CommercialCoverageMedium impact
Medical & Pharmacy Policy Update
Blue Cross Blue Shield of Kansas·KS · Orthopedics, Neurosurgery, Cardiology +5 more·Pharmacy
Effective date
Jul 1, 2022
We identified it
Jun 19, 2026
Summary
BCBSKS updated multiple medical and pharmacy policies effective July 1, 2022, including new coverage criteria for procedures like spinal disc replacement, cardiac monitoring, and various therapy policies. Several policies also received new billing codes that must be used for proper claims processing.
Action Required
Review updated BCBSKS policies at https://www.bcbsks.com/providers/precertification-prior-authorization for current coverage criteria and new billing codes. Billing team should verify coding updates for Bio-Engineered Skin Substitutes, Cochlear Implants, Continuous Glucose Monitoring, Spinal Stabilization Devices, OCT imaging, Stem Cell Therapy, and PET Scanning procedures. Contact BCBSKS provider consultant for specific code changes and prior authorization requirements.