All PlansCoverageMedium impact
Electromagnetic Navigation Bronchoscopy
Blue Cross & Blue Shield of Mississippi·MS · Pulmonology, Oncology·Medical Policy
We identified it
Jun 20, 2026
Summary
This is a new medical policy establishing coverage criteria for Electromagnetic Navigation Bronchoscopy (ENB). ENB is considered medically necessary for diagnosing suspicious peripheral pulmonary lesions or placing fiducial markers when standard bronchoscopy or endobronchial ultrasound are inadequate, but remains investigational for mediastinal lymph node diagnosis.
Action Required
Immediately: Billing team and providers must understand that ENB procedures require documentation showing that flexible bronchoscopy alone or with endobronchial ultrasound are inadequate before ENB can be considered medically necessary. Update encounter forms to include medical necessity documentation requirements for ENB procedures. Ensure providers document that ENB is being used specifically for peripheral pulmonary lesion diagnosis or fiducial marker placement, not for mediastinal lymph node evaluation.