CommercialPrior AuthMedium impact
MPC November 2023
Blue Cross Blue Shield of Nebraska·NE · Orthopedics, Physical Therapy, PM&R (Physical Medicine & Rehab) +1 more·Medical Policy
Effective date
Feb 2, 2024
We identified it
Jun 24, 2026
Summary
Blue Cross and Blue Shield of Nebraska is updating two medical policies effective February 2, 2024. Hip labrum reconstruction surgery now includes labral augmentation procedures and requires preauthorization. Virtual reality therapies policy is expanded to include prescription digital therapeutics, which are considered experimental and investigational.
Action Required
Before February 2, 2024: Billing team must update systems to require preauthorization for all hip labrum reconstruction and augmentation procedures for Nebraska BCBS members. Update encounter forms to remind providers that labral augmentation is now investigational. For virtual reality and prescription digital therapeutic services, verify coverage policies as these are considered experimental and may not be covered.