CommercialPrior AuthMedium impact
MPC March 2026
Blue Cross Blue Shield of Nebraska·NE · Neurology, Psychiatry, Pediatrics +7 more·Medical Policy
Effective date
Jul 1, 2026
We identified it
Jun 24, 2026
Summary
Blue Cross Blue Shield of Nebraska has updated five medical policies effective 7/1/2026, adding prior authorization requirements for compression pumps, limb compression devices, and ophthalmologic imaging, while categorizing several diagnostic techniques as investigational.
Action Required
Before July 1, 2026: Billing team must update system to require prior authorization for compression pump procedures, postsurgical limb compression devices, and ophthalmologic imaging procedures (CPT 92133, 0198T, 92132). Update encounter forms to alert providers. Train staff on new investigational status of quantitative EEG for ADHD/cognitive/autism diagnoses and breast gamma imaging procedures.