CommercialPrior AuthLow impact
Small Bowel/Liver and Multivisceral Transplant
Blue Cross & Blue Shield of Mississippi·MS · Gastroenterology, General Surgery, Cardiothoracic Surgery·Medical Policy
We identified it
Jun 20, 2026
Summary
BCBS Mississippi updated their policy for small bowel/liver and multivisceral transplants, establishing clear criteria for medical necessity and requiring prior authorization through case management for all transplant procedures and evaluations. The policy covers transplantation for patients with intestinal failure who have developed evidence of impending end-stage liver failure while on long-term total parenteral nutrition.
Action Required
Immediately: Billing team must ensure prior authorization is obtained through BCBS Mississippi case management before scheduling any small bowel/liver or multivisceral transplant procedures or evaluations. Claims will be denied without proper prior authorization. Update system alerts for affected CPT codes to require prior auth verification.