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Liver Transplant and Combined Liver-Kidney Transplant
Effective date
Not stated in the notice
Identified
Jun 20, 2026
Summary
Blue Cross Blue Shield of Mississippi updated its liver transplant policy on 04/09/2026. The medically necessary criteria now list metabolic dysfunction-associated steatohepatitis (MASH) in place of non-alcoholic steatohepatitis, and liver transplant for hepatic adenoma, unresectable colorectal liver metastases, and epithelioid hemangioendothelioma (HEHE) is investigational. No benefits are provided for a covered transplant procedure unless the member receives prior authorization through case management from this plan.
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What to do
Action · 2 steps
01Billing team: Before billing a covered liver transplant procedure, confirm the member received prior authorization through case management from Blue Cross & Blue Shield of Mississippi, because no benefits will be provided without it.
02Stop billing liver transplant for individuals with hepatic adenoma, unresectable colorectal liver metastases, or epithelioid hemangioendothelioma (HEHE), since the policy lists these as investigational for liver transplantation.
Codes mentioned
00796019904713347135471404714147142471434714447145471464714747399S2152
Original notice
Liver Transplant and Combined Liver-Kidney Transplant
bcbsms.com · Always check the source before changing claims.
Related changes
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