| Diabetes Prevention Program Quick Reference Guide | Commercial · CO | — | Original policy ↗ |
| Diagnostic Radiopharmaceuticals and Contract Material- Professional and Facility | C-24001 · Effective Mar 1, 2025 · Commercial · VA | — | Original policy ↗ |
| Diagnostic Radiopharmaceuticals and Contrast Materials - Professional and Facility | C-24001 · Effective May 1, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 6 | Original policy ↗ |
| Diagnostic Radiopharmaceuticals and Contrast Materials - Professional and Facility | C-24001 · Effective Apr 1, 2026 · Commercial · CA | — | Original policy ↗ |
| Digital Availity Enrollment Guide Behavioral Health | Commercial · CA | — | Original policy ↗ |
| Digital Availity Enrollment Guide Non Credentialed PPO | Commercial · CA | — | Original policy ↗ |
| Digital Availity Enrollment Guide PPO | Commercial · CA | — | Original policy ↗ |
| Direct referral process — overview | NH-BCBS-CM-009873-26-S2876 · Commercial · NH | — | Original policy ↗ |
| Discharge Planning Guideline | Commercial · ME, NH | — | Original policy ↗ |
| DME Modifiers - Professional | C-19006 · Effective Sep 28, 2022 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | — | Original policy ↗ |
| DME Modifiers - Professional | C-19006 · Effective Dec 1, 2023 · Commercial · VA | — | Original policy ↗ |
| DME Modifiers - Professional | C-19006 · Effective Sep 28, 2022 · Commercial · NY | — | Original policy ↗ |
| DME Modifiers - Professional | C-19006 · Effective Jan 1, 2026 · Commercial · CA | — | Original policy ↗ |
| DME Modifiers for New, Rented, and Used Equipment | G-06053 · Effective Mar 26, 2026 · Medicaid · OH | — | Original policy ↗ |
| DME Modifiers for New, Rented, and Used Equipment | G-06053 · Effective Mar 26, 2026 · Medicaid · IN | — | Original policy ↗ |
| DME Modifiers for New, Rented, and Used Equipment | G-06053 · Effective Mar 26, 2026 · Medicaid · NV | — | Original policy ↗ |
| DME Rent to Purchase - Professional | C-19007 · Effective Oct 6, 2025 · Commercial · CO, CT, GA, IN, KY, MO, NH, NV, OH, WI | 8 | Original policy ↗ |
| DME Rent to Purchase - Professional | C-19007 · Effective Mar 1, 2023 · Commercial · VA | 8 | Original policy ↗ |
| DME Rent To Purchase – Professional | C-19007 · Effective Jan 1, 2026 · Commercial · CA | 8 | Original policy ↗ |
| DME Rent To Purchase – Professional | C-19007 · Effective Jan 1, 2027 · Commercial · CA | 8 | Original policy ↗ |
| DME.00012 Intrapulmonary Percussive Ventilation Devices | DME.00012 · Commercial | 1 | Original policy ↗ |
| DME.00022 Functional Electrical Stimulation (FES); Threshold Electrical Stimulation (TES) | DME.00022 · Commercial | 5 | Original policy ↗ |
| DME.00030 Altered Auditory Feedback Devices for Fluency Disorders | DME.00030 · Commercial | 1 | Original policy ↗ |
| DME.00037 Cooling Devices and Combined Cooling/Heating Devices | DME.00037 · Commercial | 6 | Original policy ↗ |
| DME.00038 Static Progressive Stretch (SPS) and Patient-Actuated Serial Stretch (PASS) Devices | DME.00038 · Commercial | 9 | Original policy ↗ |
| DME.00046 Intermittent Abdominal Pressure Ventilation Devices | DME.00046 · Commercial | 1 | Original policy ↗ |
| DME.00047 Rehabilitative Devices with Remote Monitoring | DME.00047 · Commercial | 1 | Original policy ↗ |
| DME.00048 Virtual Reality-Assisted Therapy Systems | DME.00048 · Commercial | 7 | Original policy ↗ |
| DME.00049 External Upper Limb Stimulation for the Treatment of Tremors | DME.00049 · Commercial | 2 | Original policy ↗ |
| DME.00053 Home Video-Assisted Robotic Rehabilitation Systems | DME.00053 · Commercial | 1 | Original policy ↗ |
| Documentation and Reporting Guidelines for Consultation | C-09010 · Effective Apr 6, 2018 · Commercial · CO | 10 | Original policy ↗ |
| Documentation and Reporting Guidelines for Evaluation and Management Services – Professional | C-09007 · Effective Dec 1, 2023 · Commercial · VA | 2 | 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 and Reporting Guidelines for Evaluation and Management Services – Professional | C-09007 · Effective Jul 1, 2026 · Commercial · CA | 2 | Original policy ↗ |
| Documentation Guidelines for Psychotherapy Services - Professional | C-14006 · Effective Dec 1, 2023 · Commercial · VA | — | Original policy ↗ |
| Documentation Standards for Episodes of Care | G-11004 · Effective Dec 30, 2024 · Medicaid · OH | — | Original policy ↗ |
| Documentation Standards for Episodes of Care | G-11004 · Effective Dec 30, 2024 · Medicaid · NV | — | Original policy ↗ |
| Documentation Standards for Episodes of Care – Professional and Facility | C-20003 · Effective Dec 1, 2025 · Commercial · VA | — | 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 ↗ |
| Documentation Standards for Episodes of Care – Professional and Facility | C-20003 · Effective Apr 1, 2026 · Commercial · CA | — | Original policy ↗ |
| Dos and Don’ts of Colorectal Cancer Screening | 080315 · Commercial · CA | — | 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 ↗ |
| Download the PDSA Worksheet | Commercial · CT, GA, NH, VA | — | Original policy ↗ |
| DRG Inpatient Facility Transfers | G-13002 · Effective Oct 13, 2021 · Medicaid · OH | — | Original policy ↗ |
| DRG Inpatient Facility Transfers | G-13002 · Effective Oct 13, 2021 · Medicaid · IN | — | Original policy ↗ |
| DRG Inpatient Facility Transfers | G-13002 · Effective Oct 13, 2021 · Medicaid · NV | — | Original policy ↗ |
| DRG Newborn Inpatient Stays | G-17001 · Effective Dec 1, 2022 · Medicaid · OH | — | Original policy ↗ |
| DRG Newborn Inpatient Stays - Facility | C-18002 · Effective Oct 1, 2026 · Commercial · CA | — | Original policy ↗ |
| DRG Newborn Inpatient Stays – Facility | C-18002 · Effective Dec 18, 2025 · Commercial · CO, CT, ME, MO, NH, NV, OH | — | Original policy ↗ |
