| DME.00053 Home Video-Assisted Robotic Rehabilitation Systems | DME.00053 · Commercial | 1 | Original policy ↗ |
| Documentation and Reporting Guidelines for Evaluation and Management Services – Professional | C-09007 · Effective Sep 11, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 2 | Original policy ↗ |
| Documentation Standards for Episodes of Care – Professional and Facility | C-20003 · Effective Jul 23, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | — | Original policy ↗ |
| Dos and Don’ts of Colorectal Cancer Screening | 080315 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI | — | Original policy ↗ |
| Download the Dental Provider Reference Manual | Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI | 111 | Original policy ↗ |
| DRG Newborn Inpatient Stays – Facility | C-18002 · Effective Dec 18, 2025 · Commercial · CO, CT, ME, MO, NH, NV, OH | — | Original policy ↗ |
| Drug Screen Testing – Professional | C-12004 · Effective Oct 23, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 17 | Original policy ↗ |
| Drugs and Devices Requiring Procedures – Facility | C-26001 · Effective Jul 1, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | — | Original policy ↗ |
| Durable Medical Equipment (Rent to Purchase) | G-06052 · ME | — | Original policy ↗ |
| Edinburgh Postnatal Depression Scale (EPDS) | Commercial · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI | — | Original policy ↗ |
| Electrical Stimulation as a Treatment for Pain and Other Conditions: Surface and Percutaneous Devices | DME.00011 · Commercial | 15 | Original policy ↗ |
| Electronic ID Cards Dental Quick Reference Guide | Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI | — | Original policy ↗ |
| Electronic Member ID Cards Quick Reference Guide | Commercial · ME | — | Original policy ↗ |
| Emergency Department Protocol for SIU Review | Commercial · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, NY, OH, VA, WI | 10 | Original policy ↗ |
| Emergency Department: Leveling of Evaluation and Management Services – Facility | C-13001 · Effective Jan 1, 2021 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | — | Original policy ↗ |
| Facility Guidelines for Claims Related to Professional Services - Facility | C-15004 · Effective Dec 1, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 19 | Original policy ↗ |
| Frequency Editing - Professional | C-08012 · Effective Jun 11, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 215 | Original policy ↗ |
| Gene Therapy for Duchenne Muscular Dystrophy | MED.00144 · Commercial | 1 | Original policy ↗ |
| Global Surgery -Facility | C-17003 · Effective Apr 22, 2020 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | — | Original policy ↗ |
| Global Surgical Package - Professional | C-08007 · Effective Jun 14, 2023 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 159 | Original policy ↗ |
| Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation Services - Professional | C-07002 · Effective Aug 13, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 1 | Original policy ↗ |
| 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 ↗ |
| Heart Failure Patient Flyer | Commercial · CT, ME, NH | — | 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 · ME | 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 ↗ |
| How to Appeal Our Determination – First Level | Commercial · ME | — | Original policy ↗ |
| How to Appeal Our Determination – Second Level | Commercial · ME | — | 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 ↗ |
| Independent External Review of a Denied Claim | Commercial · ME | — | 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 ↗ |
| Interactive Voice Response System (IVR) Quick Reference Guide | Commercial · ME | — | 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 ↗ |
