Summary
Blue Cross Blue Shield of Nebraska is implementing a new medical policy requiring preauthorization for all tissue transfer (flap) procedures starting May 1, 2026. The policy covers 33 specific CPT codes and will use Interqual criteria for approval decisions.
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What to do
Action · 3 steps
01Before May 1, 2026: Billing team must update practice management system to require prior authorization for all 33 tissue transfer/flap CPT codes listed in the policy.
02Update encounter forms and scheduling workflows to alert staff when these procedures are planned.
03Train front desk staff to obtain preauthorization before scheduling these procedures for BCBS Nebraska patients.
If missed: Failure to obtain prior authorization will result in claim denials.
Codes mentioned
14000140011402014021140401404114060140611430114302143501557015572155741557615600156101562015630156501573015731157331573415736157381574015750159221593415936159441594615952159564990449905
Original notice
MPC January 2026
nebraskablue.com · Always check the source before changing claims.
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