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Blue Cross Blue Shield of NebraskaCommercial · Prior Auth · Medical Policy · NE · Cardiology, Neurosurgery, Orthopedics +3 moreMedium impact

MPC February 2026

Effective date
Jun 1, 2026
Identified
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.

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What to do

Action · 4 steps
01Before June 1, 2026: Billing team must update system to require prior authorization for CPT codes 62330, 62331, HCPCS codes G0276 and A4540.
02Update encounter forms to alert providers of new preauth requirements for cardiac hemodynamic monitoring, spinal decompression procedures, intracameral implants, and remote electrical neuromodulation devices.
03Train staff on new coverage criteria documentation requirements.
04Claims submitted without prior authorization will be denied.

Codes mentioned

6233062331G0276A4540

Original notice

MPC February 2026
nebraskablue.com · Always check the source before changing claims.
View original ↗

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