| Biomarker Testing for Autoimmune Rheumatic Disease | RPLAB011 · Effective Sep 4, 2026 · Commercial, Medicaid · IL | 16 | Original policy ↗ |
| Biomarker Testing for Multiple Sclerosis and Related Neurologic Diseases | CPCPLAB036 · Effective Jan 1, 2026 · Commercial, Medicaid · IL | 12 | Original policy ↗ |
| Biomarker Testing in Risk Assessment and Management of Cardiovascular Disease | MED207.008 · Commercial, Medicaid | 25 | Original policy ↗ |
| Biomarkers for Myocardial Infarction and Chronic Heart Failure | CPCPLAB046 · Effective Jan 1, 2026 · Commercial, Medicaid · IL | 17 | Original policy ↗ |
| Biomarkers for Myocardial Infarction and Chronic Heart Failure | RPLAB046 · Effective Dec 4, 2026 · Commercial, Medicaid · IL | 17 | Original policy ↗ |
| Biventricular Pacemakers (Cardiac Resynchronization Therapy) for the Treatment of Heart Failure | MED202.054 · Commercial, Medicaid | 48 | Original policy ↗ |
| Blepharoplasty and Blepharoptosis | SUR716.004 · Commercial, Medicaid | 25 | Original policy ↗ |
| Blue Cross Medicare Advantage (PPO) Manual | H8634, H0107 · Medicaid · IL | 4 | Original policy ↗ |
| Blue Cross Medicare Advantage HMO Delegated Provider Manual | Medicaid · IL | 4 | Original policy ↗ |
| Blue Cross Medicare Advantage HMO Non-Delegated Model Manual | Medicaid · IL | 4 | Original policy ↗ |
| BlueCard Program Provider Manual | Commercial, Medicaid · IL | — | Original policy ↗ |
| Bone Morphogenetic Protein | SUR705.038 · Commercial, Medicaid | 3 | Original policy ↗ |
| Bone Turnover Markers for Diagnosis and Management of Osteoporosis and Diseases Associated with High Bone Turnover | MED207.116 · Commercial, Medicaid | 3 | Original policy ↗ |
| Botulinum Toxin | RX501.019 · Effective Jan 1, 2026 · Commercial, Medicaid | 28 | Original policy ↗ |
| Brolucizumab-dbll | OTH903.043 · Effective Sep 15, 2026 · Commercial, Medicaid | 2 | Original policy ↗ |
| Bronchial Thermoplasty | SUR706.014 · Effective Dec 15, 2025 · Commercial, Medicaid | 2 | Original policy ↗ |
| Bronchial Valves | SUR706.015 · Commercial, Medicaid | 4 | Original policy ↗ |
| Burosumab-twza | RX502.058 · Commercial, Medicaid | 1 | Original policy ↗ |
| Canakinumab | RX501.119 · Effective Apr 15, 2026 · Commercial, Medicaid | 1 | Original policy ↗ |
| Cardiac Applications of Positron Emission Tomography Scanning | RAD605.001 · Commercial, Medicaid | 13 | Original policy ↗ |
| Cardiac Contractility Modulation Device | MED202.068 · Commercial, Medicaid | 32 | Original policy ↗ |
| Cardiac Hemodynamic Monitoring for the Management of Heart Failure in the Outpatient Setting | MED202.058 · Effective Jan 1, 2026 · Commercial, Medicaid | 7 | Original policy ↗ |
| Cardiac Rehabilitation in the Outpatient Setting | THE803.023 · Effective Sep 15, 2026 · Commercial, Medicaid | 5 | Original policy ↗ |
| Cardiovascular Disease Risk Assessment | RPLAB020 · Effective Sep 4, 2026 · Commercial, Medicaid · IL | 50 | Original policy ↗ |
| Category III Current Procedural Terminology (CPT®) Codes | ADM1001.035 · Effective Jul 1, 2026 · Commercial, Medicaid | 517 | Original policy ↗ |
| Celiac Disease Testing | CPCPLAB017 · Effective Jan 1, 2026 · Commercial, Medicaid · IL | 8 | Original policy ↗ |
| Cerliponase alfa | RX501.092 · Commercial, Medicaid | 1 | Original policy ↗ |
| Certolizumab Pegol | RX501.111 · Commercial, Medicaid | 1 | Original policy ↗ |
| Cervical Cancer Screening | CPCPLAB002 · Effective Jan 1, 2026 · Commercial, Medicaid · IL | 31 | Original policy ↗ |
| Chelation Therapy for Off-Label Uses | THE801.008 · Commercial, Medicaid | 9 | Original policy ↗ |
| Chemical Peels | SUR716.018 · Effective Sep 1, 2026 · Commercial, Medicaid | 5 | Original policy ↗ |
| Children Wellness Guidelines (Spanish) | 02728.0925 · Commercial, Medicaid · IL | — | Original policy ↗ |
| Children’s Wellness Guidelines | 02682.0925 · Commercial, Medicaid · IL | — | Original policy ↗ |
| Chiropractic Care Services | RP016 · Effective Jul 24, 2026 · Commercial, Medicaid · IL | 4 | Original policy ↗ |
| Chromoendoscopy as an Adjunct to Colonoscopy | MED201.022 · Commercial, Medicaid | 2 | Original policy ↗ |
| Clinical Trial Treatment or Therapy | ADM1001.027 · Commercial, Medicaid | 13 | Original policy ↗ |
| Closure Devices for Patent Foramen Ovale and Atrial Septal Defects | SUR707.024 · Commercial, Medicaid | 2 | Original policy ↗ |
| Co-Surgeon/Team Surgeon Policy – Professional Provider | RP009 · Effective Apr 10, 2026 · Commercial, Medicaid · IL | — | Original policy ↗ |
| Cochlear Implant | SUR714.004 · Effective Jan 1, 2026 · Commercial, Medicaid | 20 | Original policy ↗ |
| Cognitive Rehabilitation | THE803.019 · Effective Jan 1, 2026 · Commercial, Medicaid | 3 | Original policy ↗ |
| Collection and Storage of Umbilical Cord Blood Stem Cells | SUR703.058 · Commercial, Medicaid | 5 | Original policy ↗ |
| Colorectal Cancer Screening | RPLAB071 · Effective Sep 4, 2026 · Commercial, Medicaid · IL | 11 | Original policy ↗ |
| Colorectal Cancer Screening | RPLAB071 · Effective Dec 4, 2026 · Commercial, Medicaid · IL | 12 | Original policy ↗ |
| Commercial Provider Manual | 2026 · Commercial · IL | 20 | Original policy ↗ |
| Community Reintegration and Support | 255231.0126 · Medicaid · IL | — | Original policy ↗ |
| Composite Tissue Allotransplantation of the Hand and Face | SUR703.052 · Commercial, Medicaid | 1 | Original policy ↗ |
| Compression Pumps for Treatment of Lymphedema and Venous Ulcers | MED202.060 · Commercial, Medicaid | 33 | Original policy ↗ |
| Computed Tomography to Detect Coronary Artery Calcification | RAD604.009 · Commercial, Medicaid | 10 | Original policy ↗ |
| Computer-Assisted Navigation for Orthopedic Procedures | SUR705.023 · Effective Sep 1, 2026 · Commercial, Medicaid | 3 | Original policy ↗ |
| Confocal Laser Endomicroscopy (CLE) | MED201.038 · Commercial, Medicaid | 4 | Original policy ↗ |
