Blue Cross Blue Shield of Minnesota Blue Plus Medicaid policies
Search Blue Cross Blue Shield of Minnesota Blue Plus Medicaid'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.
9 policies name 64999, those listing the fewest codes first. A policy that names a code may also list it as excluded.
| Policy | Details | Codes | Source |
|---|---|---|---|
| Sphenopalatine Ganglion Nerve Block | II-195 · Effective Jun 29, 2026 · Commercial, Medicaid | 2 | Original policy ↗ |
| Traction Decompression of the Spine | VII-18 · Effective Jun 1, 2026 · Commercial, Medicaid | 2 | Original policy ↗ |
| Carpal Tunnel Decompression | IV-176 · Effective Apr 27, 2026 · Commercial, Medicaid | 5 | Original policy ↗ |
| Percutaneous Facet Joint Denervation | IV-95 · Effective Sep 28, 2026 · Commercial, Medicaid | 6 | Original policy ↗ |
| Nerve Graft with Prostatectomy | IV-147 · Effective Mar 2, 2026 · Commercial, Medicaid | 8 | Original policy ↗ |
| Transcranial Magnetic Stimulation | X-14 · Effective Aug 31, 2026 · Commercial, Medicaid | 9 | Original policy ↗ |
| Percutaneous Electrical Nerve Stimulation, Percutaneous Neuromodulation Therapy, and Restorative Neurostimulation Therapy | II-81 · Effective Apr 27, 2026 · Commercial, Medicaid | 10 | Original policy ↗ |
| Posterior Tibial Nerve Stimulation | IV-135 · Effective Dec 1, 2025 · Commercial, Medicaid | 13 | 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 ↗ |
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