Skip to main content
Shop Plans Learn more about our coverage options including health, Medicare, dental and vision options for you, your family or your employees. Get Started Individual & Family Medicare Employer Vision Dental International Travel Find Care FAQ Blog Members Stay on top of your health care with helpful member resources. Members Home Medicare Health Dental Vision Find Care Member Knowledge Center Member Forms Medicare Forms Library Make a Payment Federal Employees Student Blue Healthy Blue Providers Access tools, policies and the latest information to help you care for our members. Providers Home Network Participation Networks & Programs Claims, Appeals & Inquiries Prior Authorization Services & CPT codes Prescription Drug Search Policies, Guidelines & Codes Provider News Provider FAQ Contact Us Employers Learn about our coverage options for small and large employers, and access tools and resources for your group. Employers Home Shop Employer Plans Employer Portal Support Member Forms & Resources Find Care Blog Agents Access the tools you need: rate quotes, applications, forms, the latest industry news, marketing materials and more. Agents Home Agent Services Check Eligibility Find Care Member Forms & Resources Medicare Forms Library
Contact Us
Log In
I am ... Please select A member A provider An employer An agent
Log in to Agent Services
Log in to Employer Services Register for Employer Services I'm registered but need portal access
Username Forgot username? Continue to Log In Register for Blue Connect Need help? Learn how to log in.
Log in to Blue e Register for Blue e Log in to Dental Blue
Back
Medical Policy Update May 14, 2025
Medical GuidelinesReason for Update
Bariatric SurgeryDescription section updated with current information to include Clinical Practice Guidelines of conditions weight-related complications. Regulatory status and Other Therapies updated with FDA Medical Devices for Weight Loss and Weight Management: What to Know dated 10/27/22.  Clinical Guidelines updated. No changes to coverage criteria or policy intent.  References added. Specialty Matched Consultant Advisory Panel review 4/2025. Medical Director review 4/2025.
Cryosurgical Ablation of Miscellaneous Solid Tumors Other Than Liver, Prostate, or Dermatologic TumorsReference added. Specialty Matched Consultant Advisory Panel review 4/2025. Medical Director review 4/2025.
Cryosurgical Ablation of Primary or Metastatic Liver TumorsReference added. Specialty Matched Consultant Advisory Panel review 4/2025. Medical Director review 4/2025.
Diagnosis and Treatment of Sacroiliac Joint PainRegulatory status, policy guidelines, and references updated. No change to policy statement. Specialty Matched Consultant Advisory Panel review 4/2025. Medical Director review 4/2025.
Epidural Steroid Injections for Back PainDescription and policy guidelines updated. References added. Specialty Matched Consultant Advisory Panel review 4/2025. Medical Director review 4/2025. No change to policy statement.
Facet Joint DenervationDescription, policy guidelines, and references updated. Specialty Matched Consultant Advisory Panel review 4/2025. Medical Director Review 4/2025.  No change to policy statement.
Gender Affirmation SurgeryRelated policies updated to include Cosmetic and Reconstructive Surgery. Updated References. Specialty Matched Consultant Advisory Panel review 4/2025. Medical Director review 4/2025.
Hemodialysis Treatment for ESRDSpecialty Matched Consultant Advisory Panel review 4/2025. References updated. Medical Director review 4/2025.
Intradialytic Parenteral NutritionReferences updated. Specialty Matched Consultant Advisory Panel review 4/2025. Medical Director review 4/2025.
Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric DisordersDescription and Policy guidelines updated. References added. Updated when not covered section to include treatment-resistant depression and post-traumatic stress disorder. Removed deleted code J2001 from Billing/Coding section. Specialty Matched Consultant Advisory Panel review 4/2025. Medical Director review 4/2025.
Liver Transplant and Combined Liver-Kidney TransplantReference added. Specialty Matched Consultant Advisory Panel review 4/2025. Medical Director review 4/2025.
Neurostimulation, ElectricalReferences added.  Specialty Matched Consultant Advisory Panel review 4/2025. Medical Director review 4/2025. No change to policy statement. Added A4544 and E0743 to Section I Billing/Coding section.
Percutaneous Electrical Nerve Stimulation (PENS) or Neuromodulation Therapy and Percutaneous Electrical Nerve Field Stimulation (PENFS)References updated. Specialty Matched Consultant Advisory Panel review 4/2025. Medical Director review 4/2025. No change to policy statement.
Pneumatic Compression Pumps for Treatment of Lymphedema and Venous UlcersReferences updated. Updated related policies to include Surgical Treatment for Lymphedema. Policy guidelines updated. Specialty Matched Consultant Advisory Panel review 4/2025. Medical Director review 4/2025.
ProlotherapySpecialty Matched Consultant Advisory Panel review 4/2025. Medical Director review 4/2025. Archive policy.
Renal (Kidney) TransplantationDescription and References sections updated. Specialty Matched Specialty Advisory Panel review 4/2025. Medical Director review 4/2025.
TENS (Transcutaneous Electrical Nerve Stimulator)Regulatory status and references updated. Removed A4544 and A4540 from Billing/Coding section. Specialty Matched Consultant Advisory Panel review 4/2025. Medical Director review 4/2025.
Trigger Point and Tender Point InjectionsReferences added. Specialty Matched Consultant Advisory Panel review 4/2025. Medical Director review 4/2025. No change to policy statement.