Summary
Blue Cross Blue Shield of Nebraska updated multiple medical policies effective January 1, 2023, adding new prior authorization requirements and coverage criteria for computer-assisted surgical navigation, oncology genetic testing, and various hereditary cancer susceptibility panels.
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What to do
Action · 5 steps
01Before January 1, 2023: Billing team must update prior authorization workflows for all listed CPT and HCPCS codes.
02Update billing software to flag these codes for required preauthorization.
03Train providers on new medical necessity criteria for genetic testing panels and oncology algorithmic tests.
04Verify patient eligibility meets specific diagnostic criteria before scheduling procedures.
05Claims submitted without proper prior authorization will be denied.
Codes mentioned
6178381519S38548151881520815218152281523814358143681284812868159981479
Original notice
MPC November 2022
nebraskablue.com · Always check the source before changing claims.
Related changes
See all Blue Cross Blue Shield of Nebraska changes →MPC November 2022MediumEffective Jan 1, 2023 · Medical PolicyMPC November 2021MediumEffective Mar 1, 2022 · Medical PolicyMPC November 2021LowNo effective date · Medical PolicyMPC March 2022MediumEffective Jul 1, 2022 · Medical PolicyBrowse every Blue Cross Blue Shield of Nebraska change in the policy list