CommercialPrior AuthMedium impact
MPC February 2026
Blue Cross Blue Shield of Nebraska·NE · Cardiology, Neurosurgery, Orthopedics +3 more·Medical Policy
Effective date
Jun 1, 2026
We identified it
Jun 19, 2026
Summary
Blue Cross Blue Shield of Nebraska is implementing new prior authorization requirements for four medical policies effective June 1, 2026: cardiac hemodynamic monitoring, image-guided spinal decompression, intracameral implants for glaucoma, and remote electrical neuromodulation for migraines. All of these procedures will require preauthorization and have specific coverage criteria that must be met.
Action Required
Before June 1, 2026: Billing team must update system to require prior authorization for CPT codes 62330, 62331, HCPCS codes G0276 and A4540. Update encounter forms to alert providers of new preauth requirements for cardiac hemodynamic monitoring, spinal decompression procedures, intracameral implants, and remote electrical neuromodulation devices. Train staff on new coverage criteria documentation requirements. Claims submitted without prior authorization will be denied.