CommercialCoverageMedium impact
MPC May2023
Blue Cross Blue Shield of Nebraska·NE · Oncology, Neurology, PM&R (Physical Medicine & Rehab) +2 more·Medical Policy
Effective date
May 17, 2023
We identified it
Jun 19, 2026
Summary
Blue Cross Blue Shield of Nebraska has updated three medical policies effective May 17 and August 1, 2023. Virtual Reality Behavior Therapy becomes investigational (non-covered) with preauth required, electrical stimulation policies are revised with certain devices becoming investigational, and PET scan coverage for prostate cancer is expanded to include PSMA PET scans.
Action Required
Before August 1, 2023: Billing team must update system to require prior authorization for Virtual Reality Behavior Therapy services, disposable NMES devices (e.g., Geko), and TAPS therapy. Update encounter forms to reflect these services are now investigational and likely non-covered. For PET scans, verify coverage criteria for prostate cancer cases including new PSMA PET scan coverage for staging and restaging.