| Commercial Medical Record Standards | Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI | — | Original policy ↗ |
| Commercial Medical Record Standards | Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI | — | Original policy ↗ |
| Commercial Risk Adjustment Coding Guide | Commercial · CO, CT, GA, IN, KY, ME, MO, NH, OH, VA, WI | — | Original policy ↗ |
| Commerical Measurement Period Handbook | Commercial · GA | — | Original policy ↗ |
| Consultation Services – Professional | C-09010 · Effective Dec 29, 2023 · Commercial · CO, CT, GA, IN, KY, MO, NH, NV, OH, WI | 10 | Original policy ↗ |
| Consumer Directed Healthcare Plans (CDHP) and Healthcare Debit Cards | Commercial · GA | — | Original policy ↗ |
| Critical Care to Home – Facility | C-25004 · Effective Apr 1, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 6 | Original policy ↗ |
| Cryoablation for Plantar Fasciitis and Plantar Fibroma | SURG.00100 · Commercial | 2 | Original policy ↗ |
| Cryosurgical, Radiofrequency, Microwave or Laser Ablation to Treat Solid Tumors Outside the Liver | CG-SURG-61 · Commercial | 25 | Original policy ↗ |
| Deep Brain Stimulation and Responsive Neurostimulation | SURG.00026 · Commercial | 22 | Original policy ↗ |
| Dental claims review submission requirements | Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI | 125 | Original policy ↗ |
| Dental Web Portal Notification | Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI | — | Original policy ↗ |
| Designated Medical Specialty Pharmacy Exception Request Form | Commercial · CO, CT, GA, IN, KY, MO, NH, OH | — | Original policy ↗ |
| Destruction of Pre-Malignant Skin Lesions | CG-SURG-37 · Commercial | 3 | 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 ↗ |
| DME Modifiers - Professional | C-19006 · Effective Sep 28, 2022 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | — | 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.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 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 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 ↗ |
| 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 Newborn Inpatient Stays – Facility | C-18002 · Effective Dec 18, 2025 · Commercial · GA, IN, KY, WI | — | Original policy ↗ |
| Drug Screen Testing – Professional | C-12004 · Effective Oct 23, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 17 | Original policy ↗ |
| Drugs and Devices Requiring Procedures – Facility | C-26001 · Effective Jul 1, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | — | Original policy ↗ |
| Edinburgh Postnatal Depression Scale (EPDS) | Commercial · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI | — | Original policy ↗ |
| Electrical Stimulation as a Treatment for Pain and Other Conditions: Surface and Percutaneous Devices | DME.00011 · Commercial | 15 | Original policy ↗ |
| Electronic ID Cards Dental Quick Reference Guide | Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI | — | Original policy ↗ |
| Emergency Department Protocol for SIU Review | Commercial · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, NY, OH, VA, WI | 10 | Original policy ↗ |
| Emergency Department: Leveling of Evaluation and Management Services – Facility | C-13001 · Effective Jan 1, 2021 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | — | Original policy ↗ |
| Emergency Room Transfers – Facility | C-20006 · Effective Jul 17, 2024 · Commercial · CO, CT, GA, IN, KY, MO, NV, OH, WI | 5 | Original policy ↗ |
| Example of Cardiology Referral Preparedness Tool | Commercial · CT, GA, NH, VA | — | Original policy ↗ |
| Example of Endocrinology Referral Preparedness Tool | Commercial · CT, GA, NH, VA | — | Original policy ↗ |
| Example of OB/GYN Referral Preparedness Tool | Commercial · CT, GA, NH, VA | — | Original policy ↗ |
| Facility and Professional Provider Manual (For Commercial Products) | Commercial · GA | 10 | Original policy ↗ |
| Facility Guidelines for Claims Related to Professional Services - Facility | C-15004 · Effective Dec 1, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 19 | Original policy ↗ |
| Frequency Editing - Professional | C-08012 · Effective Jun 11, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI | 215 | Original policy ↗ |
| Gene Therapy for Duchenne Muscular Dystrophy | MED.00144 · Commercial | 1 | Original policy ↗ |
| Genetic Testing FAQs | Commercial · GA | — | Original policy ↗ |
| Georgia Facility and Professional Provider Manual | GABCBS-CM-PM-063065-24 · Effective Jan 1, 2025 · Commercial · GA | 30 | Original policy ↗ |