CommercialCoverageMedium impact
Liver Transplantation 7.02.07
Excellus BlueCross BlueShield·Gastroenterology, General Surgery, Transplant Surgery +1 more·Transplants
Effective date
Nov 20, 2025
We identified it
Jun 20, 2026
Summary
Excellus BlueCross BlueShield updated their liver transplantation policy effective November 20, 2025, expanding coverage criteria to include new conditions like MASH and specific cholangiocarcinoma cases. The policy establishes comprehensive pre-transplant evaluation requirements and annual re-authorization processes for transplant candidates.
Action Required
By November 20, 2025: Review and update liver transplant authorization processes to align with new coverage criteria including MASH and cholangiocarcinoma cases. Ensure pre-transplant evaluation documentation includes all required clinical, psycho-social, cardiac, and pulmonary assessments. Implement annual re-authorization tracking for patients on transplant waiting lists. Update provider education materials on new MELD score requirements and contraindication criteria.