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Magnetic Resonance Imaging (MRI) of the Upper Extremity
Blue Cross & Blue Shield of Mississippi·MS · Orthopedics, Sports Medicine, Radiology +2 more·Medical Policy
We identified it
Jun 20, 2026
Summary
This policy establishes medical necessity criteria and provider accreditation requirements for MRI of upper extremity (shoulder, elbow, wrist). All network providers must be accredited by IAC, ACR, or RadSite to bill MRI technical components.
Action Required
Immediately: Verify all MRI providers are accredited by IAC, ACR, or RadSite before billing MRI technical components. Update prior authorization processes to ensure medical necessity criteria are met for shoulder, elbow, and wrist MRIs per the detailed indications listed in the policy. Claims may be denied without proper accreditation or medical necessity documentation.