eviCore Program Updates: Radiology/Imaging Services and Cardiology Imaging
Effective February 1, 2021, Horizon BCBSNJ will implement changes to the services included as part of our Radiology/Imaging Services Program and our Cardiology Imaging Program, both administered by eviCore healthcare (eviCore).
eviCore will conduct Prior Authorization/Medical Necessity Determination (PA/MND) reviews of the MRI and Cardiac MRI services represented by the recently approved procedure codes below when rendered on or after February 1, 2021.
- 0609T
- 0610T
- 0611T
- 0612T
- C9762
- C9763
Review the complete list of services that require PA/MND review as part of these programs.
For more information about these and other eviCore programs, visit HorizonBlue.com/evicore. If you have questions, please contact your Network Specialist or Ancillary Contracting Specialist.
CPT® is a registered trademark of the American Medical Association.
PA/MND reviews
To submit a PA/MND request to eviCore (or to validate that a PA/MND was requested and/or approved) please:
- Visit eviCore.com or
- Call 1-866-496-6200, between 7 a.m. and 7 p.m., Eastern Time
Review the guidelines eviCore uses to conduct PA/MND reviews as part of this program.