Blue Cross Blue Shield Minnesota policies
Search Blue Cross Blue Shield 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.
1 policy names 64628, those listing the fewest codes first. A policy that names a code may also list it as excluded.
| Policy | Details | Codes | Source |
|---|---|---|---|
| Intraosseous Basivertebral Nerve Ablation for Chronic Low Back Pain | IV-111 · Effective Sep 28, 2026 · Commercial, Medicaid | 2 | Original policy ↗ |