Summary
Blue Cross and Blue Shield of Nebraska updated five medical policies effective July 1, 2026, with new prior authorization requirements for compression pumps, limb compression devices for VTE prophylaxis, and ophthalmologic imaging. Several procedures including quantitative EEG and breast imaging techniques are now classified as investigational.
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What to do
Action · 3 steps
01Before July 1, 2026: Billing team must update system to require prior authorization for compression pumps (lymphedema/venous ulcers), postsurgical limb compression devices for VTE prophylaxis, and ophthalmologic imaging procedures including CPT 92133, 0198T, and 92132.
02Update encounter forms to alert providers of new preauth requirements.
03Educate providers that quantitative EEG for ADHD/autism/cognitive impairment and breast-specific gamma imaging are now investigational and may not be covered.
Codes mentioned
9213392132
Original notice
MPC March 2026
nebraskablue.com · Always check the source before changing claims.