | Original policy ↗ |
| Technology Assisted Surgical Procedures - Professional and Facility | C-21008 · Effective Aug 1, 2023 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 4 | Original policy ↗ |
| The BlueCard Program Provider Manual | Effective Jan 1, 2022 · Commercial, Medicaid · IN | — | Original policy ↗ |
| THER-RAD.00012 Electrophysiology-Guided Noninvasive Stereotactic Cardiac Radioablation | THER-RAD.00012 · Commercial | 3 | Original policy ↗ |
| Three-Dimensional (3D) Radiology Services – Professional and Facility | C-22004 · Effective May 1, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 2 | Original policy ↗ |
| Timely and Accurate Payment for Secondary Payer Medicare Claims | Commercial · IN, KY, MO, OH, WI | — | Original policy ↗ |
| Timely Filing Acceptable Forms of Proof | SEM 21 · Commercial · IN, KY, MO, WI | — | Original policy ↗ |
| TRANS.00004 Cell Transplantation (Mesencephalic, Adrenal-Brain and Fetal Xenograft) | TRANS.00004 · Commercial | 2 | Original policy ↗ |
| TRANS.00009 Lung and Lobar Transplantation | TRANS.00009 · Commercial | 9 | Original policy ↗ |
| TRANS.00023 Hematopoietic Stem Cell Transplantation for Multiple Myeloma and Other Plasma Cell Dyscrasias | TRANS.00023 · Commercial | 19 | Original policy ↗ |
| TRANS.00024 Hematopoietic Stem Cell Transplantation for Select Leukemias and Myelodysplastic Syndrome | TRANS.00024 · Commercial | 19 | Original policy ↗ |
| TRANS.00026 Heart/Lung Transplantation | TRANS.00026 · Commercial | 4 | Original policy ↗ |
| TRANS.00027 Hematopoietic Stem Cell Transplantation for Pediatric Solid Tumors | TRANS.00027 · Commercial | 19 | Original policy ↗ |
| TRANS.00028 Hematopoietic Stem Cell Transplantation for Hodgkin Disease and non-Hodgkin Lymphoma | TRANS.00028 · Commercial | 19 | Original policy ↗ |
| TRANS.00029 Hematopoietic Stem Cell Transplantation for Genetic Diseases and Aplastic Anemias | TRANS.00029 · Commercial | 26 | Original policy ↗ |
| TRANS.00030 Hematopoietic Stem Cell Transplantation for Germ Cell Tumors | TRANS.00030 · Commercial | 19 | Original policy ↗ |
| TRANS.00031 Hematopoietic Stem Cell Transplantation for Autoimmune Disease and Miscellaneous Solid Tumors | TRANS.00031 · Commercial | 19 | Original policy ↗ |
| TRANS.00033 Heart Transplantation | TRANS.00033 · Commercial | 5 | Original policy ↗ |
| TRANS.00034 Hematopoietic Stem Cell Transplantation for Diabetes Mellitus | TRANS.00034 · Commercial | 19 | Original policy ↗ |
| TRANS.00035 Therapeutic use of Stem Cells, Blood and Bone Marrow Products | TRANS.00035 · Commercial | 27 | Original policy ↗ |
| TRANS.00037 Uterine Transplantation | TRANS.00037 · Commercial | 7 | Original policy ↗ |
| TRANS.00038 Thymus Tissue Transplantation | TRANS.00038 · Commercial | 3 | Original policy ↗ |
| Transcatheter Mitral, Pulmonary, and Tricuspid Heart Valve Procedures | SURG.00121 · Commercial | 15 | Original policy ↗ |
| Transcranial Magnetic Stimulation (TMS) Request Form - Commercial | Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, NY, OH, VA, WI | 2 | Original policy ↗ |
| Transitional Care Management – Professional | C-22002 · Effective Apr 27, 2022 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 2 | Original policy ↗ |
| Trauma Activation - Facility | C-24003 · Effective Mar 1, 2025 · Commercial · CO, CT, GA, IN, ME, MO, NH, NV, OH, WI | 3 | Original policy ↗ |
| Treatment Rooms - Facility | C-20005 · Effective Jul 1, 2026 · Commercial · CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 1 | Original policy ↗ |
| Updates Regarding Physician Assistants as Primary Medical Providers | AINPEC-1506-17 · Medicaid · IN | 31 | Original policy ↗ |
| Upper Extremity Myoelectric Orthoses | OR-PR.00005 · Commercial | 5 | Original policy ↗ |
| Uterine Fibroid Ablation: Laparoscopic, Percutaneous or Transcervical Image Guided Techniques | SURG.00077 · Commercial | 4 | Original policy ↗ |
| Vaccinations - Adolescent | Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI | — | Original policy ↗ |
| Vanderbilt ADHD Diagnostic Parent Rating Scale | Commercial · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI | — | Original policy ↗ |
| Virtual Visits - Professional and Facility | C-08002 · Effective Jul 1, 2024 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 1 | Original policy ↗ |
| What Beneficiary Notice Form to Use | CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI | — | Original policy ↗ |
| Wireless Capsule Endoscopy for Gastrointestinal Imaging and the Patency Capsule | CG-MED-70 · Commercial | 5 | Original policy ↗ |