Blue Cross and Blue Shield of Minnesota policies
Search Blue Cross and Blue Shield of Minnesota's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.
5 policies name C1767, those listing the fewest codes first. A policy that names a code may also list it as excluded.
| Policy | Details | Codes | Source |
|---|---|---|---|
| Percutaneous Electrical Nerve Stimulation, Percutaneous Neuromodulation Therapy, and Restorative Neurostimulation Therapy | II-81 · Effective Apr 27, 2026 · Commercial, Medicaid | 10 | Original policy ↗ |
| Peripheral Nerve Stimulation of the Trunk or Limbs for Treatment of Pain | II-149 · Effective Aug 31, 2026 · Commercial, Medicaid | 19 | Original policy ↗ |
| Implanted Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea | IV-80 · Effective Sep 28, 2026 · Commercial, Medicaid | 21 | Original policy ↗ |
| Vagus Nerve Stimulation | IV-131 · Effective Oct 27, 2025 · Commercial, Medicaid | 23 | Original policy ↗ |
| Spinal Cord and Dorsal Root Ganglion Stimulation | IV-74 · Effective Sep 7, 2026 · Commercial, Medicaid | 50 | Original policy ↗ |