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Medical Policy Revision: Novel Lipid Risk Factors in Risk Assessment and Management of Cardiovascular Disease

Effective January 27, 2015, Horizon Blue Cross Blue Shield of New Jersey will change the way we consider claims for certain services related to cardiovascular disease risk assessment.

Based on the guidelines of our revised medical policy, Novel Lipid Risk Factors in Risk Assessment and Management of Cardiovascular Disease, on and after a service date of January 27, 2015, CPT® code 83695 will be denied as an investigational service regardless of the diagnosis submitted on the claim.

Review this revised policy in our online Medical Policy Manual.

Unless Horizon BCBSNJ gives written notice that all or part of the above changes have been cancelled or postponed, the changes will be applied to claims for dates of service on and after January 27, 2015.

CPT® is a registered mark of the American Medical Association.

Published on: October 29, 2014, 14:00 p.m. ET
Last updated on: November 24, 2020, 23:09 p.m. ET