The transplant initiative codes listed below will appear as “Yes, Prior Authorization Required” on the Prior Auth Look Up Tool, effective January 1, 2026. 

Updates to the prior authorization and medical necessity review for these services are part of Blue Cross Complete’s continued dedication to supporting providers in their shared commitment to high quality health care for participants. As a reminder, when you do need to verify whether a service requires prior authorization, use the Prior Authorization Lookup Tool at mibluecrosscomplete.com. Please remember, the results of this tool are not a guarantee of coverage or authorization.

Click here to see the full list of codes and read the full announcement from Blue Cross Complete.