CommercialCoverageMedium impact
Positron Emission Mammography (PEM)
Blue Cross & Blue Shield of Mississippi·MS · Radiology, Oncology, OB-GYN·Medical Policy
We identified it
Jun 20, 2026
Summary
Blue Cross Blue Shield Mississippi has updated their policy on Positron Emission Mammography (PEM), classifying it as investigational for all indications. This means PEM procedures will not be covered as they are not considered medically necessary under current standards.
Action Required
Immediately: Billing team must verify PEM procedure codes are flagged as non-covered/investigational in billing system for BCBS Mississippi plans. Front desk staff should inform patients that PEM procedures are considered investigational and will not be covered, requiring patient financial responsibility discussions before scheduling. Claims submitted for PEM will be denied.