CommercialCoverageHigh impact
Magnetic Resonance Imaging (MRI) of the Lower Extremity
Blue Cross & Blue Shield of Mississippi·MS · Orthopedics, Sports Medicine, Radiology +2 more·Medical Policy
We identified it
Jun 20, 2026
Summary
BCBS Mississippi has established comprehensive MRI coverage criteria for lower extremity imaging, requiring provider accreditation and defining specific medical necessity criteria for hip/pelvis, knee, and ankle/hindfoot MRI studies. All network providers must be accredited by IAC, ACR, or RadSite to bill MRI technical components.
Action Required
Immediately: Verify all MRI facilities are accredited by IAC, ACR, or RadSite for lower extremity MRI billing. Review patient cases against the specific medical necessity criteria outlined for hip/pelvis, knee, and ankle/hindfoot MRI orders before scheduling. Update prior authorization processes to reference the detailed indications listed in sections A, B, and C for each anatomical area. Ensure documentation supports medical necessity per policy criteria to avoid claim denials.