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Blue Cross & Blue Shield of MississippiAll Plans · Coverage · Medical Policy · Pulmonology, OncologyMedium impact

Electromagnetic Navigation Bronchoscopy

Effective date
Not stated in the notice
Identified
Jun 20, 2026

Summary

Electromagnetic navigation bronchoscopy may be considered medically necessary to establish a diagnosis of suspicious peripheral pulmonary lesions or to place fiducial markers within lung tumors before treatment, when flexible bronchoscopy alone or with endobronchial ultrasound is considered inadequate for the diagnostic or interventional objective. It is considered investigational for use with flexible bronchoscopy to diagnose mediastinal lymph nodes and for all other uses not covered above. The policy history records a 10/19/2026 description update on new lung cancer data, with policy statements unchanged.

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What to do

Action · 5 steps
01Billing team: Bill electromagnetic navigation bronchoscopy as medically necessary only for the conditions listed in the policy.
02Use with flexible bronchoscopy to diagnose mediastinal lymph nodes is considered investigational.
03Code 31627 is an add-on code used with CPT codes 31615, 31622 through 31631, 31635, 31636, and 31638 through 31643, and it should not be reported with codes 76376 and 76377 because it includes 3-dimensional reconstruction.
04Bronchoscopists performing this procedure require specific training.
05BCBSMS makes no payment for services that are not documented to be Medically Necessary.

Codes mentioned

3162631627C34.00C34.92C78.00C78.01D38.1R91.1R91.8

Original notice

Electromagnetic Navigation Bronchoscopy
bcbsms.com · Always check the source before changing claims.
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