CommercialCoverageMedium impact
MPC August 2025
Blue Cross Blue Shield of Nebraska·NE · Orthopedics, Rheumatology, Podiatry +2 more·Medical Policy
Effective date
Dec 1, 2025
We identified it
Jun 19, 2026
Summary
BCBS Nebraska has created a new medical policy stating that low dose radiation therapy for osteoarthritis and plantar fasciitis diagnosis is not medically necessary. Prior authorization is required for these services and claims will likely be denied.
Action Required
Before December 1, 2025: Billing team must update prior authorization requirements for low dose radiation therapy procedures used to diagnose osteoarthritis and plantar fasciitis. Providers should be notified that these indications are considered not medically necessary by BCBS Nebraska and claims will likely be denied. Update encounter forms and EMR templates to flag these diagnoses when low dose radiation therapy is ordered.