Medicare Advantage Medical Policy Updates
Effective August 15, 2026
Blue Cross and Blue Shield of Nebraska Medicare Advantage is proud to work with our provider network to serve your patients, our members. We are updating several medical policies. Please review the changes and effective dates outlined here:
New Medical Policies
Medical Policy: M.94 MA Unlisted Procedure Codes
Effective Date: 08/15/2026
Preauthorization Required: Yes
Codes: 15999, 21089, 21499, 21899, 22999, 23929, 24999, 25999, 26989, 27599, 27899, 29999, 30999, 31599, 33999, 36299, 37501, 37799, 38129, 38589, 38999, 39499, 39599, 40799, 40899, 41899, 42699, 42999, 43289, 43499, 43659, 43999, 44238, 44799, 44899, 44979, 45399, 45499, 45999, 46999, 47379, 47579, 47999, 49329, 49659, 49999, 50549, 50949, 51999, 54699, 55559, 55899, 58578, 58679, 59897, 60659, 60699, 66999, 67299, 67399, 67599, 67999, 68399, 68899, 69399, 69949, 69979
Adding these codes to require Prior Authorization