2017 Code Lists for eviCore Programs
Horizon Blue Cross Blue Shield of New Jersey partners with eviCore healthcare) to manage a number of services for many of our members through prior authorizations/medical necessity determinations (PA/MND).
eviCore healthcare helps ensure appropriateness in care and quality standards by managing our Radiology, Cardiology, Muscoloskeletal and Radiation Therapy service programs.
Please review the following code lists that have been updated for 2017.
- 2017 Radiology Codes Requiring Prior Authorization
- 2017 Musculoskeletal Spine Surgery Codes subject to medical necessity and appropriateness review
- 2017 Musculoskeletal Pain Management Codes that require PA/MND
If you have questions, please call Physician Services at 1-800-624-1110 or Institutional Services at 1-888-666-2535.